Kakaretso: Sepheo: Ho batlisisa mabaka a amanang bakeng sa phello ea ts'ebetso ea ho sebelisa ho tiisa ka hare ho poleiti ea tšepe ho tsosolosaho robeha ha lehlaka la tibialMokhoa: Bakuli ba 34 ba nang le ho robeha ha lehare la tibial ba ile ba buuoa ka ho sebelisa ho tiisa ka hare ho poleiti ea tšepe lehlakoreng le le leng kapa a mabeli, ba tsosolosa sebopeho sa 'mele sa lehare la tibial, ba tiisa ka thata, 'me ba nka boikoetliso ba pele ba mosebetsi kamora opereishene. Sephetho: Bakuli bohle ba ile ba lateloa likhoeli tse 4-36, karolelano ea likhoeli tse 15, ho latela lintlha tsa Rasmussen, bakuli ba 21 ba ne ba le maemong a matle, a 8 a matle, a 3 a amohelehileng, a 2 a mabe. Karolelano e ntle haholo e ne e le 85.3%. Qetello: Utloisisa menyetla e nepahetseng ea opereishene, sebelisa mekhoa e nepahetseng 'me u nke boikoetliso ba pele ba mosebetsi, u re fe litlamorao tse ntle tsa opereishene kalafong.tibialho robeha ha lepato.
1.1 Tlhahisoleseding e Akaretsang: sehlopha sena se ne se e-na le bakuli ba 34 ba nang le banna ba 26 le basali ba 8. Bakuli ba ne ba le lilemo li 27 ho isa ho tse 72 ka karolelano ea lilemo tse 39.6. Ho ne ho e-na le linyeoe tse 20 tsa likotsi tsa sephethephethe, linyeoe tse 11 tsa likotsi tsa ho oa le linyeoe tse 3 tsa ho sithabela ho hoholo. Maemo 'ohle e ne e le a robehileng a koetsoeng ntle le likotsi tsa methapo ea mali. Ho ne ho e-na le linyeoe tse 3 tsa likotsi tsa cruciate ligament, linyeoe tse 4 tsa likotsi tsa collateral ligament le linyeoe tse 4 tsa likotsi tsa meniscus. Maqeba a ile a aroloa ho latela Schatzker: linyeoe tse 8 tsa mofuta oa I, linyeoe tse 12 tsa mofuta oa II, linyeoe tse 5 tsa mofuta oa III, linyeoe tse 2 tsa mofuta oa IV, linyeoe tse 4 tsa mofuta oa V le linyeoe tse 3 tsa mofuta oa VI. Bakuli bohle ba ile ba hlahlojoa ka X-ray, CT scan ea tibial plateau le reconstruction ea mahlakore a mararo, 'me bakuli ba bang ba ile ba hlahlojoa ke MR. Ntle le moo, nako ea opereishene e ne e le matsatsi a 7 ~ 21 kamora kotsi, karolelano ea matsatsi a 10. Ho bana, ho ne ho e-na le bakuli ba 30 ba amohelang kalafo ea ho kenngoa masapong, bakuli ba 3 ba amohelang ho kenngoa ha double plate, 'me bakuli ba bang kaofela ba amohela ho kenngoa ha lesapo ka hare ho lehlakore le le leng.
1.2 Mokhoa oa ho Buoa: o etsoanglesapo la mokokotloKa ho sebelisa anesthesia kapa intubation, mokuli o ne a lutse a robetse, 'me a buuoa tlas'a pneumatic tourniquet. Opereishene e sebelisitse lengole la anterolateral, anterior tibial kapa lateral.lengoleHo sehoa ha mokokotlo ka morao. Ligament ea pelo e ile ea sehoa haufi le ho sehoa ha mokokotlo ka lehlakoreng le ka tlase la meniscus, 'me ea pepesa bokaholimo ba articular ba plateau ea tibial. Fokotsa ho robeha ha plateau tlas'a pono e tobileng. Masapo a mang a ile a lokisoa pele ka li-pin tsa Kirschner, ebe a lokisoa ke lipoleiti tse loketseng (poleiti ea kolofo, lipoleiti tsa L, poleiti ea T, kapa a kopantsoe le poleiti ea medial buttress). Liphoso tsa masapo li ne li tlatsitsoe ka allogenic bone (pele) le allograft bone grafting. Opereisheneng, ngaka e buoang e ile ea hlokomela phokotso ea anatomical le phokotso ea anatomical ea proximal, ea boloka axis e tloaelehileng ea tibial, ho tiea ha ka hare, ho kenngoa ha masapo a kopaneng le tšehetso e nepahetseng. E ile ea hlahloba ligament ea lengole le meniscus bakeng sa tlhahlobo ea pele ho opereishene kapa linyeoe tse belaelloang nakong ea opereishene, 'me ea etsa ts'ebetso e nepahetseng ea tokiso.
1.3 Kalafo ea Kamora ho Buuoa: Lesela la ho tlama leoto le otlolohang le lokela ho tlamisoa hantle, 'me ho sehoa morao ho kenngoe ka tube ea ho ntša metsi, e lokelang ho tlosoa ka mor'a lihora tse 48. Ho phekola bohloko ba ka mor'a ho buoa kamehla. Bakuli ba ile ba etsa boikoetliso ba mesifa ea maoto ka mor'a lihora tse 24, 'me ba etsa boikoetliso ba CPM ka mor'a ho tlosa tube ea ho ntša metsi bakeng sa ho robeha habonolo. Ho kopantsoe ligament ea collateral, linyeoe tsa kotsi ea ligament ea posterior cruciate, ba ile ba sisinya lengole ka mafolofolo le ka mokhoa o sa sisinyeheng ka mor'a ho lokisa plaster kapa brace khoeli e le 'ngoe. Ho ea ka liphetho tsa tlhahlobo ea X-ray, ngaka e buoang e ile ea tataisa bakuli ho etsa boikoetliso ba ho kenya boima ba maoto butle-butle, 'me ho kenya boima bo felletseng ho lokela ho etsoa bonyane likhoeli tse 'ne hamorao.
Nako ea poso: Phuptjane-02-2022
