medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2021-24-93-97medalphabet-2220Research ArticleСтатьиРазработка устройства безопасной пространственной ориентации спиц аппарата внеочагового остеосинтезаDevelopment of a device for safe spatial orientation of the spokes of an extra-focal osteosynthesis apparatushttps://orcid.org/0000-0003-4445-6109ДьяченкоД. Ю.D’yachenkoD. Yu.

Д. Ю. Дьяченко, ассистент кафедры стоматологии

Волгоград

D.YU . D’yachenko, assistant at the Department of Dentistry INMFO

https://orcid.org/0000-0001-8378-0505ВоробьевА. А.Vorob’evA. A.

А. А. Воробьев, заслуженный деятель науки РФ, д. м. н., проф., зав. кафедрой оперативной хирургии и топографической анатомии, зав. лабораторией инновационных методов реабилитации и абилитации

Волгоград

А. А Vorob’ev, Honored Scientist, doctor of medical sciences, Professor, Head of the Department of operative surgery and topographic anatomy, Head of the Laboratory of innovative methods of rehabilitation and habilitation

https://orcid.org/0000-0002-5546-8570МакедоноваЮ. А.MakedonovaIu. A.

Ю. А. Македонова, д. м. н., доцент, зав. кафедрой стоматологии ИНМФО, старший научный сотрудник лаборатории инновационных методов реабилитации и абилитации

Волгоград

Iu. A. Makedonova, doctor of medical Sciences, head of the Department of dentistry INMFO, senior researcher of the Laboratory of innovative methods of habilitation and rehabilitation

mihai-m@yandex.ruhttps://orcid.org/0000-0002-4759-3777КуркинаО. Н.KurkinaО. N.

О. Н. Куркина, к. м. н., доцент кафедры стоматологии ИНМФО

Волгоград

O. N. Kurkina, candidate of medical Sciences, docent of the Department of dentistry INMFO

https://orcid.org/0000-0002-5526-8130ДьяченкоС. В.D’yachenkoS. V.

С. В. Дьяченко, ассистент кафедры стоматологии ИНМФО

Волгоград

S. V. D’yachenko, assistant at the Department of Dentistry INMFO

https://orcid.org/0000-0003-0460-1471ВаргинаС. А.VarginaS. A.

С. А. Варгина, к. м. н., доцент кафедры стоматологии ИНМФО

Волгоград

S. A. Vargina, candidate of medical Sciences, docent of the Department INMFO

ФГБОУ ВО «Волгоградский государственный медицинский университет» МЗ РФРоссияFederal State Government-Financed Educational Institution of Higher Education «Volgograd State Medical University» of the Ministry of Healthcare of the Russian FederationRussian FederationФГБОУ ВО «Волгоградский государственный медицинский университет» МЗ РФРоссияFederal State Government-Financed Educational Institution of Higher Education «Volgograd State Medical University» of the Ministry of Healthcare of the Russian Federation; Volgograd Medical Science CenterRussian FederationФГБОУ ВО «Волгоградский государственный медицинский университет» МЗ РФ; ГБУ «Волгоградский медицинский научный центр»РоссияFederal State Government-Financed Educational Institution of Higher Education «Volgograd State Medical University» of the Ministry of Healthcare of the Russian Federation; Volgograd Medical Science CenterRussian Federation202126092021024Стоматология (3)9397Copyright © Дьяченко Д.Ю., Воробьев А.А., Македонова Ю.А., Куркина О.Н., Дьяченко С.В., Варгина С.А., 20212021Дьяченко Д.Ю., Воробьев А.А., Македонова Ю.А., Куркина О.Н., Дьяченко С.В., Варгина С.А.D’yachenko D.Y., Vorob’ev A.A., Makedonova I.A., Kurkina О.N., D’yachenko S.V., Vargina S.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/2220

Особое место в методах хирургического лечения переломов костей занимает чрескостный остеосинтез при помощи аппаратов внешней фиксации.

Цель исследования – разработать устройство безопасной пространственной ориентации спиц аппарата внеочагового остеосинтеза.

