Osteotomy na condylar na gefe don rage karyewar tibial plateau na Schatzker nau'in II

Mabuɗin maganin karyewar tibial plateau na Schatzker nau'in II shine rage girman saman articular da ya ruguje. Saboda toshewar condyle na gefe, hanyar anterolateral tana da ƙarancin fallasa ta hanyar sararin haɗin gwiwa. A baya, wasu masana sun yi amfani da dabarun rage cortical fenestration da screw-sand don sake saita saman articular da ya ruguje. Duk da haka, saboda wahalar sanya ɓangaren ƙashi da ya ruguje, akwai rashin amfani a aikace-aikacen asibiti. Wasu masana suna amfani da osteotomy na gefe, suna ɗaga toshewar ƙashi na lateral condyle na lateral plateau gaba ɗaya don fallasa saman articular da ya ruguje a ƙarƙashin gani kai tsaye, kuma suna gyara shi da sukurori bayan raguwa, suna samun sakamako mai kyau.

Otsarin yin fitsari

1. Matsayi: Matsayin kwance, tsarin gargajiya na gefen gaba.

2. An yi aikin tiyatar cirewar jijiyoyin jiki ta gefe. An yi aikin tiyatar cirewar jijiyoyin jiki ta gefe a kan gadon bayan da ke da nisan santimita 4 daga dandamalin, sannan aka juya sashin kasusuwan gadon bayan don fallasa saman da aka matse.

3. An gyara saitin. An sake saita saman haɗin gwiwa da ya ruguje, sannan aka haɗa sukurori biyu a kan guringuntsi don gyarawa, sannan aka dasa lahani da ƙashi na wucin gadi.

4. An gyara farantin ƙarfe daidai.