Ubuhanga bwo kubaga |Ipsilateral Femoral Condyle Igishushanyo Cyimbere Imbere yo Kuvura Ibice bya Tibial Plateau

Kuruhande rwa tibial plateau gusenyuka cyangwa gusenyuka gusenyuka nubwoko bukunze kuvunika tibial plateau.Intego yibanze yo kubaga ni ukugarura ubworoherane bwubuso hamwe no guhuza ingingo yo hepfo.Ubuso bwaguye bwaguye, iyo buzamuye, busiga inenge yamagufa munsi ya karitsiye, akenshi bisaba ko hashyirwaho igufwa rya iliac autogenous, igufwa rya allograft, cyangwa igufwa ryubukorikori.Ibi bikora intego ebyiri: icya mbere, kugarura amagufwa yubatswe, naho icya kabiri, guteza imbere gukira amagufwa.

Urebye ibice byongeweho bisabwa kumagufwa ya iliac autogenous, biganisha ku ihungabana rikomeye ryo kubaga, hamwe n’ingaruka zishobora kwangwa no kwandura zifitanye isano n'amagufwa ya allograft n'amagufwa ya artificiel, intiti zimwe zisaba ubundi buryo mugihe cya tibial plateau igabanuka no gukosora imbere (ORIF) ).Basabye kwagura igice kimwe hejuru mugihe cyo kubikora no gukoresha igufwa ryamagufwa ya kanseri ivuye kuruhande rwumugore.Raporo nyinshi zimanza zanditse ubu buhanga.

Ubushakashatsi bwarimo imanza 12 zifite amakuru yuzuye yo gukurikirana amashusho.Mu barwayi bose, hakoreshejwe uburyo busanzwe bwa tibial imbere yinyuma.Nyuma yo kwerekana ikibaya cya tibial, incike yaguwe hejuru kugirango yerekane impande zombi z'umugore.Gukuramo amagufwa ya 12mm ya Eckman yarakoreshejwe, hanyuma nyuma yo gucukumbura muri cortex yo hanze ya femorale femorale, amagufwa ya kanseri yavuye muri condyle yegeranye yasaruwe mubice bine byasubiwemo.Ingano yabonetse yari hagati ya 20 na 40cc.

Nyuma yo kuhira inshuro nyinshi umuyoboro wamagufa, sponge hemostatike irashobora kwinjizwamo nibiba ngombwa.Amagufwa yasaruwe yatewe yatewe mumagufwa yamagufwa munsi yibibaya bya tibial, hanyuma bigakurikirwa mubisanzwe imbere.Ibisubizo byerekana:

① Kugirango bikosore imbere muri tibial plateau, abarwayi bose bagezeho gukira kuvunika.

② Nta bubabare bukomeye cyangwa ingorane byagaragaye ku kibanza cyakuweho amagufwa avuye ku rubavu.

Gukiza amagufwa ahasarurwa: Mu barwayi 12, 3 bagaragaje gukira kwuzuye amagufwa ya cortique, 8 bagaragaje gukira igice, naho 1 yerekanye ko nta magufa ya cortique akiza.

Ation Gukora amagufwa trabeculae ahasarurwa: Mu bihe 9, nta terambere ryagaragaye ryagaragaye mu magufa, kandi mu bihe 3, byagaragaye ko igice cya trabeculae cyagaragaye.

Ingorane za osteoarthritis: Mu barwayi 12, 5 barwaye indwara ya rubagimpande nyuma yo guhahamuka.Nyuma yimyaka ine umurwayi umwe yasimbuwe hamwe.

Mu gusoza, gusarura amagufwa ya kanseri avuye kuruhande rwuruhande rwigitsina gore rwigitsina gore bivamo amagufwa meza ya tibial plateau amagufwa adakiza ibyago byo guhura nibibazo nyuma yo kubagwa.Ubu buhanga bushobora gutekerezwa no gukoreshwa mubikorwa byubuvuzi.