Osteotomy - menene wannan?

Osteotomy - wani m hanya da nufin mayar da rasa locomotor ayyuka ta hanyar wucin gadi kashi dissection. A mafi yawan lokuta, shi da ake amfani da su cire reshe nakasawa, wanda ba ka damar komawa haƙuri da ikon kai-kula da kuma motsi.

Janar Concepts

Operation osteotomy da aka yi da sosai gwani rauni likita. A duban farko alama cewa baki ne hadaddun da bukatar lokaci mai yawa a haƙuri ta dawo, duk da haka, yarda da likita ta shawarwari zai tãyar da mãsu haƙuri a ƙafafunsa da sauri.

Osteotomy - wani aiki wanda yana da za'ayi ta wajen musamman kayan aikin - osteotomes, Gigli saws, lantarki saws da ultrasonic na'urorin. Sun taimaka wajen sa ramuka a wuri shisshigi da kuma yanke kashi. Bayan tattara tarkace kashi, niƙaƙƙun gaɓãɓuwa ana gyarawa da sukurori, needles, faranti. Ba kamar bazuwar samu karaya, filastar simintin gyaran kafa da aka yi amfani da wuya, domin kauce wa yiwu ci gaban contractures a gidajen abinci.

rarrabuwa

Dangane da yanayin da aiki samun damar da wadannan iri osteotomy:

1. Open - bukatar samun kashi. Bayan fata incision, subcutaneous nama da kuma tsoka na'ura, raspatory rabu periosteum, kashi sa'an nan dissected. A tarkace da ake gyarawa a physiological matsayi, saman - simintin.
2. Rufe - gudanar ta hanyar samun 'yan santimita. Tsokoki ba a yanka kuma lebur don samun zuwa kashi. By ta amfani da kurfi rabu periosteum kuma da dama guduma naushe kan rike dissect kashi. Jini da kuma jijiyoyi suna tura da gyarawa da musamman kayayyakin aiki, don kauce wa tareda žata su. Mafi sau da yawa amfani ga mai gangara osteotomy.

A siffar da yanke ake wadannan shisshigi:

• kaikaice.
• bene.
• QFontDatabase.
• wandar-wandar tafiyar maciji.
• swivel (siffar zobe, arcuate, sandan-dimbin yawa, angularly).

Dangane da makasudin, tiyata ne wadannan jinsunan:

• daidaituwa osteotomy.
• derotation.
• da nufin canza tsawon na reshe.
• Yana da nufin inganta support aiki.

Alamomi ga baki

Osteotomy - shi ne orthopedic tiyata, wanda aka yi a cikin wadannan lokuta ba amenable ga ra'ayin mazan jiya far:

• nakasar ko samu munanan da kashi nakasawa, mafi mataki na dogon tubular ƙasũsuwa (hip, kafada, cinya).
• ankylosis - rashin yiwuwar hadin gwiwa aiki saboda da gaban adhesions connective nama, guringuntsi, ko kashi hali na articular saman.
• nakasar hip dysplasia (sāke wuri).
• samu karaya cewa daidai Fused.
• osteomyelitis.
• gaban marurai ko metastases.
• alãmõmin rickets a tarihi.
• rike arthroplasty.
• da sauran nakasar munanan na musculoskeletal tsarin.

The aiki da ake amfani a cikin kwaskwarima filin: osteotomy na hanci, gyara fuska contours, damuwa ayyuka na jaws.

contraindications

Akwai da dama dalilai, gaban wanda tiyata an jinkirta:

• cututtuka na dauke da kwayar cutar yanayi a lokacin da ake bukata osteotomy kashi ko makonni biyu kafin tiyata.
• cututtuka na numfashi da kuma zuciya da jijiyoyin jini tsarin decompensated.
• ciwon sukari.
• lokaci na gestation na yaro.
• koda ko hanta hanawa.
• gaban surkin jini rashes ko wasu halitta a wani wuri inda shi wajibi ne don gudanar da wani on-line damar.

Amfani ko rashin amfani

M al'amurran da baki ana sassauta zafi (idan wani) da kuma maido da mota aiki. Alal misali, osteotomy na gwiwa zai kawar zafi a lokacin motsi, ci gaba da kuma flexor extensor aiki, cire adhesions na articular saman. Cutar tsaya a nan ba ta ci gaban.

A hasara ne da yiwuwar gani jeri na bangaren na wata gabar jiki, ko gidajen abinci. Bugu da ƙari, idan haƙuri bukatar wani hadin gwiwa maye arthroplasty, shi zai zama mafi wuya a gudanar da wani bayan da osteotomy.

zai yiwu rikitarwa

Osteotomy - wani aiki wanda shekaru da yawa inganta to rage hadarin postoperative rikitarwa. Duk da haka, wani tsangwama na wasu dalilai a cikin jikin mutum shi ne tushen hadari, saboda ban da cancanta aiki gwani, muna magana ne game da mutum halaye na haƙuri.

