I-Tibia Intramedullary Nail

PFNA Intramedullary Nail Video

PFNA Intramedullary Nail PDF    

 

PFNA Intramedullary Nail Specification

Imveliso	Umfanekiso	I-REFTitanium Alloy	Inkcazo
I-Tibia Intramedullary Nailmatch 4.5mm yokutshixa isikrufu esinomsonto ogcweleyo		RJSD08240	Ф8x240
		RJSD08260	Ф8x260
		RJSD08280	Ф8x280
		RJSD08300	Ф8x300
		RJSD08320	Ф8x320
		RJSD08340	Ф8x340
		RJSD08360	Ф8x360
		RJSD08380	Ф8x380
		RJSD09240	Ф9x240
		RJSD09260	Ф9x260
		RJSD09280	Ф9x280
		RJSD09300	Ф9x300
		RJSD09320	Ф9x320
		RJSD09340	Ф9x340
		RJSD09360	Ф9x360
		RJSD09380	Ф9x380
		RJSD10240	Ф10x240
		RJSD10260	Ф10x260
		RJSD10280	Ф10x280
		RJSD10300	Ф10x300
		RJSD10320	Ф10x320
		RJSD10340	Ф10x340
		RJSD10360	Ф10x360
		RJSD10380	Ф10x380
		RJSD11240	Ф11x240
		RJSD11260	Ф11x260
		RJSD11280	Ф11x280
		RJSD11300	Ф11x300
		RJSD11320	Ф11x320
		RJSD11340	Ф11x340
		RJSD11360	Ф11x360
		RJSD11380	Ф11x380

PFNA Intramedullary Nail Inkcazo

1. Izinketho ezintathu zokutshixa ezintsha, ngokudibanisa nezikrufu zokutshixa amathambo, zandise ukuzinza kweqhekeza elisondeleleneyo lokuqhekeka kwesithathu. 2. Iinketho ezimbini ze-mediolateral (ML) zokuvala i-state-of-art (ML) zivumela ukunyanzeliswa okuphambili okanye i-dynamization elawulwayo yesibini.

1. Ukugoba kwe-anatomic ukuze kube lula ukufakwa kwezikhonkwane. 2. I-Titanium alloy TAN* yokuphucula izixhobo zoomatshini kunye nokudinwa. 3. Izikhonkwane ze-Cannulated (ukusuka kwi-8 mm ukuya kwi-10 mm) kwiindlela ezihlaziyiweyo okanye ezingabonakaliyo, ezivumela ukufakwa kwesikhonkwane phezu kocingo lwesikhokelo. 4. Iingcingo zesikhokelo ezifakwe kwibhola zinokususwa kwi-nail kunye ne-handle handle assembly (akukho ityhubhu yokutshintshiselana efunekayo).

I-1.I-Distal oblique yokutshixa ukhetho lokuthintela umonakalo wezicubu ezithambileyo kunye nokwandisa ukuzinza kweqhekeza elikude. 2. Ii-ML ezimbini kunye ne-anteroposterior enye (AP) iinketho zokuvala ukuzinza kwe-distal.

Izinto eziluncedo kwiiMveliso ze-XC Medico

I-CNC Preliminary Processing Itekhnoloji yolawulo lwamanani ekhompyuter isetyenziselwa ukusetyenzwa ngokuchanekileyo kweemveliso ze-orthopedic. Le nkqubo ineempawu zokuchaneka okuphezulu, ukusebenza kakuhle okuphezulu, kunye nokuphindaphinda. Inokuvelisa ngokukhawuleza izixhobo zonyango ezilungelelanisiweyo ezihambelana nesakhiwo somntu kunye nokubonelela izigulane ngezicwangciso zonyango lomntu.	Ukulungiswa kwemveliso Injongo yeemveliso ze-orthopedic zokupholisa kukuphucula uqhagamshelwano phakathi kokufakelwa kunye nezicubu zomntu, ukunciphisa uxinzelelo loxinzelelo, kunye nokuphucula ukuzinza kwexesha elide lokufakelwa.	Ukuhlolwa koMgangatho Uvavanyo lweepropathi zemishini yeemveliso ze-orthopedic zenzelwe ukulinganisa iimeko zoxinzelelo lwamathambo omntu, ukuvavanya umthamo wokuthwala umthwalo kunye nokuqina kokufakelwa emzimbeni womntu, kunye nokuqinisekisa ukhuseleko nokuthembeka kwabo.
Iphakheji yeMveliso Iimveliso ze-Orthopedic zipakishwe kwigumbi eliyinyumba ukuze kuqinisekiswe ukuba imveliso ifakwe kwindawo ecocekileyo, eyinyumba ukuthintela ukungcoliseka kwe-microbial kunye nokuqinisekisa ukhuseleko lotyando.	Indawo yokugcina imveliso Ukugcinwa kweemveliso zamathambo kufuna ulawulo olungqongqo lwangaphakathi nangaphandle kunye nolawulo lomgangatho ukuze kuqinisekiswe ukulandelwa kwemveliso kunye nokuthintela ukuphela okanye ukuthunyelwa okungalunganga.	Igumbi lesampuli Igumbi lesampulu lisetyenziselwa ukugcina, ukubonisa nokulawula iisampulu ezahlukeneyo zeemveliso ze-orthopedic ukwenzela utshintshiselwano lweteknoloji yemveliso kunye noqeqesho.

