Mu itsinda rya HEVBTP, 32% by’abarwayi bahujwe n’izindi ngingo cyangwa ibyangiritse ku miterere, naho abarwayi 3 (12%) bakomeretse mu mitsi y'amaraso bisaba kubagwa.
Ibinyuranye na byo, 16% gusa by’abarwayi bo mu itsinda ritari HEVBTP bafite izindi nkomere, kandi 1% bonyine basabye gusana imitsi ya popliteal.Byongeye kandi, 16% by’abarwayi ba EVBTP bakomeretse igice cyuzuye cyangwa cyuzuye cya peroneal na 12% bafite syndrome yinyana, ugereranije na 8% na 10% byitsinda rishinzwe kugenzura.
Sisitemu gakondo yo kuvunika ibice bya tibial plateau, nka Schatzker, Moore, na AO / OTA, byateguwe kugirango bifashe kubaga kumenya ibikomere bifitanye isano no gutegura gahunda yo kuvura
Iyi mvune isanzwe ishyirwa mubikorwa nka AO C na Schatzker V cyangwa VI
Nyamara, umwihariko wubu bwoko bwo kuvunika urashobora kwirengagizwa nuru rutonde, rushobora gusiga abarwayi bamwe na bamwe bafite uburwayi budakenewe mugihe hari ibibazo bikomeye byamaraso.
Uburyo bwo gukomeretsa bwa HEVBTP busa nubwavunitse bwa tibial tibial plateau ivanze hamwe no gukomeretsa inyuma inyuma hamwe no guturika kwinyuma.
Kubwibyo, kugirango kuvunika kwa tibial anteromedial tibial plateau, hagomba kwitonderwa gukomeretsa kuruhande rwinyuma rwikivi.
Muri ubu bushakashatsi, igikomere cyasobanuwe muritwe cyakunze kumera nkigice cyo kwikuramo ibice bya tibial.Ariko, bitandukanye no gukomeretsa byoroheje byimitsi yinyuma yinyuma cyangwa inyuma yinyuma, ibikomere muribi bihe ni amagufwa kandi bifatwa nkibice bivunika kuri metafizisi cyangwa mubibaya.
Ikigaragara ni uko kumenya imiterere yimvune aribyo bituma abaganga bavura neza abarwayi bavunitse.Kumenyekanisha birashoboka mugihe kimwe cyo kubona icyarimwe amashusho menshi hamwe na tomografi yabazwe kugirango hamenyekane ubuhanga bwimvune.
Ni ngombwa kumenya akamaro k'iyi mvune, ni imvune ikomeye ifitanye isano.
Moore yamenye ko ubwoko bumwebumwe bwimvune za tibial plateau zidatandukanijwe ahubwo bugaragaza urwego rwimvune zirimo ibikomere byo mu mitsi no mumitsi.
Mu buryo nk'ubwo, muri ubu bushakashatsi, kuvunika hyperextension na varus tibial plateau bicondylar byagaragaye ko bifitanye isano na 32% by’impanuka nyinshi z’izindi nkomere, harimo gukomeretsa imitsi ya popliteal, gukomeretsa imitsi ya peroneal, na syndrome de santrale.
Mu gusoza, hyperextension na varus bicondylar kuvunika tibial plateau ni uburyo budasanzwe bwo kuvunika tibial plateau.Ibiranga amashusho yubu buryo ni
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(2) Gucika intege kwa cortex yinyuma
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Abaganga babaga bagomba kumenya ko iyi mvune ishobora kubaho nyuma yuburyo bwo gukomeretsa imbaraga nkeya kubantu bakuze bafite urwego rwo hejuru rw’imvune zo mu mitsi.Ingamba zo kugabanya no kudahagarika umutima zishobora gukoreshwa mu kuvura ubu buryo bwo gukomeretsa.
Igihe cyo kohereza: Gicurasi-16-2022