Osteotomy-ga condylar ee dhinaca ah si loo yareeyo jabka tibial-ka nooca labaad ee Schatzker

Furaha daaweynta jabka tibial plateau nooca II ee Schatzker waa yareynta dusha sare ee articular-ka ee dumay. Sababtoo ah xidhitaanka condyle-ka dhinaca, habka anterolateral wuxuu leeyahay soo-gaadhis xaddidan oo dhex marta booska kala-goysyada. Waagii hore, aqoonyahanno qaar ayaa isticmaalay farsamooyinka yareynta cortical-ka anterolateral iyo farsamooyinka yareynta boolal-usha si ay dib ugu dejiyaan dusha sare ee articular-ka ee dumay. Si kastaba ha ahaatee, sababtoo ah dhibka ku jira meelaynta jabkii lafaha ee dumay, waxaa jira khasaarooyin ku jira codsiga caafimaad. Qaar ka mid ah aqoonyahannada ayaa isticmaala osteotomy-ga lateral condyle, waxay qaadaan block-ka lafta ee condyle-ka lateral ee plaute-ka guud ahaan si ay u soo bandhigaan dusha sare ee articular-ka ee dumay ee lafta iyadoo la eegayo aragti toos ah, oo ay ku hagaajiyaan boolal ka dib marka la yareeyo, iyagoo gaaraya natiijooyin wanaagsan.

Ohabka qalliinka

1. Booska: Booska jiifa, habka caadiga ah ee dhinaca hore.

2. Qalliinka lafaha ee dhinaca. Qalliinka lafaha ee dhinaca ayaa lagu sameeyay meel 4cm u jirta goobta, lafahana waxaa la rogay si loo soo bandhigo dusha sare ee kala-goysyada ee la cadaadiyay.

3. Dib-u-dejin ayaa la hagaajiyay. Dusha sare ee kala-goysyada ee burburtay ayaa dib loo dejiyay, laba boolal ayaa lagu dhejiyay carjawda kala-goysyada si loo hagaajiyo, cilladdana waxaa lagu beeray lafo macmal ah.

4. Saxanka birta ah si sax ah ayaa loo hagaajiyay.