Ọkpụkpụ tibial plateau gbajiri agbaji bụ mgbaji dị n'akụkụ periarticular
Ọkpụkpụ bicondylar bụ n'ihi mmerụ ahụ siri ike dị elu
(J Orthop Trauma 2017; 30: e152–e157)
Barei DP, Nork SE, Mills WJ, et al.Ihe mgbagwoju anya jikọtara ya na imeziwanye ike dị elu nke bicondylar tibial plateau gbajiri agbaji na-eji usoro mbepụ abụọ.J Orthop Trauma.2004;18:649–657 .
Barei DP, O'Mara TJ, Taitsman LA, et al.Ugboro na mgbaji morphology nke mpekere posteromedial n'ụdị mgbawa tibial plateau bicondylar.J Orthop Trauma.2008;22:176–182 .
Nke a na-ejikarị Schatzker, Moore na nhazi AO/OTA na-ekpuchi ihe fọrọ nke nta ka ọ bụrụ ọkpụkpụ niile.
Mana ụfọdụ ụdị mgbawa adịghị mma
Ụdị ụfọdụ ụdị mgbawa na-atụ aro mmerụ ahụ nwere ike ịdị ize ndụ, dị ka mgbaji-mgbawa nke ikpere, nke nwere ike inwe nnukwu nsogbu ma ọ bụrụ na aghọtaghị ya.
Bennett na Browner, Schatzker et al matara mgbaji morphology nke etiti etiti a.
(Bennett WF, Browner B. Tibial plateau fractures: ọmụmụ banyere mmerụ ahụ dị nro jikọtara ya.J Orthop Trauma.1994;8:183–188.)
Reza Firoozabadi sitere na United States chọpụtara na hyperextension na varus tibial plateau bicondylar fractures (HEVBTP) adịghị adịkarị ka a kpọtụrụ aha n'akwụkwọ ma etinyeghị ya na nhazi ọkwa mgbawa a na-ejikarị.
Ndị na-ede akwụkwọ na-atụ aro na usoro mmerụ ahụ nke HEVBTP yiri nke ọgwụ hyperextension na varus stress na-eduga na anteromedial ntinye mgbaji nke tibia proximal na mmebi nke nkuku posterolateral na / ma ọ bụ n'azụ cruciate ligament, ma e wezụga na nke mbụ bụ azụ azụ. cortex nke tibia proximal.Mgbaji mgbaji na mgbaji mgbaji n'ihu, na-ebute nrụrụ sagittal nke nsọtụ/tibia dị ala (belata ma ọ bụ tụgharịa tibial posterior tilt)
Paley D, Herzenberg JE.Ndozi ụkwụ nkịtị na ntụzịaka nkwonkwo.Na: Ụkpụrụ nke Ndozi Nrụrụ.New York: Springer-Verlage Berlin Heidelberg;2002:14–16 .
Usoro mmerụ ahụ - Hyperextension na Varus
Mgbaji nke tibial plateau etiti dị n'ihu yana mmerụ ahụ mgbagwoju anya dị n'azụ
Usoro mmerụ ahụ: oke hyperextension na varus nke ikpere
Atụmatụ: Iberibe mgbaji dị iche iche anteromediaally
Ọkpụkpụ nke Anteromedial Tibial Plateau jikọtara ya na mmerụ ahụ dị mgbagwoju anya nke posterolateral: Ọmụmụ ihe na nyocha akwụkwọ. JOURNAL OF KNEE Surgery,2011
Ndị na-ede akwụkwọ nyochara nyochaghachi ndị ọrịa 208 (akụkụ 212) nwere mgbaji bicondylar nke ala ala tibial n'etiti Mee 2000 na August 2011, wee nyochaa ikpe 23 (ikpe 25) bụ ndị kwekọrọ na njirimara HEVBTP mgbe nyochachara site na CT scan na ihu na mpụta X. - ray nkịtị fim.akụkụ) tibial plateau fractures, na nke fọdụrụ 187 tibial plateau gbajiri agbaji dị ka ikpe na njikwa.
A- X-ray dị n'akụkụ nke nkwonkwo ikpere iji nyochaa nkwụghachi azụ nke tibia na mgbaji mgbaji n'ihu, na X-ray ihu na-egosi nrụrụ coronal varus.
B-Coronal na sagittal CT onyogho mgbe trans-articular mpụga ndozi
C- Fluoroscopy X-ray nke dị n'ihu na nke dị n'akụkụ na-egosi na mbelata mbelata mgbaji na-agbaji agbaji na screws abụọ (n'ihu anya na-aga n'ihu) na-ebelata ma dozie mpempe tibia dị nso;
D- X-ray nke dị n'ihu na mpụta na-arụ ọrụ na-egosi medial Otu na-adịghị ekpochi na otu mgbachi buttress plate fixation, ebe etiti etiti dị n'akụkụ anteromedial nke tibial plateau.
Ihe nkiri dị larịị X-ray nke E-mpụta gosiri na akụkụ ntụgharị tibial tupu ịwa ahụ bụ -9°, mgbe emechara ya, ọ bụ 10°, na akụkụ mgbazi ịwa ahụ bụ 19°
Oge nzipu: Eprel-26-2022