I-Broken Top ye-Shin Bone ehlanganisa i-Knee Joint
Ukuphuka kwe-plateau ye-tibial kwenzeka engxenyeni enkulu yethambo le-shin futhi kufaka hlangana ne-cartilage surface ye- knee joint . Ngenxa yokuthi lezi ziphuka zenzeke emadolweni, kumele ziphathwe ngendlela ehlukile kunezingxenye ze- shabi ze - shabi ezixoxwe ngaphambili.
Uma ukuphuka kuvela ngaphakathi noma kuzungeze ukuhlangana okuhlangene, lokho kuhlangene kusengozini enkulu yokuthuthukisa i-arthritis ngenxa yokulimala.
Ngeshwa, ngisho noma izindawo zethambo ne-cartilage zihlanganisiwe ngokuphelele, kusengcupheni yokuthuthukisa i- arthritis yamadolo ngenxa yokulimala kwamangqamuzana omzimba.
Ukwelashwa kwe-Tibial Plateau Fractures
Ukwelashwa kwe-tibial plateau fractures kuncike ekubaluleke kakhulu ukuthi iqondaniswe kahle kanjani i-knee joint cartilage. Ezigulini ngaphandle kokushiya ukuqhuma noma isifo sezinyosi, kunendima yokulawulwa kwezidakamizwa. Ezimweni lapho amathambo noma i-cartilage engahambisani kahle, ukwelashwa okuvame ukucatshangelwa.
Ngaphandle kokulungiswa kokuphulwa komzimba, esinye isimo esiyinhloko esisiza ukunquma ukwelashwa yisimo samathanga aphansi atholakala ekuqhekekeni. Ukwelashwa kuhlale kwenziwa lapho kukhona ukuvuvukala okuvulekile (ithambo elifaka isikhumba), kanti ukuvuvukala okukhulu kungaba yisizathu sokubambezeleka ukuhlinzwa ezindaweni lapho isikhumba sinyama kodwa izicubu ezithambile zilimaza kakhulu .
Ama-Fractures angewona ama-Tibial Plateau Fractures
Ama-fractures angewona ama-displaced apheka emathanjeni abonwa ku-x-ray, kodwa ngamathambo asele endaweni yawo efanele nokulungiswa. Amaphutha amaningi angaphumelelanga epulazini le-tibial angaphathwa ngaphandle kokuhlinzwa, kodwa ngokuvamile adinga isikhathi eside (kuze kube izinyangeni ezingu-3) zokuvikelwa ekuhambeni.
Amanye ama-fracture angekho e-displaced ayengozini yokuthutha (isikhundla sokushintshashintsha) ezinsukwini nasemasontweni ngemuva kokulimala, ngakho-ke lokhu kulimala kufanele kubhekwe ngokucophelela ngudokotela ohlinzayo wamazinyo. Uma ukufuduka kwenzeka, kungase kudingeke ukuthi ukuhlinzekwa kudingeke ukubuyisela izingcezu zethambo futhi ubambe esikhundleni.
I-Displaced Tibial Plateau Fractures
Ama-fracture alahlekile ngokuvamile adinga ukuhlinzekwa ukuba agcwalise amathambo futhi abuyisele ukuzinza nokulungiswa kwamadolo. Kunezinketho eziningana zokuhlinzekwa ekwelapheni ama-tibial plateau fractures; ukukhetha uhlobo lwenqubo kuncike ekutheni i-fracture pattern - izinhlobo ezithile zokuhlukana kungenzeka noma zingenakulungiswa ukwelashwa uhlobo oluthile lokuhlinzwa.
Ukwelashwa okuvamile kuvame ukufaka ukufakwa kwezigcawu kanye namacwecwe emathangeni aphukile. Uma amathambo ahlanganiswe kahle, le nqubo ingase iphathwe ngezingcingo ezincane usebenzisa i-x-ray ukuze ilandele amathambo. Uma kukhona ukufuduka okuningi kwezingcezu zethambo, kuzodingeka ukuqubuka okukhudlwana ukuqoqa ndawonye izingcezu.
Ukuze ubambe izingcezu zethambo endaweni, noma izikuluvu zodwa noma amapuleti nezikuluzi zingasetshenziswa. Izikhwama zodwa zivame ukusetshenziswa ngenkathi enye yethambo iphukile futhi ingahle ibekwe kalula.
Uma i-tibial flatau fracture idinga ukwesekwa okungeziwe, ipuleti izobekwa eceleni kwethambo ukusiza ukusekela izingcezu ngenkathi ukuphulukiswa kwenzeka.
Rehab kusuka Plateau Fractures
Ukubuyiswa okuvela e-tibial plateau fracture kungathatha izinyanga ezimbalwa. Ngenxa yokuthi indawo ehlanganisiwe ihlanganisiwe, idolo kufanele livikelwe esisiswini kuze kube yilapho ukuphuka kuqeda. Ngokuvamile iziguli zizovunyelwa ukuhambisa idolo, kepha hhayi ukubeka isisindo emlenzeni izinyanga ezintathu. Ubude obuqondile besikhathi sokulinganiselwa buzohluka ngohlobo lokuphuka kanye nenani lokuphulukisa okwenzekayo.
> Imithombo:
> I-Koval KJ & Helfet DL. "I-Tibial Plateau Fractures: Ukuhlolwa Nokunakekelwa" UJ Am Acad Orthop Surg NgoMashi 1995; 3: 86-94.