kukiya maxillofacial mini rectangle ndiro

Locking plate mudziyo wekugadzirisa mafracture ane buri rakavharwa.Iro yekukiya inobvumira bhonzo kuti ribatane zvakasimba neplate, zvichiita kuti nhengo yakadimburwa igadzikane mushure mekuisa patsva.

Mahwendefa ekuvhara akatanga kushandiswa 20 makore apfuura mumusana uye maxillofacial kuvhiyiwa kuti agadzikane kuputsika uku achideredza yakakura yakapfava yenyama dissection uye kukuvara.

Plate yekukiyira mudziyo wekugadzirisa maburi ane maburi ane shinda umo ndiro inoita seAngle fixation device painopinzwa siruu ine musoro wakarukwa. Maburi ese ekukiya neasina kukiya anogona kuisirwa siruu yakasiyana. Chero ndiro rinogona kukwizwa kuita fixed (stable) Angle screw kana bhaudhi ibasa rekukiya simbi. zvachose zvinoenderana nekukiyiwa kwendiro yesimbi pachayo.Mumwe mukaha unogona kusiiwa pakati pendiro yesimbi nepamusoro pebhonzo, izvo zvinobvisa kuipa kwekusangana kunorema pakati pesimbi nebhonzo, uye kunonatsiridza zvikuru kufambiswa kweropa nekukura nekudzoreredza kweperiosteum.Musiyano mukuru webiomechanical pakati pesimbi yechinyakare ndiro nesimbi yechinyakare ndiro ndeyokuti yekupedzisira inotsamira pakudzvanya kwebhonzo-plate interface simba.

The locking screw is self-tapping screw uye inogona kushandiswa pasina tapping kana bone drill.Hapana kumanikidzika pakati pesimbi ndiro uye bone cortex, saka hapana kumanikidzwa pane periosteum, kuitira kuchengetedza ropa reperiosteum.Panyaya yekuvhiya nzira, inogona kuzadzisa zvinodiwa zveminimaly invasive operation, uye inogona kuchengetedza zvakanaka ropa remunharaunda, kuitira kuti kugadzirwa kwepfupa kurege kudiwa. scaffold is elastic. Muhupo hwemutoro, kune kushungurudza kukurudzirwa pakati pezvivharo zvekuputsika, izvo zvinobatsira kuumbwa kwe callus uye kuporesa kuputsika.

Mushure mokunge maxillofacial fracture, inonyanya kuderedza uye kugadzirisa.Chiratidzo chakakosha chekuputsika kweshaya ndechekudzorera hukama hwepamusoro hwemazino epamusoro uye ezasi, kureva, hukama hwakakura hwekubatana kwemazino.Zvikasadaro zvichakanganisa kupora kwekuita mastication mushure mekuporesa kuputsika.Kune nzira nhatu dzinowanzogadziriswa zvakare:

1.Manipulative kuderedza: muchikamu chekutanga chekuputsika kweshaya, chikamu chekuputsika chinenge chichishanda, uye chikamu chekuputsika chakadzingwa chinogona kudzorerwa kunzvimbo yakajairika nemaoko.

2.Traction reduction: mushure mekuputsika kweshaya, mushure menguva yakareba (inopfuura mavhiki matatu e maxilla, anopfuura mavhiki mana emukanda), kuputsika kune chikamu che fibrous tissue kuporesa, kuderedzwa kwebhuku hakubudiriri, nzira yekudzikisa inogona kushandiswa.Iyo mandibular fracture multi-purpose jaw traction, iri munzvimbo ye mandibular substraction ye disfracture arch splint, uye ipapo pakati pemazino arch splint uye maxillary, ine bhandi duku rerubha ye elastic traction, kuitira kuti zvishoma nezvishoma idzorere zvakajairika occlusal relationship.After maxillary fracture, kana chikamu chekuputsika chichidzokera kumashure, mazino arch splint anogona kuiswa pane maxillary arch splint inogona kuitwa pamusoro pemaxillary dentition, metal bracket dentition. The elastic traction inogona kuitwa pakati pemazino arch splint uye simbi bracket, kuitira kuti maxillary fracture segment inogona kudzorerwa mberi.Horizontal gravity traction inogonawo kushandiswa apo simba guru rekukwevera rinodiwa.

3.Kuzarura kuderedza: Zviratidzo zvekudzikisa kuzarura zvakakura.Kuzarura kuderedzwa kunofanira kuitwa apo chikamu chekuputsika chinodzingwa kwenguva yakareba uye kune fibrous kuporesa kana bony malalignment kuporesa, uye kuderedzwa hakugone kuwanikwa nekugadzirisa kana traction.The fibrous tissue yakaumbwa mu dislocation kuporeswa pakati pemigumo yakaputsika inoputika uye kuputika kwejasi iri kure, kuputika kwejasi kana kuputika. zvakare-dissected kuti idzokere panzvimbo yayo.