Osteotomy kondylar-ka dambe ee dhimista Schatzker nooca II ee jabka tibial plateau

Furaha daaweynta Schatzker nooca II ee jabka tibial plateau waa hoos u dhigista dusha sare ee dunsan. Sababo la xiriira xiritaanka kondyle-ka lateral, habka anterolateral ayaa xaddidan soo-gaadhista iyada oo loo marayo booska wadajirka ah. Waagii hore, aqoonyahannada qaarkood waxay adeegsadeen deyrka kortikal-ka-geeska ah iyo farsamooyinka dhimista birta-usha si ay dib ugu dejiyaan dusha sare ee articular ee burburay. Si kastaba ha ahaatee, sababtoo ah dhibka lagu dhejiyo jajabkii lafta burburay, waxaa jira faa'iido darrooyinka codsiga kiliinikada. Qaar ka mid ah culimada waxay isticmaalaan osteotomy kondyle lateral, waxay kor u qaadaan lafta laf-dhabarka kondyle lateral ee taagga guud ahaan si ay u soo bandhigaan dusha sare ee articular ee lafta oo si toos ah u muuqata, oo ay ku hagaajiyaan boolal ka dib marka la yareeyo, natiijooyin wanaagsan.

Ohabka loo maro

1. Booska: Booska dhabarka, habka caadiga ah ee anterolateral.

2. Lateral condyle osteotomy. Lafo-jileeca ayaa lagu sameeyay kondhilaha dambe ee 4cm ka fog masraxa, iyo xuubka laf-dhabarka ee kondhilaha dambe ayaa la rogay si loo muujiyo dusha sare ee articular ee ciriiriga ah.

3. Dib u habeyn go'an. Dusha sare ee articular ee burburay ayaa dib loo dajiyay, waxaana lagu dhejiyay laba boolal oo lagu dhejiyay carjawda articular si loo hagaajiyo, ciladdana waxaa lagu dhejiyay lafo macmal ah.

4. Saxanka birta ayaa si sax ah loo hagaajiyay.