Tlhaloso: Sepheo: Ho etsa lipatlisiso ka lintlha tse amanang le phello ea ts'ebetso ea ts'ebeliso ea tšepe ea tšepe ka hare ho tsosolosaho robeha ha sekhahla sa tibial.Mokhoa: Bakuli ba 34 ba nang le fracture ea tibial plateau ba ne ba sebelisoa ka ho sebelisa tšepe ea tšepe ka hare ho lokisa lehlakoreng le le leng kapa tse peli, ba tsosolosa thei tibal Plateau sebopeho sa sebopeho sa sebopeho sa anatomical, ho tiisa ka tieo, 'me ba nka boikoetliso ba pele ba mosebetsi ka mor'a ts'ebetso.Sephetho: Bakuli bohle ba ile ba lateloa ka likhoeli tse 4-36, ka karolelano likhoeli tse 15, ho latela lintlha tsa Rasmussen, bakuli ba 21 ba ne ba le hantle haholo, ba 8 ba le hantle, ba 3 ba amohelehile, ba 2 ba futsanehile.Karolelano e ntle haholo e ne e le 85.3%.Qetello: Batla menyetla e nepahetseng ea ts'ebetso, sebelisa mekhoa e nepahetseng 'me u etse boikoetliso ba pejana, u re fe litlamorao tse ntle tsa ts'ebetso ea kalafo.tibialho robeha ha sehlaba.
1.1 Tlhahisoleseding e Akaretsang: sehlopha sena se ne se na le bakuli ba 34 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 bile le linyeoe tse 20 tsa likotsi tsa likoloi, linyeoe tse 11 tsa likotsi tse oelang le tse 3 tsa ho sithabela ho matla.Linyeoe tsohle li ne li koetsoe fractures ntle le likotsi tsa methapo.Ho ne ho e-na le linyeoe tsa 3 tsa likotsi tsa cruciate ligament, linyeoe tsa 4 tsa likotsi tsa li-collateral ligament le linyeoe tsa 4 tsa likotsi tsa meniscus.Ho robeha ho ne ho arotsoe 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 sehlaba sa tibial le ho tsosolosoa ha likarolo tse tharo, 'me bakuli ba bang ba ile ba hlahlojoa ke MR.Ntle ho moo, nako ea ts'ebetso e ne e le 7 ~ 21d ka mor'a kotsi, ka karolelano 10d.Ho sena, ho ne ho e-na le bakuli ba 30 ba amohelang phekolo ea ho kopanya masapo, bakuli ba 3 ba amohelang lipoleiti tse peli, 'me bakuli ba bang ba amohela ho lokisoa ka hare ho unilateral.
1.2 Mokhoa oa ho Buoa: ho etsoamokokotloanesthesia kapa intubation anesthesia, mokuli o ne a le boemong ba supine, 'me a sebetsa tlas'a pneumatic tourniquet.Ho buuoa ho ne ho sebelisoa lengole la anterolateral, anterior tibial kapa laterallengole le kopanesekoa ka morao.Coronary ligament e ne e chekiloe haufi le Incision haufi le moeli o ka tlaase oa meniscus, 'me ea pepesa bokaholimo ba sehlaba sa tibial.Fokotsa ho robeha ha sehlaba tlas'a pono e tobileng.Masapo a mang a ne a qala ho lokisoa ka li-pins tsa Kirschner, ebe a ts'oaroa ke lipoleiti tse loketseng (golf-plate, L-plate, T-plate, kapa e kopantsoe le poleiti ea medial buttress).Litšitiso tsa masapo li ne li tletse allogenic bone (pele) le allograft bone grafting.Nakong ea ts'ebetso, ngaka e buoang e ile ea hlokomela phokotso ea anatomical le phokotso ea li-anatomical proximal, ho boloka li-axis tse tloaelehileng tsa tibial, ho tiisa ka hare ka hare, ho kopanngoa ha masapo le tšehetso e nepahetseng.O ile a hlahloba ligament ea lengole le meniscus bakeng sa tlhahlobo ea pele ho ts'ebetso kapa linyeoe tse belaelloang ka har'a ts'ebetso, 'me a etsa mokhoa o nepahetseng oa ho lokisa.
1.3 Kalafo ea Ka mor'a Opereishene: Letlapa la elastic la ka mor'a ho buuoa le lokela ho tlamisoa hantle, 'me ho phunyeha ha morao ho kenngoa ka tube ea drainage, e lokelang ho ntšoa ka 48h.Analgesia e tloaelehileng ka mor'a ho sebetsa.Bakuli ba ile ba nka boikoetliso ba mesifa ea maoto ka mor'a lihora tse 24, 'me ba nka boikoetliso ba CPM ka mor'a ho tlosa tube ea drainage bakeng sa fractures e bonolo.Ho kopantsoe li-collateral ligament, linyeoe tsa kotsi tsa posterior cruciate ligament, ka mafolofolo le ka mokhoa o sa reroang li ile tsa sisinya lengole 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 hore butle-butle ba nke boikoetliso ba ho jara boima ba 'mele, 'me boima bo feletseng bo lokela ho etsoa bonyane likhoeli tse' nè hamorao.
Nako ea poso: Jun-02-2022
