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 pakatyoka une maburi akaiswa shinda umo ndiro inoita seAngle fixation device pakaiswa sikururu ine musoro wakarukwa. Maburi ese ekukiya neasina kukiya anogona kuisirwa sikuruu akasiyana. Chero ndiro rinogona kukwenenzverwa kuita simbi yakagadzika (yakagadzika) Siruu imwe gap inogona kusiiwa pakati peplate yesimbi uye pfupa pamusoro, izvo zvinobvisa kuipa kwakashata kwekusangana kunorema pakati pesimbi ndiro uye pfupa, uye kunonatsiridza zvakanyanya kubuda kweropa uye kukura uye kupora kwe periosteum.Musiyano mukuru webiomechanical pakati simbi yechinyakare ndiro uye yechinyakare simbi ndiro ndeyekuti iyo yekupedzisira inotsamira pane friction simba pabhonzo-plate interface kudzvanya bhonzo.

The locking screw is self-tapping screw uye inogona kushandiswa pasina kugogodza kana bhomba drill.Hapana kumanikidzwa pakati pesimbi ndiro uye bone cortex, saka hapana kumanikidzwa pa periosteum, kuitira kuchengetedza ropa reperiosteum. Mukutaura kwemaitiro ekuvhiya, inogona kusangana nezvinodiwa zvekushanda zvishoma, uye inogona kuchengetedza zvakanaka ropa remunharaunda rekutsemuka, kuitira kuti pfupa rekugadzirisa kushanda kusingadiwi.Iyo mukati mekugadzirisa scaffold is elastic.Muhupo hwemutoro, kune kushungurudza kukurudzirwa pakati pezvivharo zvekuputsika, izvo zvinogadzirisa 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 kudzorerwa kwekuita mastication basa. mushure mekuporeswa kwekutyoka.Kune nzira nhatu dzakajairika dzekugadzirisa 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 refu (kupfuura mavhiki matatu e maxilla, anopfuura mavhiki mana e mandible), kuputsika kune chikamu che fibrous tissue kuporesa, kuderedzwa kwebhuku hakubudiriri, traction reduction method inogona kushandiswa.The mandibular fracture multi-purpose jaw traction, iri mu mandibular bone ine displacement yechikamu chekutyoka chekuiswa kwe subsection dental arch splint, uyezve pakati pe dental arch splint ne maxillary, ine bhendi diki rerubha rekukwevera elastic, kuitira kuti zvishoma nezvishoma idzorere yakajairika occlusal hukama.Pashure pekuputsika kwemaxillary, kana chikamu chekutyoka chichidzokera kumashure, dental arch splint inogona kuiswa pane maxillary dentition, uye chivharo chepurasita chine bracket yesimbi inogona kuiswa. yakagadzirwa mumusoro.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.Kuderedza kuzarura: Zviratidzo zvekudzikisa kuzarura zvakakura.Kuzarura kuderedzwa kunofanira kuitwa apo chikamu chekuputsika chinenge chadzingwa kwenguva yakareba uye kune fibrous kuporesa kana bony malalignment kuporesa, uye kuderedzwa hakugoni kuwanikwa nekugadzirisa kana traction.The fibrous tissue yakaumbwa mu dislocation kuporeswa pakati pemigumo yakatyoka yekutyoka inobviswa kana callus yakacheneswa kure, uye shaya inodzokororwa zvakare kuti idzokere panzvimbo yayo. mukuderedzwa kwemanyore kana kusagadzikana mushure mekuderedzwa.