Ko te mea nui ki te rongoā i ngā whati o te papa tibial Schatzker momo II ko te whakaiti i te mata hononga kua hinga. Nā te aukati o te condyle taha, he iti noa te kitea o te hononga mā te huarahi anterolateral. I mua, i whakamahia e ētahi tohunga te tikanga whakakī cortical anterolateral me te whakaiti i te tīwiri-tokotoko hei tautuhi anō i te mata hononga kua hinga. Heoi, nā te uaua ki te whakanoho i te wāhanga wheua kua hinga, he ngoikoretanga kei roto i te tono haumanu. Ka whakamahia e ētahi tohunga te osteotomy condyle taha, ka hiki ake i te poraka wheua o te condyle taha o te papa katoa hei whakaatu i te mata hononga kua hinga o te wheua i raro i te tirohanga tika, ā, ka whakatikahia ki ngā tīwiri i muri i te whakaiti, ka tutuki ai ngā hua pai.
Otukanga whakahaere
1. Tūnga: Tūnga takoto, te huarahi anterolateral matarohia.
2. Te tango wheua i te taha o te hononga. I mahia te tango wheua i te taha o te hononga, e 4cm te tawhiti atu i te tūāpapa, ā, i hurihia te poraka wheua o te taha o te hononga kia kitea te mata hononga kua pēhia.
3. Tautuhi anō kua whakatikahia. I tautuhia anō te mata hononga kua hinga, ā, e rua ngā tīwiri i whakapirihia ki te kiriuhi hononga hei whakau, ā, i whakatōkia te hapa ki te wheua horihori.
4. Kua tino mau te pereti maitai.
Wā tuku: Hurae-28-2023
