Ku-craniomaxillofacial (CMF) ukuhlukumezeka nokwakhiwa kabusha, ukukhethwa kwe-hardware yokulungisa kuthinta ngokuqondile imiphumela yokuhlinzwa, isikhathi sokuphulukisa, kanye nokululama kwesiguli. Phakathi kwezinto ezintsha ezikhulayo zokufakelwa kwe-CMF,i1.5mm titanium self-drilling screw ithole ukunakwa okubalulekile ngekhono layo lokuqondisa izinqubo zokuhlinzwa ngenkathi igcina ubuqotho be-biomechanical.
Lesi sihloko sihlola ukuthi idizayini yokuzimba, ehlanganiswe nezakhiwo ze-titanium alloy, ifinyelela kanjani ibhalansi ekahle phakathi kokuzinza kokuqala kokulungiswa kanye nokuhlanganiswa kwethambo lesikhathi eside, ikakhulukazi ezakhiweni zobuso ezithambile njenge-zygomatic arch, rim orbital, kanye ne-mandibular angle.
I-Thread Geometry kanye Nokuzinza Kwasekuqaleni
Iphrofayili yochungechunge lwesikulufu se-CMF sokuzibhoboza iklanyelwe ukuthuthukisa kokubili i-torque namandla okudonsa. Ububanzi obungu-1.5 mm, obuvame ukusetshenziswa ekuqhekekeni kwe-midface kanye ne-orbital, buncane ngokwanele ukugwema ukuphazamiseka okukhulu kwamathambo kodwa kuqine ngokwanele ukusekela ukuhlanganisa kwangaphambi kwesikhathi kanye nokulayisha ukusebenza.
Ukuhlukaniswa kwentambo okubanzi kanye ne-tapered shaft kuvumela ukuthengwa okuqinile kokubili kwe-cortical kanye nethambo elikhansela, okuhlinzeka ngokuzinza ngokushesha kwemishini-isici esibalulekile ekwelapheni kwesigaba sokuqala. Lokhu kuzinza kubaluleke kakhulu ekuqhekekeni kwe-angle ye-mandibular, lapho kukhona khona amandla anamandla okuzikhukhumeza.
I-Titanium Alloy: Amandla Ahlangana Ne-Biocompatibility
Ukukhetha impahla kubaluleke kakhulu njengokuklama komshini. Ama-alloys e-Titanium (ngokuvamile i-Ti-6Al-4V) asetshenziswa kuzikulufu ze-CMF ezingu-1.5 mm anikeza isilinganiso esihle kakhulu samandla nesisindo kanye nokuhambisana kwemvelo okukhethekile. Ngokungafani nensimbi engagqwali, i-titanium ayigqwali ku-vivo futhi inciphisa ubungozi bokungezwani komzimba.
Okubaluleke nakakhulu, imvelo ye-osseointegrative ye-titanium ikhuthaza ukukhula kwamathambo esikhathi eside esizungeze isikulufu, ithuthukise ukuzinza ngokuhamba kwesikhathi futhi inciphise amathuba okufakelwa ukuxega. Lokhu kubalulekile ezimweni zokwakha kabusha lapho ukulungiswa kwesikhathi eside kuyadingeka, njengokwakhiwa kabusha kwe-post-tumor mandibular noma ukulungiswa kabusha kwe-zygomatic yangemva kwengozi.
Amacala Okusebenzisa Emtholampilo: Ukusuka eZygoma kuya eMandible
Ake sihlole ukuthi izikulufu zokuzibhoboza eziyi-1.5 mm titanium zisetshenziswa kanjani kuzilungiselelo ezithile zomtholampilo:
I-Zygomaticomaxillary Complex (ZMC) Ukuphuka: Ngenxa ye-anatomy eyinkimbinkimbi nokubaluleka kwezimonyo kwe-midface, ukubekwa okunembayo kwesikulufu kubalulekile. Izikulufu zokuzibhoboza zinciphisa ukubamba kwe-intraoperative futhi zithuthukise isilawuli se-screw trajectory, ukuqinisekisa ukuncipha okunembile nokulungiswa.
Ukulungiswa Kwesitezi Se-Orbital: Emathanjeni amancane e-orbital, ukubhoboza ngokweqile kungaphazamisa ubuqotho besakhiwo. Isikulufu sokuzibhoboza sihlinzeka ngokulungiswa okuvikelekile okunokulimala okuncane kwamathambo, ukufakwa kwe-mesh okusekelayo noma kwepuleti okusetshenziselwa ukwakha kabusha i-orbital floor.
I-Mandibular Angle Fractures: Lezi ziqhekeko zingaphansi kwengcindezi ephezulu yokusebenza. Izikulufu zokuzibhoboza zinikeza ukuzinza okuqinile kokuqala, zehlisa ukuhamba kancane futhi zisekele ukusebenza kwangaphambi kwesikhathi ngaphandle kokuphazamisa ukuphulukiswa kwamathambo.
Impumelelo Yokuhlinza Ethuthukisiwe kanye Nemiphumela Yesiguli
Ngokombono wenqubo, ukusebenzisa izikulufu ze-titanium zokuzibhoboza ezingu-1.5 mm kuhumusha izikhathi zokusebenza ezimfushane, ukusetshenziswa kwamathuluzi okuncishisiwe, nezinyathelo ezimbalwa zokuhlinza—konke lokhu okunomthelela ekwehliseni ubungozi be-intraoperative kanye nokusebenza kahle okuthuthukisiwe egunjini lokuhlinza.
Esigulini, izinzuzo ziphoqa ngokulinganayo: ukululama ngokushesha, ukuncipha kwengozi yokutheleleka ngenxa yokuncipha kokuchayeka ngokuhlinzwa, kanye nokuphulukiswa okuzinzile. Ezimeni ezibandakanya izindawo eziningi zokuphuka, lezi zikulufi zivumela odokotela abahlinzayo ukuthi basebenze ngokushesha nangokunembile ngaphandle kokuphazamisa ukusebenza kwe-biomechanical.
Idizayini ye-CMF yokuzibhoboza ye-titanium engu-1.5 mm ibonisa indlela ubunjiniyela obucabangelayo—kuze kufike kokubalulekile kanye nejometri yentambo—bangaholela ekuthuthukisweni okunengqondo emiphumeleni yokuhlinzwa. Kungakhathaliseki ukuthi kusekuhlukumezekeni noma ekwakhiweni kabusha okukhethekile, lokhu kufakelwa okuncane kodwa okunamandla kuthuthukisa kokubili ukunemba kokuhlinzwa kanye nempilo yesiguli yesikhathi eside.
Kwa-Shuangyang Medical, sinikeza i-OEM nezixazululo zangokwezifiso zezikulufu ze-titanium CMF, ukuqinisekisa ukulungiswa okuthembekile ezimweni ezidinga kakhulu zokuhlinzwa. Uma ubheke ukuthuthukisa amasistimu akho okulungisa ngobuchwepheshe besimanje bokuzibhoboza, ithimba lethu likulungele ukusiza ngemininingwane yomtholampilo kanye nokwesekwa kobuchwepheshe.
Isikhathi sokuthumela: Jul-25-2025