Lateral condylar osteotomy yo kugabanya Schatzker ubwoko bwa II tibial plateau yamenetse

Urufunguzo rwo kuvura ubwoko bwa Schatzker bwa kabiri bwavunitse tibial plateau ni igabanuka ryubuso bwaguye. Bitewe no gufunga condyle kuruhande, uburyo bwimbere butagira aho bugarukira binyuze mumwanya uhuriweho. Mu bihe byashize, intiti zimwe zakoreshaga uburyo bwa cortical fenestration hamwe na tekinike yo kugabanya imigozi kugirango igarure hejuru ya arctular yaguye. Ariko, kubera ingorane zo gushyira igice cyamagufwa yaguye, hari ibibi mubisabwa kwa muganga. Bamwe mu bahanga bakoresha osteotomy ya condyle, bazamura igufwa ryamagufwa ya condyle yuruhande rwibibaya muri rusange kugirango berekane hejuru yamagufwa yaguye hejuru yamagufwa yerekanwe neza, hanyuma bayakosore hamwe na screw nyuma yo kugabanuka, bigere kubisubizo byiza.

Ouburyo bwo kugenzura

1. Umwanya: Umwanya mwiza, uburyo bwa kera butandukanye.

2. Kuruhande rwa osteotomy. Osteotomy yakorewe kuri condyle kuruhande rwa 4cm uvuye kuri platifomu, hanyuma igufwa ryamagufwa ya condyle kuruhande ryarahinduwe kugirango ryerekane ubuso bwifunitse.

3. Kugarura neza. Ubuso bwa arctular bwaguye bwongeye gushyirwaho, kandi imigozi ibiri yari ifatanye na karitsiye ya arctular kugirango ikosorwe, kandi inenge yatewe amagufwa yubukorikori.

4. Isahani yicyuma ikosowe neza.