Inkqubo yokusebenzisana ne-XC Medico

1. Buza iqela le-XC Medico lekhathalogu yemveliso ye-Tibia Intramedullary Nail.

2. Khetha imveliso yakho ye-Tibia Intramedullary Nail enomdla.

3. Cela isampuli yokuvavanya umgangatho we-Tibia Intramedullary Nail.

4.Yenza iodolo ye-XC Medico's Tibia Intramedullary Nail.

5.Yiba ngumthengisi we-XC medico's Tibia Intramedullary Nail.

Izinto eziluncedo zokuba ngumthengisi okanye umthengisi we-XC Medico

1. Amaxabiso angcono okuthenga eTibia Intramedullary Nail.

2.100% Umgangatho ophezulu we-Tibia Intramedullary Nail.

3. Iinzame zoku-odola ezingaphantsi.

4. Uzinzo lwexabiso ngeXesha leSivumelwano.

5. I-Inventory ye-Nail ye-Tibia eyaneleyo ye-Intramedullary

6. Uvavanyo olukhawulezayo noluLula lwe-XC Medico ye-Tibia Intramedullary Nail.

7. I-Brand eyaziwayo kwihlabathi - XC medico.

8. Ixesha lokuFikelela ngokukhawuleza ukuya kwiQela le-XC Medico yokuthengisa.

9. Uvavanyo olongezelelweyo loMgangatho weQela le-XC Medico.

10. Landela i-Order yakho ye-XC ye-Medico Ukususela ekuqaleni ukuya ekupheleni.

I-Tibia Intramedullary Nail Concept

I-Tibia intramedullary (IM) utyando lwesikhonkwane yinkqubo eqhelekileyo esetyenziselwa ukunyanga iifractures ze-tibia, ithambo elide kumlenze ongezantsi. Obu buchule bubandakanya ukufaka intonga yentsimbi (isikhonkwane) kumnkantsha we-tibia ukuzinzisa nokulungelelanisa ithambo njengoko liphilisa. Ihlala ikhethwa ngokusebenza kwayo ekunyangeni iintlobo ezahlukeneyo zokuqhekeka kwe-tibial, ngakumbi kwindawo ye-shaft, kwaye inokusetyenziswa kwiimeko zombini ezivaliweyo nezivulekileyo.

Iimpawu zeTibia Intramedullary Nail

Indlela yokutshixa

I-Static Locking: I-Screws ifakwe kwiiphelo zombini kunye ne-distal yesikhonkwane, ukuthintela ukujikeleza kunye nokunyakaza kwexesha elide. Oku kulungele iifractures ezingazinzanga.

Ukutshixa okunamandla

Ivumela ukunyakaza kwe-axial elawulwayo, enokunceda ukuphulukiswa kwamathambo ngokuvumela ukunyanzeliswa okuncinci kwindawo yokuphuka. Isetyenziselwa ukwaphuka okuzinzileyo apho ukunyakaza okuthile kunokukhuthaza ukuphilisa.

Iinketho zokutshixa kwiindlela ezininzi

Ezinye izikhonkwane zibonelela ngezikhundla ezahlukeneyo zemingxuma yesikrufu, evumela uzinzo lwe-angular kunye nokuziqhelanisa ngcono neepateni ezahlukeneyo zokuqhekeka.