Matsalolin da wani irin osteotomy iya zama:

• kamuwa da cuta daga m rauni - bukatar nada tura allurai da kwayoyin far.
• biya diyya tarkace da kuma kashi, niƙaƙƙun gaɓãɓuwa - ne da za'ayi tare da kara reposition kam.
• m Fusion na ƙasũsuwa - nada multivitamin gidaje cewa an hada da muhimmanci alama abubuwa (alli, phosphorus, magnesium, tutiya).
• ulla ƙarya sustava- bukatar ƙarin baki.
• parestezii- take hakkin fata ƙwarai a wurin aiki saboda da mahada na jijiya rassan (ba ya bukatar ƙarin jiyya, gyare-gyare da kanta).
• kin amincewa da implants - hadin gwiwa maye zama dole.

daidaituwa osteotomy

Dauke da fitar da irin wannan hanya da ake amfani a daidai ba accrete karaya, nakasar kashi lahani, ci gaban ankylosis ko pseudoarthrosis, nakasar kasusuwa cikin yatsun kafa da illa motor aiki, don kawar da gani kwaskwarima lahani.

Kafin baki ne da za'ayi X-ray jarrabawa, wanda damar zuwa saka da wuri daga cikin kashi, sanya gaba na dissection, da sauran kashi kiwon lafiya. Idan ya cancanta, a kwamfuta, ko MRIs. Sauran binciken da aka sanya da akayi daban-daban traumatologist.

The aiki aka yi a cikin na musamman asibiti. A tsawon lokaci da baki - game da 3-4 hours, dangane da ƙara na zama dole hanyoyin. Bayan dissection daga kashi, niƙaƙƙun gaɓãɓuwa ake gyarawa da Ilizarov (aiki yi a kan extremities) ko musamman ƙarfe na'urorin da cewa suna allura kai tsaye a cikin kashi (osteotomy kafar).

Ilizarov inji ne na musamman tsarin amfani da traumatology da orthopedics for kayyade, matsawa ko mikewa kashi, niƙaƙƙun gaɓãɓuwa a so matsayi a kan wani dogon lokaci.

Bayan da aiki da za'ayi iko x-ray, kyale su ayyana daidai kayyade.

Matsalolin daidaituwa osteotomy

Zai yiwu rikitarwa bayan gyara na pathological yanayi sun hada da:

• karfi zafi, ba cropped al'ada analgesics.
• gazawar da waje sassa na na'ura ko na karfe Tsarin;
• ci gaban da zub da jini;
• hematoma samuwar.
• hijirar na kashi a ?? ake, dangi zuwa juna a wani daga cikin jirage.
• sauran janar rikitarwa.

Osteotomy a fagen Dentistry da maxillofacial tiyata

A hakori filin osteotomy yi muƙamuƙi, wanda za a iya yi aiki a matsayin mai zaman kanta aiki ko matsayin wani mataki na wani m hanya. Amfani a biya diyya, ko samu karaya, to gyara malocclusion. Incisions suna sanya tare da tsawon da muƙamuƙi molars.

Bayan kam a physiological muƙamuƙi matsayin superimposed compressive bandeji, kayyade da kumatun kuma Chin yankin. Nan da nan ya sa wani kwayoyin domin kauce wa ci gaban suppuration da kuma samuwar osteomyelitis. Tsakanin hakora gabatar da wasu danko ga wuri wanda aka lura kullum gwani. Stitches an cire bayan makonni 2, da kuma sukurori cewa rike da muƙamuƙi a cikin wata daya don kammala lura lokaci bi ta orthodontic far.

A filin na baka da kuma maxillofacial tiyata da aka yi amfani da hanci osteotomy, wanda shi ne wani ɓangare na rhinoplasty. Shi ne mai nuni ga:

• gagarumin murdiya na hanci gada.
• babban ƙuduri na ƙasũsuwa,
• bukatar kashi hijirar dangane da hanci septum.

A dauke da fitar da hanci osteotomy Likita ya kwanta ado da matsaloli: rufe hanci vault hump kau da straightening da curvature na backrest, da takaita na gefen bangon. A gwani dole ne ya yi la'akari da cewa dissection na kashi nama iya shafar patency daga cikin manya airway, sabili da haka, a lokacin aiki kama daga ilimin Halittar Jiki da kuma physiological halaye na musamman haƙuri.

Nau'in hanci osteotomy:

• kaikaice (gefen), za'ayi perforation ko line-akai.
• tsakiya (Center).
• saman.
• tsaka-tsaki.

Irin baki amfani da aka zaba akayi daban-daban, shan la'akari da haƙuri da matsala, manufar da aiki, jihar na kashi nama, da zama dole girma daga m magani.

Duk wani osteotomy kamata a da za'ayi bayan da kiwon matakin rigakafi. Yana zai zama a matsayin m gwargwado ga ci gaban da rikitarwa da kuma haifar da yanayi mai kyau da kuma ya dace kashi fe.