Ho rojoa holimo ho ea bone ea bone e kopanyang knee e kopaneng
Ho robeha ha sekhahla ho hlaha karolo e ka holimo ea lesapo la masapo 'me ho akarelletsa lehlakoreng la marotholi. Hobane li-fracture tsena li etsahala ho pota-potile lengole, li tlameha ho tšoaroa ka tsela e fapaneng ho feta li-fracture tsa shabial shaft tse tšohliloeng pele.
Ha ho robeha ho hlaha kapa ho potoloha holim'a metsi a kopaneng, motsoako oo o kotsing e kholo ea ho hlahisa ramatiki ka lebaka la kotsi.
Ka bomalimabe, esita le haeba marulelo a masapo le marang-rang a koaletsoe hantle, ho na le kotsi ea ho hlahisa ramatiki ea lengole ka lebaka la kotsi ea lisele tsa 'mele.
Phekolo ea Fractures ea Tibial Plateau
Phekolo ea fractures ea tibial plate e itšetlehile haholo ka hore na majoe a motsoako oa lengole a tsamaisana joang. Bakeng sa bakuli ba sa tsamaisoang ke fracture kapa lefufuru, ho na le karolo bakeng sa tsamaiso ea lits'ebeletso tsa mekhoa ea boipheliso. Maemong ao ho oona lesapo kapa lefuba le sa tsamaisanang hantle, hangata ho buuoa kalafo ea ho buuoa.
Ntle le ho fapana ha sekhahla, boemo bo bong bo boholo bo thusang ho fumana phekolo ke boemo ba lisele tse bonolo tse pota-potileng fracture. Hangata ho buuoa hangata ha ho e-na le ho robeha ho bulehileng (letlalo le phunyeletsang letlalo), empa ho ruruha ho matla ho ka ba sesosa sa ho lieha ho buuoa ho fractures moo letlalo le leng teng empa litlolo tse bonolo li senyehile haholo .
Li-Fractures tse sa Neng tsa Displaced Tibial
Li-fracture tse sa sebetsaneng le marulelo li phunyeletsoa masapong a bona-x-ray, empa masapo a setseng a le boemong ba bona bo nepahetseng le ho lumellana. Maqhubu a mangata a se nang mahae a lebala la tibial a ka phekoloa ntle le ho buuoa, empa hangata a hloka nako e telele (ho fihlela ho likhoeli tse 3) ea tšireletso ho tsamaea.
Li-fractures tse ling tse sa senyehang maemong a mang li kotsing ea ho falla (maemo a fetolang) matsatsing le libeke ka morao ho kotsi, ka hona likotsi tsena li lokela ho shebeloa haufi-ufi ke ngaka ea hao ea masapo. Haeba ho falla ho etsahala, ho ka 'na ha hlokahala hore ho buuoe opereishene bakeng sa ho fetola likhechana tsa masapo le ho li beha sebakeng.
Li-Fractures tsa Leqhoa la Tibial le lahlehileng
Hangata fractures e senyehileng e hloka ho buuoa e le hore e fetole masapo le ho tsosolosa botsitso le ho tsamaisana ha lengole. Ho na le dikgetho tse 'maloa tsa ho buuoa tabeng ea ho phekola fractures ea tibial; ho khetha mofuta oa ts'ebetso ho itšetleha ka mokhoa oa ho robeha - mefuta e itseng ea fractures e ka 'na ea se ke ea khoneha bakeng sa phekolo ka mofuta o itseng oa opereishene.
Hangata phekolo ea phekolo e akarelletsa ho kenya lipale le lipoleiti ka masapo a robehileng. Haeba masapo a koaletsoe hantle, mokhoa ona o ka 'na oa phekoloa ka ho sebelisa li-x-ray ho theola masapo. Haeba ho e-na le ho senyeha ho eketsehileng ha likaroloana tsa masapo, ho tla hlokahala hore ho be le khanya e khōloanyane ho kopanya likaroloana.
Ho tšoara likhechana tsa masapo sebakeng sa tsona, ebang li-screws feela kapa lipoleiti le liloko li ka sebelisoa. Hangata li-screws li sebelisoa ha karolo e 'ngoe ea lesapo e robehile' me e ka boela ea khethoa hape.
Haeba ts'ebetso ea tibial e fokotseha e hloka tšehetso e eketsehileng, sekoahelo se tla behoa le masapo ho thusa ho tšehetsa likarolo ha pholiso e ntse e etsahala.
Rehab ho tloha Plateau Fractures
Tsela ea ho ts'oaroa e tsoang fatsheng ea tibial e ka qeta likhoeli tse 'maloa. Hobane karolo ea marang-rang ea motsoako e ameha, lengole le tlameha ho sireletsoa ho boima ho fihlela phoso e folile. Hangata bakuli ba tla lumelloa hore ba khumametse lengole, empa ba se ke ba beha boima bootong ka likhoeli tse ka bang tharo. Bolelele ba nako ea meeli bo tla fapana ho mofuta oa fracture le palo ea pholiso e etsahalang.
> Mehloli:
> Koval KJ & Helfet DL. "Fractures ea Tibial Plateau: Tlhahlobo le Phekolo" J Am Acad Orthop Surg ea March 1995; 3: 86-94.