I-Nail Diameter kunye ne-Length Variability

Izikhonkwane zeTibia ziza kububanzi obahlukeneyo kunye nobude ukuze zilingane izigulane ezinobukhulu obahlukeneyo kunye neendawo eziqhekekileyo. Oogqirha botyando banokukhetha ubungakanani obufanelekileyo ukuqinisekisa ukuzinza kunye nokufaneleka.

Iinketho eziguquguqukayo

Izikhonkwane ezineenketho zohlengahlengiso olusondeleyo kunye ne-distal zivumela ukulungelelaniswa okungcono kwi-anatomy yesigulane, nokuba i-tibial canal ingaqhelekanga.

Idizayini eCannulated

Izikhonkwane ezininzi ze-tibia ze-IM zifakwe kwi-cannulated (i-hollow) ukuvumela ukufakwa phezu kwe-guidewire. Olu phawu lwenza kube lula kwaye luchaneke ngakumbi ukubekwa, ngakumbi kwiinkqubo ezingenelelayo kancinci.

I-Proximal kunye ne-Distal Bend

Ukugoba okuncinci okanye ukugoba kudla ngokuyilwa kwisikhonkwane ukuze kuhambelane kangcono ne-anatomy yendalo ye-tibia kunye nokuphucula ukulungelelaniswa ngaphakathi kwethambo lethambo.

Izikrweqe eziHlelanayo

Yenziwe nge-titanium okanye insimbi engenasici, izikrufu ezidityanisiweyo zinceda ukukhusela isikhonkwane ngaphakathi kwethambo. Babonelela ngokuzinza okujikelezayo kunye ne-angular, ukukhusela ukunyakaza okungafunekiyo kunye nokuqinisekisa ukulungelelaniswa okufanelekileyo ngexesha lokuphilisa.

I-Distal kunye ne-Proximal Notching okanye imingxuma

Ezi notshi okanye imingxunya iququzelela ukutshixa i-screw yokubekwa kwii-engile ezahlukeneyo, ezinokunceda ekuzinziseni iifractures ze-comminuted (ezo zineziqhekeza ezininzi zamathambo) okanye i-fractures ekufutshane namalungu.

Iingubo zoMphezulu kunye nokuGqiba

Ezinye izikhonkwane zineengubo ezikhethekileyo, ezifana ne-hydroxyapatite, enokukhuthaza ukukhula kwamathambo kunye nokudibanisa. Abanye banokuba nomphezulu ogudisiweyo okanye orhabaxa ukunciphisa ukukhuhlana kunye nokuthintela ukucaphuka kwezicubu.

Iimpawu zeRadiolucent

Izikhonkwane ezithile zixhotyiswe ngeempawu ze-radiolucent ukunceda ugqirha wotyando aqinisekise indawo yesikhonkwane ngexesha lotyando kusetyenziswa i-fluoroscopy okanye i-X-reyi. Ezi zimakishi ziphucula ukuchaneka kwaye zinceda ukubeka esweni ulungelelwaniso.

I-Tibia Intramedullary Nail Advantages

Ubuncinci be-Invasive

Ukubethelwa kwe-IM ngokuqhelekileyo kufuna kuphela izithintelo ezincinci, ezinciphisa ukuphazamiseka kwezicubu ezithambileyo kunye nokunciphisa amanxeba. Le ndlela yokunciphisa encinci inceda ukugcina imisipha ejikelezayo kunye nokunikezelwa kwegazi, ukukhuthaza ukuphilisa ngokukhawuleza kunye nokunciphisa intlungu emva kokusebenza.

Ukuthwala Ubunzima Kwangoko

Xa kuthelekiswa nezinye iindlela zokulungisa, izikhonkwane ze-tibia IM zivumela ubunzima bokuqala, ngokuphindaphindiweyo kwiiveki ezimbalwa zotyando. Oku kunceda izigulane ziphinde zihambe ngokukhawuleza kwaye zinokunciphisa umngcipheko weengxaki ezinxulumene nokungahambi ixesha elide, njengama-blood clots okanye i-atrophy ye-muscle.

Uzinzo olongezelelweyo kunye noLungelelwaniso

Izikhonkwane ze-IM zibonelela ngenkxaso eqinile yangaphakathi ngokulungelelanisa i-fracture kunye ne-axis ephakathi kwethambo. Izikhonkwane zokutshixa kuzo zombini iziphelo zesikhonkwane zikhusele amaqhekeza amathambo kwaye zithintele ukujikeleza okanye ukunyakaza, okuqinisekisa ukulungelelaniswa okufanelekileyo ngexesha lokuphilisa kunye nokunciphisa umngcipheko we-malunion.

