Ma ka hui HEVBTP, ua hui pū ʻia ka 32% o nā maʻi me nā ʻiʻo ʻē aʻe a i ʻole nā poino kino, a ʻo 3 mau maʻi (12%) i loaʻa i ka popliteal vascular injury e koi ana i ka hoʻoponopono ʻoki.
I ka hoʻohālikeʻana,ʻo 16% wale nō o nā maʻi ma ka hui non-HEVBTP i loaʻa i nāʻeha'ē aʻe, aʻo 1% wale nō ka makemake i ka popliteal vascular repair.Eia kekahi, ʻo 16% o nā maʻi EVBTP i loaʻa i ka ʻeha a i ʻole ka hōʻeha ʻana o ke aʻalolo peroneal a me ka 12% i loaʻa i ka maʻi o ka calf compartment, i hoʻohālikelike ʻia me 8% a me 10% o ka pūʻulu mana, kēlā me kēia.
Hoʻolālā ʻia nā ʻōnaehana hoʻokaʻawale ʻana o ka tibial plateau kuʻuna, e like me ka Schatzker, Moore, a me AO/OTA, e kōkua i nā kauka lapaʻau e ʻike i nā ʻeha pili a hoʻomohala i nā hoʻolālā lapaʻau.
Hoʻokaʻawale ʻia kēia mau haʻihaʻi ʻo AO C a me Schatzker V a i ʻole VI
Eia naʻe, hiki ke nānā ʻole ʻia nā kikoʻī o kēia ʻano haʻihaʻi e kēia hoʻokaʻawale ʻana, hiki ke waiho i kekahi mau maʻi me ka maʻi pono ʻole i mua o nā pilikia neurovascular koʻikoʻi.
ʻO ka hana hōʻeha o HEVBTP ua like ia me ka anteromedial tibial plateau fracture i hui pū ʻia me ka ʻeha paʻakikī o waho a me ka rupture ligament cruciate hope.
No laila, no ka haʻihaʻi ʻana o ka anteromedial tibial plateau, pono e nānā i ka ʻeha o ka ʻaoʻao posterolateral o ka hui kuli.
Ma ka haʻawina o kēia manawa, ʻo ka ʻeha i hōʻike ʻia i kā mākou hihia ua like pinepine ia me ka haʻihaʻi paʻa o ka pāpū tibial.Eia naʻe, ʻokoʻa i nā ʻeha ʻili palupalu o ka ligament cruciate posterolateral a i ʻole posterior cruciate, ʻo nā ʻeha i kēia mau hihia he iwi iwi a ua manaʻo ʻia he haʻihaʻi haʻihaʻi ma ka metaphysis a i ʻole ka pāpū ākea.
ʻIke loa, ʻo ka ʻike ʻana i nā ʻano hōʻeha ka mea e hiki ai i nā kauka lapaʻau ke mālama maikaʻi i nā maʻi ʻeha.Hiki ke ʻike ʻia ma o ka loaʻa like ʻana o ka multiplanar imaging a me ka computed tomography e hoʻoholo ai i nā subtleties o ka ʻeha.
He mea nui e hoʻomaopopo i ke koʻikoʻi o kēia ʻeha, ʻo ia ka ʻeha pili nui.
Ua ʻike ʻo Moore ʻaʻole i hoʻokaʻawale ʻia kekahi mau ʻano ʻeha pāpū tibial akā hōʻike i kahi kikoʻī o nā ʻeha e pili ana i nā ʻeha ligamentous a me nā neurovascular.
Pēlā nō, i loko o kēia noiʻi ʻana, ua ʻike ʻia ka hyperextension a me ka varus tibial plateau bicondylar fractures e pili ana me ka 32% kiʻekiʻe o ka pilikia o nā ʻeha ʻē aʻe, e like me ka ʻeha moku popliteal, ka ʻeha nerve peroneal, a me ka compartment syndrome.
I ka hopena, ʻo ka hyperextension a me ka varus bicondylar tibial plateau fractures he hiʻohiʻona kūʻokoʻa o nā haʻihaʻi pāpū tibial.ʻO nā hiʻohiʻona kiʻi o kēia ʻano
(1) Nalo o ka pali hope maʻamau ma waena o ka mokulele sagittal a me ka ʻili o ka tibial articular
(2) Haʻihaʻi haʻihaʻi o ka cortex hope
(3) Hoʻopili i ka cortex anterior, deformity varus ma ka ʻike coronal.
Pono e hoʻomaopopo ka poʻe ʻokiʻoki e hiki mai kēia ʻeha ma hope o ka hana ʻeha haʻahaʻa haʻahaʻa i ka poʻe ʻelemakule me kahi kiʻekiʻe o ka ʻeha neurovascular.Hiki ke hoʻohana ʻia nā hoʻolālā hōʻemi a me ka immobilization i wehewehe ʻia e mālama i kēia ʻano o ka ʻeha.
Ka manawa hoʻouna: Mei-16-2022