Whakarāpopototanga: Whāinga: Ki te rangahau i ngā āhuatanga e pā ana ki te pānga o te whakamahi i te whakapiri ā-roto o te pereti maitai hei whakaora i tewhati o te papa tibialTikanga: 34 ngā tūroro whati tibial plateau i tāngia mā te whakamahi i te whakapiri ā-roto pereti maitai i tetahi taha, i ngā taha e rua rānei, i whakahokia te hanganga anatomical o te tibal plateau, i whakapirihia kia mau, ā, i tīmata wawe te mahi whakakorikori i muri i te tānga. Hua: I aroturukitia ngā tūroro katoa mō te 4-36 marama, ko te toharite he 15 marama, e ai ki te kaute Rasmussen, 21 ngā tūroro i roto i te pai, 8 i roto i te pai, 3 i roto i te whakaae, 2 i roto i te ngoikore. Ko te ōwehenga pai ko te 85.3%. Whakatau: Hopukia ngā whai wāhitanga tānga tika, whakamahia ngā tikanga tika me te mahi i ngā mahi whakakorikori i mua, ka puta he hua tānga pai ki te rongoā.tibiawhati papatahi.
1.1 Ngā Mōhiotanga Whānui: e 34 ngā tūroro o tēnei rōpū, e 26 ngā tāne, e 8 ngā wāhine. Ko te pakeke o ngā tūroro he 27 ki te 72 tau, ā, ko te toharite o te pakeke he 39.6. E 20 ngā whara o ngā aituā waka, 11 ngā whara o te hinganga, ā, e 3 ngā whara nui. Ko ngā whara katoa he whati kati kāore he whara o ngā oko toto. E 3 ngā whara o te hononga cruciate, e 4 ngā whara o te hononga collateral, ā, e 4 ngā whara o te meniscus. I whakarōpūtia ngā whati kia rite ki a Schatzker: e 8 ngā momo I, e 12 ngā momo II, e 5 ngā momo III, e 2 ngā momo IV, e 4 ngā momo V, ā, e 3 ngā momo VI. I tirotirohia ngā tūroro katoa mā te hihi-X, te matawai CT o te papa tibial me te hanga-anō-toru-ahu, ā, ko ētahi tūroro i tirotirohia e te MR. Haunga tēnā, ko te roa o te pokanga he 7~21 rā i muri i te whara, ko te toharite he 10 rā. I roto i tēnei, e 30 ngā tūroro i whakaae ki te maimoatanga honohono wheua, e 3 ngā tūroro i whakaae ki te whakapiringa pereti takirua, ā, ko ētahi atu i whakaae ki te whakapiringa ā-roto o te taha kotahi.
1.2 Tikanga Pokanga: i whakahaerehiatuaiwii roto i te rongoā whakamoe, i te werohanga rānei, i takoto te tūroro ki raro, ā, i raro i te tourniquet hau. I whakamahia e te pokanga te turi anterolateral, te tibial anterior, te lateral rāneihononga turitapahi o muri. I tapahia te hononga coronary i te taha o te tapahi i te taha o raro o te meniscus, ā, i whakaatuhia te mata hononga o te tibial plateau. Whakaitihia ngā whati o te plateau i raro i te tirohanga tika. Ko ētahi wheua i whakapiri tuatahitia ki ngā pine Kirschner, kātahi ka whakapirihia ki ngā pereti tika (korowha-pereti, pereti-L, pereti-T, i honoa rānei ki te pereti tautoko waenga). I whakakīia ngā hapa wheua ki te wheua allogenic (wā wawe) me te whakapiri wheua allograft. I roto i te mahi, i kitea e te taote pokanga te whakaiti anatomical me te whakaiti anatomical proximal, i pupuri i te tuaka tibial noa, te whakapiri ā-roto pakari, te whakapiri wheua kikī me te tautoko tika. I tirotirohia te hononga turi me te meniscus mō te tātaritanga i mua i te pokanga, i ngā take whakapae rānei i roto i te pokanga, ā, i mahia te tukanga whakatika tika.
1.3 Maimoatanga Whai Muri i te Tātaritanga: me tākai tika te takai rapa o te peka i muri i te tātaritanga, ā, me whakauru te ngongo waikeri i te mutunga o te tātaritanga, me momotu i te 48 hāora. He rongoā whakangāwari noa i muri i te tātaritanga. I whai ngā tūroro i ngā mahi whakakorikori uaua peka i muri i te 24 hāora, ā, i whai i ngā mahi whakakorikori CPM i muri i te tango i te ngongo waikeri mō ngā whati ngāwari. I whakakotahihia te hononga ā-ringa, ngā whara o te hononga cruciate o muri, ka nekehia te turi i muri i te whakapiri i te paraikete, te tautoko rānei mō te marama kotahi. E ai ki ngā hua o te whakamātautau hihi-X, i ārahi te taote pokanga i ngā tūroro ki te tango mārire i ngā mahi whakakorikori taumaha peka, ā, me mahi te whakakorikori taumaha katoa i te iti rawa i te whā marama i muri mai.
Wā tuku: Pipiri-02-2022