Ixesha elincitshisiweyo lokuPhilisa

Ngokubonelela ukulungiswa okuzinzile kunye nokuvumela ukulawulwa kwe-micro-movement kwindawo yokuphuka (ngokukodwa ngokutshixa okuguquguqukayo), izikhonkwane ze-IM zinokuvuselela ukuphulukiswa kwamathambo. Oku kunokukhokelela kumaxesha okubuyisela ngokukhawuleza xa kuthelekiswa nezinye iindlela zokulungisa ezifana nokulungiswa kwangaphandle okanye ukucwenga.

UkuLondolozwa kweBone Biology

I-IM nailing igcina igazi lethambo le-periosteal kuba ayibandakanyi ukuqhekeka okukhulu komphezulu wethambo. Oku kukhuthaza impilo engcono yamathambo kwaye kuququzelele ukuphiliswa kwendalo, kubaluleke kakhulu kwiifractures kunye nokuhamba kwegazi okungahambi kakuhle.

Ukulungelelaniswa kwiintlobo ezahlukeneyo zokuqhekeka

Izikhonkwane ze-IM zingasetyenziselwa uluhlu olubanzi lwee-tibial fractures, ezibandakanya i-transverse, i-oblique, i-comminuted (kunye namacandelo amaninzi), kunye ne-segmental fractures. Zikwafanelekile zombini ezivaliweyo kunye nezinye iifractures ezivulekileyo, kuxhomekeke kubunzima bokulimala kunye nendawo.

Umngcipheko wokuNcitshiswa woSulelo

Ekubeni isikhonkwane se-IM singaphakathi, singaphantsi kosulelo kunezixhobo zokulungiswa kwangaphandle, ezinezikhonkwane okanye iingcingo eziphuma ngaphandle kwesikhumba. Ukongeza, imikrolo emincinci efunekayo kwi-IM ukubethelela yehlisa umngcipheko wosulelo.

Ukuphucula Intuthuzelo Yomonde

Izikhonkwane ze-IM zibekwe ngaphakathi kwethambo kwaye azibangeli ukucaphuka kwangaphandle. Izigulana zihlala zifumana ukungonwabi okuncinci xa kuthelekiswa nezixhobo zokulungiswa kwangaphandle okanye i-bulky cast, enokuthi ithintele intshukumo kunye nefuthe kwimisebenzi yemihla ngemihla.

Ithuba lokuHlala esibhedlele ixesha elifutshane

Ukuzinza okubonelelwa ngezikhonkwane ze-IM kuvumela ukuhlanganiswa okukhawulezayo, okunokuthi kukhokelela ekunciphiseni isidingo sokuhlala esibhedlele ixesha elide okanye ukubuyisela ngokubanzi. Oku kunokuba luncedo kuzo zombini iindleko zokuchacha kwesigulana kunye neendleko zempilo.

Ixesha elide Ukuqina

Izikhonkwane ze-IM zenzelwe ukubonelela ngenkxaso eqinile kuyo yonke inkqubo yokuphulukisa kwaye ayinakwenzeka ukuba ingaphumeleli phantsi kwemithwalo eqhelekileyo yoxinzelelo. Zihlala zihlala kwindawo engapheliyo ngaphandle kokuba iingxaki zivela okanye ukususwa kuyimfuneko.

Tibia Intramedullary Nail Surgery

I-Tibia intramedullary nail surgery yinkqubo eqhelekileyo esetyenziselwa ukuphatha iifractures ze-tibia, ithambo elide kumlenze ongezantsi. Obu buchule bubandakanya ukufaka intonga yentsimbi (isikhonkwane) kumsele womongo we-tibia ukuze uzinze kwaye ulungelelanise ithambo njengoko liphilisa. Ihlala ikhethwa ngokusebenza kwayo ekunyangeni iintlobo ezahlukeneyo zokuqhekeka kwe-tibial, ngakumbi kwindawo ye-shaft, kwaye inokusetyenziswa kwiimeko zombini ezivaliweyo nezivulekileyo.

