Mkpọchi maxillofacial Obere efere kwụ ọtọ

Ịwa ahụ Orthopedic ma ọ bụ ọkpụkpụ ọkpụkpụ, bụ otu ngalaba nke ịwa ahụ.Orthopedics na-ahụ maka sistemu musculoskeletal.Ma ụzọ ịwa ahụ ma nke na-abụghị nke ịwa ahụ bụ ndị dọkịta na-awa ọkpụkpụ na-eji agwọ ọnya anụ ahụ, ọrịa ọkpụkpụ azụ, mmerụ egwuregwu, ọrịa mmebi, ọrịa, etuto ahụ, na nsogbu ọmụmụ.

Usoro 25 kachasị nke ndị dọkịta na-awa ọkpụkpụ na-eme n'usoro bụ: ikpere arthroscopy na meniscectomy, arthroscopy ubu na decompression, ntọhapụ nke ọwara carpal, ikpere arthroscopy na chondroplasty, mwepụ nke ntinye nkwado, arthroscopy ikpere na n'ihu cruciate ligament nwughari, ndochi ikpere, mmezi nke mgbaji n'olu femoral, nrụzi nke mgbawa trochanteric, mmebi nke akpụkpọ ahụ / akwara / ọkpụkpụ / mgbaji, ikpere arthroscopy nke abụọ menisci, nnọchi hip, ubu arthroscopy / distal clavicle excision, mmezi nke rotator cuff tendon, nrụzi mgbaji nke radius (ọkpụkpụ) / ulna, laminectomy, mmezi nke nkwonkwo ụkwụ (ụdị bimalleolar), arthroscopy ubu na debridement, lumbar spinal fusion, nrụzi mgbaji nke akụkụ dị anya nke radius, ala azụ intervertebral disc ịwa ahụ, mkpisi aka n'ọbọ mkpịsị aka, mmezi nke mgbaji ụkwụ (fibula), mmezi nke ọkpụkpụ femoral femoral, mmezi nke mgbaji trochanteric.

maxillofacial trauma na ụmụaka yana ndị okenye na-ahụkarị na-abịa site na mmerụ egwuregwu, ịda ada, mwakpo, mkpọka ụgbọ ala, mwakpo n'ezoghị ọnụ, ịkụ ọkpọ ma ọ bụ ihe.Mwakpo anụmanụ, mgbọ egbe, mgbawa na mmerụ ahụ ndị ọzọ n'oge agha nwekwara ike ime ka ọkpụkpụ gbajie ihu.Ahụhụ ụgbọ ala bụ otu n'ime ihe na-ebute mmerụ ihu na ndụ obodo.Ahụhụ na-emekarị mgbe ihu dakwasịrị akụkụ nke ime ụgbọ ala, dị ka steering wheel.Na mgbakwunye, airbags nwere ike ime ka abrasions corneal na lacerations na ihu mgbe ha na-ebuga.

Enwere ike kewaa mmerụ ahụ ọkpụkpụ ihu ka ọ bụrụ ọkpụkpụ imi, maxilla, na mandible.Mandible nwere ike gbajie site na symphysis, ahụ, akụkụ, ramus, na condyle.Ọkpụkpụ cheek na ọkpụkpụ ihu bụ ebe ndị ọzọ maka mgbaji.Mgbaji nwekwara ike ime n'ọkpụkpụ nke palate na ndị na-agbakọta ọnụ iji mepụta orbit nke anya.

Ná mmalite narị afọ nke 20, René Le Fort depụtara ebe ndị a na-ahụkarị maka mgbaji ihu;A maara ndị a ugbu a dị ka mgbaji ọkpụkpụ Le Fort I, II na III (n'aka nri).Ọkpụkpụ Le Fort I, nke a na-akpọkwa Guérin ma ọ bụ mgbaji ọkpụkpụ kwụ ọtọ, gụnyere maxilla, na-ekewapụ ya na palate.Ọkpụkpụ Le Fort II, nke a na-akpọkwa pyramidal fractures nke maxilla, na-agafe ọkpụkpụ imi na rim orbital.Le Fort III fractures, nke a na-akpọkwa craniofacial disjunction na transverse ihu fractures, gafere n'ihu maxilla na-agụnye ọkpụkpụ lacrimal, lamina papyracea, na orbital ala, na-agụnyekarị ọkpụkpụ ethmoid, bụ ndị kasị njọ.Le Fort fractures, nke na-akpata 10-20% nke ọkpụkpụ ihu, na-ejikọta ya na mmerụ ndị ọzọ dị njọ.

A na-anakwere ọgwụgwọ ịwa ahụ iji rụkwaa mgbaji ọkpụkpụ maxillofacial, iji rụkwaa nhazi ọkpụkpụ anụ ahụ nke ihu yana ịhapụ ntakịrị ihe mmerụ ahụ dị ka o kwere mee.Enwere ike ịgwọ mmerụ ahụ site na iji efere titanium dị ọcha yana skru titanium alloy.Ihe resorbable bụ nhọrọ ọzọ dị.

maxillofacial trauma adịkarịghị na-eweta ihe iyi egwu na ndụ, ma ọ na-ejikọta ya na mmerụ ahụ dị ize ndụ, nkwụsị ikuku na nsogbu ndị ọzọ na-eyi ndụ egwu.Enwere ike igbochi ụzọ ikuku n'ihi ọbara ọgbụgba, ọzịza nke anụ ahụ gbara ya gburugburu, ma ọ bụ mmebi nke ihe owuwu.Ọkụ n'ihu nwere ike ime ka ọzịza nke anụ ahụ wee si otú ahụ bute mkpọchi ụzọ ikuku.Nchikota nke imi, maxillary, na mandibular fractures nwere ike imetụta ụzọ ikuku.Ọ dị mkpa iji nyochaa ikuku ikuku mgbe niile, n'ihi na nsogbu ikuku nwere ike ime n'oge mgbe mmerụ ahụ mbụ gasịrị.

Ọ dị mkpa ka a na-eweghachi ọkpụkpụ n'ebe kwesịrị ekwesị ozugbo enwere ike, n'ihi na akwara na akwara nwere ike ịnwụ n'ọkpụkpụ gbajiri agbaji.Ọnyà mgbaji n'ala orbital ma ọ bụ mgbawa ọkpụkpụ nke anya nwere ike ịmanye akwara etiti ma ọ bụ uru ahụ ike dị ala.

Na ọnya ihu, ọwara mmiri na irighiri akwara nke ihu nwere ike mebie.Ọkpụkpụ nke ọkpụkpụ ihu nwere ike igbochi mmịpụta nke sinus nke ihu ma nwee ike ịkpata sinusitis.Ọrịa bụ ihe mgbagwoju anya ọzọ nwere ike ime.