Jajabka plateau tibial waa jabka durugsan ee caadiga ah
Jabka laba-jibbaaran waa natiijada dhaawaca tamarta sare ee daran
(J Orthop Trauma 2017; 30:e152–e157)
Barei DP, Nork SE, Mills WJ, iyo al.Dhibaatooyinka la xidhiidha hagaajinta gudaha ee tamarta sare ee labajibbaaran ee tibial plateau dillaaca iyada oo la adeegsanayo farsamo laba-jeex ah.J Orthop Trauma.2004;18:649-657.
Barei DP, O'Mara TJ, Taitsman LA, iyo al.Soo noqnoqoshada iyo qaabka jabka ee jajabka dambe ee jajabka ee qaababka jabka tibial plateau ee laba-jibbaaran.J Orthop Trauma.2008;22:176-182.
Noocyada sida caadiga ah loo isticmaalo Schatzker, Moore, iyo AO/OTA ayaa daboolaya ku dhawaad dhammaan jabka.
Laakiin noocyada jabka qaarkood kuma habboona
Noocyada noocyada jabka qaarkood waxay soo jeedinayaan dhaawac halis ah, sida jab-jabka jilibka, kaas oo yeelan kara dhibaatooyin halis ah haddii aan la ogaan.
Bennett iyo Browner, Schatzker et al waxay aqoonsadeen qaab-dhismeedka jabka ee dhulkan dhexe ee gaarka ah.
(Bennett WF, Browner B. Tibial plateau fractures: daraasad ku saabsan dhaawacyada unugyada jilicsan ee la xidhiidha.J Orthop Trauma.1994;8:183-188.)
Reza Firoozabadi oo u dhashay Maraykanka ayaa ogaatay in hyperextension iyo varus tibial plateau laba-jibbaar jabka (HEVBTP) ay dhif ku yihiin suugaanta oo aan lagu darin kala-soocidda jabka caadiga ah ee la isticmaalo.
Qorayaashu waxay soo jeedinayaan in habka dhaawaca ee HEVBTP uu la mid yahay kan daawada isboortiga ee hyperextension iyo walbahaarka varius taasoo horseedaysa jabka gelinta anteromedial ee tibia u dhow oo dhaawac u geysta geeska dambe iyo / ama lafdhabarta dambe, marka laga reebo kan hore waa kan dambe. kortex ee tibia proximal.Jabka kacsanaanta iyo jabka hore ee cadaadiska, taasoo keentay qallafsanaanta sagittal ee cirifka hoose/tibia (hoos u leexday ama leexleexsantay tibial danbe ee janjeera)
Paley D, Herzenberg JE.Isku toosinta addimada caadiga ah iyo jihaynta wadajirka ah.Ku: Mabaadi'da Saxitaanka Deformity.New York: Springer-Verlage Berlin Heidelberg;2002:14-16.
Mechanism-ka dhaawaca - Dhiig-kordhinta iyo Varus
Jajabka tibial plateau ee dhexdhexaadka ah ee hore oo ay weheliso dhaawac adag oo dibadda ah
Habka dhaawaca: hyperextension aad u daran iyo varus jilibka
Sifooyin: Kala go' jajabka kala go'an anteromediaally
Jebinta Duleedka Tibial Plateau ee Anteromedial ee la xidhiidha Dhaawaca Isku-dhafan ee ka dambeeya: Daraasadda Kiis iyo Dib-u-eegis Suugaaneed. JOURNAL OF NEE SURGERY,2011
Qorayaashu waxay dib u falanqeeyeen bukaanada 208 (212 dhinac) oo leh jajab laba-jibbaaran oo ka mid ah taagga tibial intii u dhaxaysay May 2000 iyo Agoosto 2011, waxayna soo saareen 23 xaaladood (25 xaaladood) kuwaas oo la jaan qaadaya sifooyinka HEVBTP ka dib markii la qiimeeyay CT scan iyo hore iyo dambe X. - ray filimada cad.dhinaca) jabka tibial plateau, iyo inta soo hartay ee 187 tibial plateau jabka ayaa loo isticmaalay sidii kiis iyo kooxda xakamaynta.
A- Raajo dambe ee wadajirka jilibka si loo qiimeeyo jilibka dambe ee tibia iyo jabka hore ee cadaadinta, iyo raajada hore oo muujinaysa qallooc
B-Coronal iyo sawirada CT sagittal ka dib hagaajinta dibadda ee trans-articular
C- Fluoroscopy raajada hore iyo kan dambe waxay muujinaysaa in xoogga dhimista jabka dambe ee dhabarka iyo laba boolal (firfircooni fogaan xagga dambe ee jihada u dhow) ay yareeyaan oo hagaajiyaan jajabka tibia ee u dhow;
D- Raajada hore ee qalliinka kadib waxay muujinaysaa dhexda Mid aan xidhnayn iyo hal xidhid oo saxan badhida ah, halkaas oo saxanka dhexda ahi uu ku yaal dhinaca anteromedial ee saxanka tibial
Filimka E-lateral ee raajada ayaa muujiyay in xagasha dib u celinta tibial-ka ee hore uu ahaa -9 °, qaliinka ka dib, wuxuu ahaa 10 °, xagasha hagaajinta qalliinkuna waxay ahayd 19 °
Waqtiga boostada: Abriil-26-2022