Материалы и методы

Материалы и методы. Для разработки устройства пространственной ориентации спиц аппарата внешней фиксации была спроектирована 3D-модель с дальнейшим воспроизведением на 3D-принтере. Разработка устройства проводилась постановкой спиц аппарата внешней фиксации на 36 костях нижней челюсти человека, на которых был смоделирован перелом в области угла.

Результаты и обсуждение

Результаты и обсуждение. Устройство для пространственной ориентации спиц аппарата внешней фиксации экзоскелета нижней челюсти частично воспроизведено при помощи 3D-принтера, что позволяет индивидуализировать части устройства на этапах подготовки к операции.

Выводы

Выводы. Изобретение обеспечивает контроль глубины погружения остеофиксаторов на всю толщу кости и упрощение выбора оптимального угла взаимной пространственной ориентации при их введении и наибольшей устойчивой фиксации фрагментов нижней челюсти при закрытом внеочаговом остеосинтезе.

A special place in the methods of surgical treatment of bone fractures is occupied by transosseous osteosynthesis using external fixation devices.

The aim of the study is to develop a device for the safe spatial orientation of the wires of the extrafocal osteosynthesis apparatus.

Materials and methods

Materials and methods. To develop a device for the spatial orientation of the external fixation spokes, a 3D model was designed with further reproduction on a 3D printer. The development of the device was carried out by placing the wires of the external fixation apparatus on 36 bones of the human lower jaw, on which a fracture in the angle was simulated.

Results and discussion

Results and discussion. The device for the spatial orientation of the spokes of the external fixation device for the lower jaw exoselet is partially reproduced using a 3D printer, which allows individualizing the device parts at the stages of preparation for surgery.

Conclusions

Conclusions. Effect: control of the depth of immersion of osteofixers over the entire thickness of the bone and simplification of the choice of the optimal angle of mutual spatial orientation during their introduction and the greatest stable fixation of the fragments of the lower jaw during closed extrafocal osteosynthesis.