Ukulungiselela kunye nokusika

Isigulane ngokuqhelekileyo siphantsi kwe-anesthesia jikelele okanye yengingqi. I-incision encinci yenziwe phezulu kwi-tibia, kufuphi nedolo, ukufikelela kwithambo.

UkuQala nokuFakela

Kufakwa i-guidewire kumjelo womongo, kuze ke emva koko kusetyenziswe isixhobo sokubuyisela amanzi ukuze kwandiswe umjelo. Isikhonkwane se-intramedullary, esenziwe nge-titanium okanye intsimbi engatyiwa, emva koko ifakwe phezu kwe-guidewire kwaye ibekwe ngaphakathi kumjelo.

Izikrufu zokutshixa

Ukukhusela isikhonkwane, izikhonkwane zokutshixa zibekwe kuzo zombini iziphelo ze-tibia, zihlala zikhokelwa ngumfanekiso we-X-ray ukuqinisekisa ukubekwa ngokuchanekileyo. Ezi zikrufu zithintela ukujikeleza kwaye zibonelela ngokuzinza okongeziweyo kwithambo.

Ukuvala

I-incision ivalwe nge-sutures, kwaye isigulane sinokufakelwa i-brace okanye i-cast ngokuxhomekeke kubukhulu be-fracture kunye nokukhethwa ngugqirha.

Iingxaki zeTibia Intramedullary Nail kunye nokuQaphela

Usulelo

Nangona umngcipheko uphantsi kunokulungiswa kwangaphandle, usulelo lusengenzeka, ngakumbi kwi-incision okanye malunga ne-hardware. Usulelo olunzulu lusenokufuna utyando olongezelelekileyo ukuze kususwe okanye kubuyiselwe ihardware.

Umanyano olungelulo umanyano okanye olulibazisekileyo uManyano

Kwezinye iimeko, ithambo alinako ukuphilisa ngokufanelekileyo (elingeyomanyano) okanye ukuphilisa kunokulibaziseka. Oku kunokubangelwa kukungaboneleli kakuhle kwegazi, usulelo, okanye ukungazinzi ngokwaneleyo kokwaphuka.

Malunion

I-Malunion yenzeka xa ithambo liphilisa ngolungelelwaniso olungalunganga. Oku kunokukhokelela kukukhubazeka, iintlungu, kunye nokukhubazeka komsebenzi. Inokubangelwa ukubekwa kwezikhonkwane okungafanelekanga okanye ukuzinzisa okunganelanga.

Hardware Ukusilela

Isikhonkwane se-IM okanye izikrufu zokutshixa ngamanye amaxesha zinokuqhekeka okanye zikhulule, ngakumbi ukuba ulwahlulo alupholi njengoko kulindelekile. Oku kunokufuna utyando olongezelelweyo ukutshintsha okanye ukulungisa i-hardware.

Iintlungu zedolo langaphambili

Ezinye izigulane zifumana intlungu engapheliyo phambi kwedolo, ngakumbi ukuba isikhonkwane sifakwe kufuphi nedolo. Oku kunokuba ngenxa yokucaphuka kwi-hardware okanye ukubekwa kwesikhonkwane.

I-Compartment Syndrome

Le ngxaki inqabileyo kodwa inzima kakhulu ibandakanya uxinzelelo olwandisiweyo ngaphakathi kwamacandelo emisipha yomlenze, nto leyo inokukhokelela kumonakalo wezicubu ukuba ayiphathwa. Idla ngokubonakala njengeentlungu eziqatha, ukudumba, kunye nokuba ndindisholo.

Ukwenzakala kwiNerve okanye kwiGazi

Ngexesha lotyando, kukho umngcipheko wokonakalisa imithambo-luvo ekufutshane okanye imithambo yegazi. Oku kunokukhokelela ekubeni ndindisholo okwethutyana okanye okusisigxina, ubuthathaka, okanye iingxaki zokujikeleza kwegazi.

I-Fat Embolism Syndrome

Ingxaki engaqhelekanga, oku kunokwenzeka xa amasuntswana amanqatha angena egazini ngexesha lokuvuselelwa kwakhona. Ingakhokelela kuxinzelelo lokuphefumla, ukudideka, kunye nezinye iimpawu zesistim.

