I-Tibial plateau fractures ziqhelo eziqhelekileyo ze-periarticular fractures
I-Bicondylar fractures yimiphumo yokulimala okukhulu kwamandla aphezulu
(J Orthop Trauma 2017; 30: e152-e157)
Barei DP, Nork SE, Mills WJ, et al.Iingxaki ezinxulumene nokulungiswa kwangaphakathi kwe-high-energy bicondylar tibial plateau fractures kusetyenziswa ubuchule obumbini.J Orthop Trauma.2004;18:649–657.
Barei DP, O'Mara TJ, Taitsman LA, et al.Ukuphindaphinda kunye ne-fracture morphology ye-posteromedial fragment kwi-bicondylar tibial plateau fracture pattern.J Orthop Trauma.2008;22:176–182.
I-Schatzker, Moore, kunye nokuhlelwa kwe-AO/OTA esetyenziswa ngokuqhelekileyo kugubungela phantse zonke iifractures.
Kodwa ezinye iintlobo zeefracture azifanelekanga
Iifom zeentlobo ezithile zokuphuka zibonisa ukulimala okunokuthi kube yingozi, njengokuqhekeka-i-dislocation yedolo, enokuba neengxaki ezinzulu xa zingaqondwa.
UBennett kunye noBrowner, uSchatzker et al baqaphela i-morphology yokwaphuka kweli thafa liphakathi.
(Bennett WF, Browner B. Tibial plateau fractures: isifundo sokulimala kwezicubu ezithambileyo ezihambelanayo.J Orthop Trauma.1994;8:183–188.）
U-Reza Firoozabadi wase-United States wafumanisa ukuba i-hyperextension kunye ne-varus tibial plateau i-bicondylar fractures (HEVBTP) ayifane ikhankanywe kwiincwadi kwaye ayibandakanywa kwi-classification ye-fracture esetyenziswa ngokuqhelekileyo.
Ababhali bacetyisa ukuba indlela yokulimala ye-HEVBTP ifana neyonyango lwe-hyperextension yezemidlalo kunye noxinzelelo lwe-varus olukhokelela ekufakeni i-anteromedial fractures ye-tibia ehamba phambili kunye nomonakalo kwikona ye-posterolateral kunye / okanye i-posterior cruciate ligament, ngaphandle kokuba yangaphambili i-posterior. i-cortex ye-proximal tibia.Ukuqhekeka koxinzelelo kunye noxinzelelo lwangaphambili, okukhokelela ekukhubazekeni kwe-sagittal ye-tibia ephantsi (encitshisiweyo okanye eguqulweyo ye-tibial posterior tilt)
Paley D, Herzenberg JE.Ukulungelelaniswa kwemilenze eqhelekileyo kunye nokuqhelaniswa ngokubambisana.Kwi:Iinqobo zoLuleko lokuKhubazeka.ENew York: iSpringer-Verlage eBerlin Heidelberg;2002:14–16.
I-Injury Mechanism - Hyperextension kunye neVarus
I-anterior medial tibial plateau fracture idibaniswe nokulimala kwangaphandle kwangaphandle
Indlela yokulimala: i-hyperextension egqithisileyo kunye ne-varus yamadolo
Iimpawu: Ukwahlula amaqhekeza e-fracture anteromedially
Ukuqhekeka kwe-Anteromedial Tibial Plateau eNxulunyaniswe ne-Posterolateral Complex Injury: I-Case Study kunye noPhononongo loncwadi.IJOURNAL OF KNEE SURGERY,2011
Ababhali bahlalutya ngokuphindaphindiweyo izigulane ze-208 (amacala e-212) kunye ne-bicondylar fractures ye-tibial plateau phakathi kukaMeyi 2000 no-Agasti 2011, kwaye bahlolisise iimeko ze-23 (amatyala e-25) ahambelana neempawu ze-HEVBTP emva kovavanyo lwe-CT scan kunye ne-anterior kunye ne-lateral X. -iifilimu ezicacileyo.side) i-tibial plateau fracture, kunye ne-187 eseleyo ye-tibial plateau fractures isetyenziswe njengemeko kunye neqela lokulawula.
A- I-X-ray ye-Lateral yedolo elihlangeneyo ukuvavanya ukuthambeka kwe-posterior ye-tibia kunye ne-anterior compression fractures, kunye ne-X-ray yangaphambili ebonisa i-coronal varus deformity.
Imifanekiso ye-B-Coronal kunye ne-sagittal ye-CT emva kokulungiswa kwangaphandle kwe-trans-articular
I-C-Anterior kunye ne-lateral X-ray fluoroscopy ibonisa ukuba i-forceps yokunciphisa i-fracture yangasemva kunye ne-screws ezimbini (i-distal yangaphambili ukuya kwi-posterior proximal direction) inciphisa kwaye ilungise i-fragment ye-tibia esondeleyo;
I-D- I-X-ray ye-postoperative yangaphambili kunye ne-lateral ibonisa i-medial Enye engavaliyo kunye nokulungiswa kwepleyiti enye yokutshixa, apho i-medial plate ibekwe kwindawo ye-anteromedial ye-plateau ye-tibial.
Ifilimu ecacileyo ye-X-ray ibonise ukuba i-angle ye-preoperative tibial retroversion angle yayingu-9 °, emva kokuhlinzwa, yayingu-10 °, kwaye i-angle yokulungiswa kokuhlinzwa yayiyi-19 °.
Ixesha lokuposa: Apr-26-2022