ʻO nā haʻihaʻi pāpū ʻo Tibial nā haʻihaʻi periarticular maʻamau
ʻO nā haʻihaʻi bicondylar ka hopena o ka hōʻeha ikaika kiʻekiʻe
(J Orthop Trauma 2017;30:e152–e157)
Barei DP, Nork SE, Mills WJ, a me al.Nā pilikia e pili ana i ka hoʻopaʻa ʻana i loko o nā haʻihaʻi pāpū bicondylar tibial kiʻekiʻe me ka hoʻohana ʻana i kahi ʻenehana ʻelua ʻoki.J Orthop Trauma.2004;18:649–657.
Barei DP, O'Mara TJ, Taitsman LA, et al.ʻO ka pinepine a me ka haʻihaʻi morphology o ka ʻāpana posteromedial i nā hiʻohiʻona haʻihaʻi bicondylar tibial plateau.J Orthop Trauma.2008;22:176–182.
ʻO Schatzker, Moore, a me nā papa helu AO/OTA i hoʻohana mau ʻia e uhi i nā haʻi āpau.
Akā ʻaʻole kūpono kekahi mau ʻano o ka haʻi
ʻO nāʻano o kekahi mauʻano haʻihaʻi e hōʻike ana i kahiʻeha weliweli, e like me ka haʻihaʻi-dislocation o ke kuli, hiki ke loaʻa nā pilikia nui ināʻaʻole iʻikeʻia.
Ua ʻike ʻo Bennett lāua ʻo Browner, Schatzker et al i ka morphology haʻihaʻi o kēia pāpū waena.
（Bennett WF, Browner B. Tibial plateau fractures: kahi noiʻi o nā ʻeha kino palupalu pili.J Orthop Trauma.1994;8:183–188.）
Ua ʻike ʻia ʻo Reza Firoozabadi mai ʻAmelika Hui Pū ʻIa ʻo hyperextension a me varus tibial plateau bicondylar fractures (HEVBTP) i ʻōlelo pinepine ʻia i loko o ka palapala a ʻaʻole i hoʻokomo ʻia i loko o ka hoʻohālikelike ʻana i ka fracture maʻamau.
Manaʻo nā mea kākau e like ke ʻano o ka hōʻeha ʻana o HEVBTP me ka hyperextension lāʻau lapaʻau haʻuki a me ke koʻikoʻi varus e alakaʻi ana i nā haʻihaʻi hoʻokomo anteromedial o ka tibia proximal me ka pōʻino i ke kihi posterolateral a / a i ʻole ka hope cruciate ligament, koe wale nō ka mea ma hope. cortex o ka tibia proximal.ʻO nā haʻihaʻi haʻahaʻa a me nā haʻihaʻi paʻi mua, ka hopena i ka deformity sagittal o ka ʻaoʻao haʻahaʻa/tibia (hōʻemi a hoʻohuli paha i ka tibial posterior tilt)
Paley D, Herzenberg JE.ʻO ka alignment lālā maʻamau a me ka hoʻonohonoho hui.In: Nā Kumu o ka Hoʻoponopono Deformity.Niu Ioka: Springer-Verlage Berlin Heidelberg;2002:14–16.
Mechanism ʻeha - Hyperextension a me Varus
ʻO ka haʻihaʻi pāpaʻu medial medial mua i hui pū ʻia me ka ʻeha paʻakikī o waho
ʻO ka hana ʻeha: hyperextension nui a me ka varus o ke kuli
Nā hiʻohiʻona: E hoʻokaʻawale i nā ʻāpana haʻihaʻi ma mua
ʻO ka haʻihaʻi o ka Anteromedial Tibial Plateau i pili me ka Posterolateral Complex Injury: Case Study and Literature Review. THE JOURNAL OF KNEE SURGERY,2011
Ua nānā hou nā mea kākau i nā maʻi 208 (212 ʻaoʻao) me nā haʻihaʻi bicondylar o ka pāpū tibial ma waena o Mei 2000 a me ʻAukake 2011, a nānā i nā hihia 23 (25 mau hihia) e pili ana me nā hiʻohiʻona HEVBTP ma hope o ka loiloi ʻana e CT scan a me ka mua a me ka X lateral. - nā kiʻiʻoniʻoni maʻamau.ʻaoʻao) tibial plateau fracture, a ʻo ke koena 187 tibial plateau fractures i hoʻohana ʻia ma ke ʻano he hihia a me ka hui hoʻomalu.
A- Lateral X-ray o ka hui kuli no ka loiloi ʻana i ka ʻili hope o ka tibia a me nā haʻihaʻi paʻi mua, a me ka X-ray mua e hōʻike ana i ka deformity coronal varus.
Nā kiʻi B-Coronal a me sagittal CT ma hope o ka hoʻoponopono ʻana i waho trans-articular
Hōʻike ʻo C- Anterior a me lateral X-ray fluoroscopy e hōʻemi a hoʻoponopono i ka ʻāpana o ka tibia proximal i ka hoʻohaʻahaʻa ʻana i ka haʻihaʻi hope a me nā wili ʻelua (ma mua o ka ʻaoʻao hope o hope);
D- Hōʻike ka X-ray ma mua a ma hope o ka hana ʻana i kahi medial Hoʻokahi mea paʻa ʻole a hoʻokahi paʻa paʻa paʻa paʻa paʻa, kahi e loaʻa ai ka pā waena ma ka ʻaoʻao anteromedial o ka pāpū tibial.
Ua hōʻike ʻia ke kiʻi ʻoniʻoni ʻoniʻoni X-ray ma mua o ka hana ʻana o ka tibial retroversion angle -9 °, ma hope o ka hana ʻana, ʻo ia ka 10 °, a ʻo ka kihi hoʻoponopono ʻokiʻoki he 19 °.
Ka manawa hoʻouna: Apr-26-2022