I-Tibia Intramedullary Nail Postoperative Care

Ulawulo lweentlungu

Amayeza, Ukuphakama kunye noMkhenkce

Ukhathalelo lwamanxeba

Ukunxiba Guqula, Kuphephe ukuntywila

Ukuthwala ubunzima kunye nokuhamba

Ukuthwala ubunzima ngokuthe ngcembe, izixhobo zokuhamba

Ulungiso lwenyama

Uluhlu lweMizobo yeMotion, ukuQinisa iMithambo, ukuQhubela ngokuthe chu

Imiqathango yoMsebenzi

Yiphephe Imisebenzi enempembelelo ephezulu

Ukubeka iliso kwiingxaki

Iimpawu zeNtsholongwane, Iimpawu zeGazi leNjl

Kungekudala emva koTyando lweZikhonkwane lwe-Tibia endinokuthi ndisebenze?

Ubungakanani bexesha elithathayo ukubuyela emsebenzini emva kokuhlinzwa kwe-tibia intramedullary nail iyahluka kakhulu kuxhomekeke kwizinto ezizimeleyo kunye ne-severit.

Ixesha elikhawulezayo lasemva kotyando (Iiveki ezi-0-2)

Ukuphumla kunye nokuNyuleka, ukuNxibelela okungekho bunzima okanye ukuNxibelela ubunzima, ukuHamba okuSiseko

Ukuchacha kwangethuba (iiveki ezi-2-6)

Ukuthwala ubunzima obuthile, uNyango loMzimba, Imisebenzi yeMihla

UkuBuyisa okuPhakathi (Iiveki ezi-6-12)

Ukuthwala ubunzima obugcweleyo, umsebenzi owandisiweyo, uBuyela emsebenzini

uBuyiselo oluPhezulu (iinyanga ezi-3-6)

ImiSebenzi yeMpembelelo ePhakamileyo, Amandla kunye neMiqathango

UBuyiselo ngokupheleleyo (Iinyanga ezi-6+)

Buyela kwiMidlalo kunye neMisebenzi enempembelelo ephezulu, ukuJonga nokuBuyisa okokugqibela

Imarike yekamva yeTibia Intramedullary Nail

Ngokophando luka-Apol, ukuthengiswa kwemarike yezikhonkwane kwihlabathi ngo-2023 kuya kuba malunga nezigidi ezingama-470 zeedola zaseMelika, kwaye kulindeleke ukuba ikhule nge-CAGR (inqanaba lokukhula lonyaka) elingaphezulu kwe-3.82% ngexesha loqikelelo luka-2024-2030. Oku kubonisa ukuba imarike ye-intramedullary nail, kubandakanywa izikhonkwane ze-Tibia ze-intramedullary, ziya kuqhubeka zanda kwihlabathi jikelele, zibonelela ngendawo yokuthengisa ebanzi kubavelisi kunye nabanikezeli.

Isishwankathelo

I-Tibia intramedullary (IM) isikhonkwane yintsimbi yentsimbi efakwe kumbindi we-tibia ukuzinzisa ukuphuka. Le nkqubo encinci ye-invasive inikezela ngenkxaso eqinile yangaphakathi, eyenza ukuthwala ubunzima bokuqala kunye nokubuyisela ngokukhawuleza. Ngethuba lotyando, isikhonkwane sifakwe ngaphakathi komsele wamathambo kwaye sikhuselekile kunye nezikrini zokukhiya ukukhusela ukunyakaza.Nangona kunjalo, ukuphumelela komsebenzi kuhambelana ngokusondeleyo kwizakhono zogqirha, ukungafani komntu ngamnye kwesigulane kunye nokunyamekela emva kokuhlinzwa. Abaguli bafanele bakhethe isibhedlele esiqhelekileyo, benziwe utyando lukagqirha onamava, baze balandele ngokungqongqo imiyalelo kagqirha yokubuyisela kwimeko yesiqhelo emva kotyando.

Isikhumbuzo esifudumeleyo: Eli nqaku lenzelwe ireferensi kuphela kwaye alinakuthatha indawo yen kokukhubazeka okubandakanya i-bilateral sagittal split osteotomy (BSSO). I-BSSO yinkqubo yotyando apho i-mandible yahlulwe ecaleni kwendiza ye-sagittal ukuvumela ukubekwa kwakhona. Emva kwe-osteotomy, iziqwenga zamathambo zikhuselekile ngokusebenzisa iiplate kunye nezikrufu ukufezekisa ukulungelelaniswa okufanelekileyo kunye nokuqinisekisa ukuzinza ngexesha lenkqubo yokuphulukisa.