kukiya maxillofacial mini yakatwasuka ndiro

Orthopedic surgery kana orthopedics, ibazi rimwe rekuvhiya. Orthopedics inotarisira nezve musculoskeletal system. Nzira dzese dzekuvhiya uye dzisiri dzekuvhiya dzinoshandiswa nevarapi vemapfupa kurapa kukuvadzwa kwemusculoskeletal, zvirwere zvemusana, kukuvara kwemitambo, zvirwere zvinopera, zvirwere, tumors, uye congenital disorders.

Epamusoro makumi maviri neshanu maitiro akajairika anoitwa nevarapi vemapfupa muhurongwa ndeaya: ibvi arthroscopy uye meniscectomy, pfudzi arthroscopy uye decompression, carpal tunnel kuburitswa, knee arthroscopy uye chondroplasty, kubviswa kwekuisirwa kwetsigiro, ibvi arthroscopy uye anterior cruciate ligament reconstruction, kutsiva ibvi, kugadziriswa kwefemoral mutsipa kutyoka, kugadzirwa kwemhasuru / kutsemuka kweganda. / kutyoka, ibvi arthroscopy kugadziriswa kwezvose zviri zviviri menisci, kutsiva hudyu, pfudzi arthroscopy / distal clavicle excision, kugadziriswa kweinotenderera cuff tendon, kugadzirisa kutsemuka kweradius (bhonzo) / ulna, laminectomy, kugadziriswa kwegumbo rakatyoka (bimalleolar type), pfudzi arthroscopy uye debridement, lumbar spinal fracture yeradius, kuvhiyiwa kwemusana incise finger tendon sheath, kugadziriswa kwegumbo rakaputsika (fibula), kugadziriswa kwechikadzi shaft fracture, kugadziriswa kwetrochanteric fracture.

maxillofacial trauma muvana pamwe chete nevakuru vanowanzoitika kubva mukukuvara kwemitambo, kudonha, kurohwa, kuparara kwemotokari, kurwisa kwakajeka, kurohwa kubva muzvibhakera kana zvinhu. Kurwiswa kwemhuka, pfuti, kuputika uye kumwe kukuvara munguva yehondo kunogona kukonzera kutyoka kwemapfupa kumeso. Vehicular trauma ndechimwe chezvikonzero zvinotungamira zvekukuvadzwa kwechiso muhupenyu hweguta. Trauma inowanzoitika kana chiso charova chikamu chemukati memota, senge vhiri. Mukuwedzera, airbags inogona kukonzera corneal abrasions uye maronda kumeso pavanenge vatumira.

Kukuvara kwepfupa rechiso kunogona kukamurwa kuita zvinosanganisira bhonzo remhuno, maxilla, uye mandible. Iyo mandible inogona kuputsika pane yayo symphysis, muviri, kona, ramus, uye condyle. Cheekbone uye bhonzo repamberi ndidzo dzimwe nzvimbo dzekutsemuka. Kutsemuka kunogonawo kuitika mumapfupa emukanwa uye ayo anouya pamwechete kuti aumbe orbit yeziso.

Mukutanga kwezana ramakore rechi20, René Le Fort yakaronga nzvimbo dzakafanana dzekutyoka kwechiso; aya zvino ave kuzivikanwa seLe Fort I, II, uye III kuputsika (kurudyi). Le Fort I fractures, inonziwo Guérin kana yakatsetseka maxillary fractures, inosanganisira iyo maxilla, ichiiparadzanisa kubva pamuromo. Le Fort II fractures, inonziwo pyramidal fractures ye maxilla, inoyambuka mapfupa emhino uye orbital rim. Le Fort III fractures, inonziwo craniofacial disjunction uye transverse face fractures, inoyambuka pamberi pemaxilla uye inosanganisira lacrimal bone, lamina papyracea, uye orbital floor, uye kazhinji inosanganisira ethmoid bhonzo, ndiyo yakakomba. Le Fort fractures, iyo inotora 10-20% yekuputsika kwechiso, inowanzobatanidzwa nekumwe kukuvara kwakakomba.

Mishonga yekuvhiya inogamuchirwa kugadzirisa maxillofacial bone fracture, chinangwa chekugadzirisa kumeso kwechimiro chebhoni remusikirwo uye kusiya diki diki rekukuvara sezvinobvira. Kukuvara kwebhonzo kunogona kurapwa neakachena titanium mahwendefa uye titanium alloy screws. Resorbable zvinhu ndeimwe sarudzo iripo.

maxillofacial trauma kashoma kuunza njodzi kuhupenyu, asi inowanzobatanidzwa nekukuvara kwengozi, kuvharika kwemhepo uye mamwe matambudziko anotyisidzira hupenyu. Iyo nzira yemhepo inogona kuvharika nekuda kwekubuda ropa, kuzvimba kwematishu akatenderedza, kana kukuvadzwa kwezvimiro. Kutsva kumeso kunogona kukonzera kuzvimba kwematishu zvokonzera kuvharika kwenzira yemhepo. Kusanganiswa kwemhino, maxillary, uye mandibular fractures inogona kukanganisa nemhepo. Zvakakosha kutarisa nzira yemhepo nguva dzose, nokuti zvinetso zvemhepo zvinogona kuitika mushure mekukuvara kwekutanga.

mapfupa anofanira kudzoserwa munzvimbo yawo yakafanira nokukurumidza sezvinobvira, nokuti tsinga nemhasuru zvingava zvakasungwa nemapfupa akatyoka. Orbital floor fracture kana medial orbital wall kuputsika kwebhonzo reziso kunogona kubata rectus yemukati kana inferior rectus tsandanyama.

Mumaronda echiso, maburi uye tsinga dzechiso zvinogona kukuvara. Kuputsika kwepfupa remberi kunogona kupindira nekuyerera kwe sinus yepamberi uye inogona kukonzera sinusitis. Utachiona nderimwe dambudziko rinogona kuitika.