Ibice bya Tibial plateau nibisanzwe bivunika
Ivunika rya Bicondylar nigisubizo cyo gukomeretsa ingufu nyinshi
(J Orthop Trauma 2017; 30: e152 - e157）
Barei DP, Nork SE, Mills WJ, n'abandi.Ingorane zijyanye no gukosora imbere imbere yingufu nyinshi bicondylar tibial plateau yamenetse ukoresheje tekinike ebyiri.J Ihahamuka.2004; 18: 649–657.
Barei DP, O'Mara TJ, Taitsman LA, n'abandi.Inshuro hamwe no kuvunika morphologie ya posteromedial agace muri bicondylar tibial plateau yamenetse.J Ihahamuka.2008; 22: 176–182.
Ibisanzwe bikoreshwa Schatzker, Moore, hamwe na AO / OTA ibyiciro bikubiyemo hafi kuvunika.
Ariko ubwoko bumwebumwe bwo kuvunika ntibukwiye
Imiterere yubwoko bumwe bwavunitse bwerekana ko hashobora gukomeretsa cyane, nko kuvunika-gutandukana kw'ivi, bishobora kugira ibibazo bikomeye iyo bitagaragaye.
Bennett na Browner, Schatzker nabandi bamenye morphologie yamenetse yiki kibaya cyo hagati.
（Bennett WF, Browner B. Ivunika rya Tibial plateau: ubushakashatsi bwerekeye ibikomere byoroheje bifitanye isano.J Ihahamuka.1994; 8: 183–188.）
Reza Firoozabadi ukomoka muri Amerika yasanze hyperextension na varus tibial plateau bicondylar ivunika (HEVBTP) bidakunze kuvugwa mubitabo kandi ntibashyizwe mubyiciro bikunze kuvunika.
Abanditsi bavuga ko uburyo bwo gukomeretsa HEVBTP busa nubwa siporo ya siporo hyperextension hamwe na stress ya varus iganisha ku kuvunika kwa anteromedial kwangirika kwa tibia yegeranye no kwangirika kwinyuma yinyuma hamwe na / cyangwa imitsi yimbere, usibye ko iyambere ari iyinyuma. cortex ya tibia yegeranye.Kuvunika impagarara no kuvunika imbere, bikaviramo ubumuga bwa sagittal yo hepfo / tibia (kugabanuka cyangwa guhindagurika tibial posterior inyuma)
Paley D, Herzenberg JE.Guhuza ingingo bisanzwe no guhuza icyerekezo.Muri: Amahame yo gukosora ubumuga.New York: Springer-Verlage Berlin Heidelberg;2002: 14-16.
Uburyo bwo Gukomeretsa - Hyperextension na Varus
Imbere yo hagati ya tibial plateau yamenetse hamwe no gukomeretsa inyuma
Uburyo bwo gukomeretsa: hyperextension ikabije na varus yivi
Ibiranga: Tandukanya ibice byavunitse mbere
Ivunika rya Anteromedial Tibial Plateau Yifatanije no Gukomeretsa Kuruhande rwa Posterolateral: Kwiga no Gusubiramo Ubuvanganzo. IKINYAMAKURU CY'UBUZI BWA KNEE, 2011
Abanditsi basubije amaso inyuma basesengura abarwayi 208 (impande 212) bafite imvune ya bicondylar yo mu kibaya cya tibial hagati ya Gicurasi 2000 na Kanama 2011, banagaragaza ibibazo 23 (imanza 25) zari zihuye n’ibiranga HEVBTP nyuma yo gusuzuma CT scan hamwe n’imbere n’inyuma X -yerekana firime.uruhande) kuvunika kwa tibial plateau, naho ibisigaye 187 byavunitse bya tibial plateau byakoreshejwe nkurubanza no kugenzura itsinda.
A.
B-Coronal na sagittal CT amashusho nyuma ya trans-articular yo hanze ikosorwa
C.
D.
E-kuruhande rwa X-ray yerekana neza ko inguni ya tibial retroversion inguni yari -9 °, nyuma yo kubagwa, yari 10 °, naho impande zo gukosora zo kubaga zari 19 °
Igihe cyo kohereza: Apr-26-2022