экзоскелет нижней челюстиустройство пространственной ориентации3D-печатьтрехмерная модельlower jaw exoskeletonspatial orientation device3D printingthree-dimensional modelReferencesЗедгенидзе И.В., Тишков Н.В. Сравнительная характеристика систем аппаратов внешней фиксации, используемых при лечении диафизарных и внутрисуставных переломов длинных костей. Сибирский медицинский журнал. 2015; (4): 135–142.Zedgenidze I.V., Tishkov N.V. Comparative characteristics of the systems of external fixation devices used in the treatment of diaphyseal and intra-articular fractures of long bones (in English). Siberian Medical Journal. 2015; (4): 135–142.Datarkar A., Tayal S., Thote A., Galie M. An in-vitro evaluation of a novel design of miniplate for fixation of fracture segments in the transition zone of parasym-physis-body region of mandible using finite element analysis. J Craniomaxillofac Surg. 2019; 1 (47): 99–105.Datarkar A., Tayal S., Thote A., Galie M. An in-vitro evaluation of a novel design of miniplate for fixation of fracture segments in the transition zone of parasym-physis-body region of mandible using finite element analysis. J Craniomaxillofac Surg. 2019; 1 (47): 99–105.Gazzani F., Pavoni C., Giancotti A., Cozza P., Lione R. Facemask performance during maxillary protraction: a finite element analysis (FEA) evaluation of load and stress distribution on Delaire facemask. Prog Orthod. 2018; 1 (19): 21.Gazzani F., Pavoni C., Giancotti A., Cozza P., Lione R. Facemask performance during maxillary protraction: a finite element analysis (FEA) evaluation of load and stress distribution on Delaire facemask. Prog Orthod. 2018; 1 (19): 21.Kaura S., Kaur P., Bahl R., Bansal S., Sangha P. Retrospective Study of Facial Fractures. Ann Maxillofac Surg. 2018; 1 (8): 78–82.Kaura S., Kaur P., Bahl R., Bansal S., Sangha P. Retrospective Study of Facial Fractures. Ann Maxillofac Surg. 2018; 1 (8): 78–82.Sato K., Murakami K., Mimata Y., Numata N., Shiraishi H., Doita M. Conservative treatment of distal ulna metaphyseal fractures associated with distal radius fractures in elderly people. Orthop Traumatol Surg Res. 2018; 7 (104): 1101–1105.Sato K., Murakami K., Mimata Y., Numata N., Shiraishi H., Doita M. Conservative treatment of distal ulna metaphyseal fractures associated with distal radius fractures in elderly people. Orthop Traumatol Surg Res. 2018; 7 (104): 1101–1105.Song I.S., Choi J., Kim S.R., Lee J.H. Stability of bioresorbable plates following reduction of mandibular body fracture: Three-dimensional analysis. J Cranio-maxillofac Surg. 2019; 11 (47): 1752–1757.Song I.S., Choi J., Kim S.R., Lee J.H. Stability of bioresorbable plates following reduction of mandibular body fracture: Three-dimensional analysis. J Cranio-maxillofac Surg. 2019; 11 (47): 1752–1757.Wu P., Yang Z.Y., Liu Y., Li Y., Tan Y.H. Biomechanics analysis of the impact of maxillofacial injury on skull base damage. Zhonghua Kou Qiang Yi Xue Za Zhi. 2016; 8 (51): 480–485.Wu P., Yang Z.Y., Liu Y., Li Y., Tan Y.H. Biomechanics analysis of the impact of maxillofacial injury on skull base damage. Zhonghua Kou Qiang Yi Xue Za Zhi. 2016; 8 (51): 480–485.Зедгенидзе И.В., Павлов Л.Ю. Характеристика систем аппаратов внешней фиксации, используемых при лечении диафизарных переломов длинных костей (сравнительная оценка подвижности между отломками). Сибирский медицинский журнал. 2018; (1); 38–41.Zedgenidze I.V., Pavlov L.YU. Characteristics of the systems of external fixation devices used in the treatment of diaphyseal fractures of long bones (compar-ative assessment of mobility between fragments) (in English). Siberian Medical Journal. 2018; (1); 38–41.Datarkar A., Tayal S., Thote A., Galie M. An in-vitro evaluation of a novel design of miniplate for fixation of fracture segments in the transition zone of parasym-physis-body region of mandible using finite element analysis. J Craniomaxillofac Surg. 2019; 1 (47): 99–105.Datarkar A., Tayal S., Thote A., Galie M. An in-vitro evaluation of a novel design of miniplate for fixation of fracture segments in the transition zone of parasym-physis-body region of mandible using finite element analysis. J Craniomaxillofac Surg. 2019; 1 (47): 99–105.Kim D.Y., Sung I.Y., Cho Y.C., Park E.J., Son J.H. Bioabsorbable plates versus metal miniplate systems for use in endoscope-assisted open reduction and internal fixation of mandibular subcondylar fractures. J Craniomaxillofac Surg. 2018; 3 (46): 413–417.Kim D.Y., Sung I.Y., Cho Y.C., Park E.J., Son J.H. Bioabsorbable plates versus metal miniplate systems for use in endoscope-assisted open reduction and internal fixation of mandibular subcondylar fractures. J Craniomaxillofac Surg. 2018; 3 (46): 413–417.Meraghni N. Evolution of osteosynthesis: Historical review. Tunis Med. 2017; 2 (95): 77–78.Meraghni N. Evolution of osteosynthesis: Historical review. Tunis Med. 2017; 2 (95): 77–78.Patussi C., Sassi L.M., Cruz R., Klein Parise G., Costa D., Rebellato N.L.B. Evaluation of different stable internal fixation in unfavorable mandible fractures under finite element analysis. Oral Maxillofac Surg. 2019; 3 (23): 317–324.Patussi C., Sassi L.M., Cruz R., Klein Parise G., Costa D., Rebellato N.L.B. Evaluation of different stable internal fixation in unfavorable mandible fractures under finite element analysis. Oral Maxillofac Surg. 2019; 3 (23): 317–324.Williams W.H., Chitsabesan P., Fazel S., McMillan T., Hughes N., Parsonage M., Tonks J. Traumatic brain injury: a potential cause of violent crime? Lancet Psychiatry. 2018; 10 (5): 836–844.Williams W.H., Chitsabesan P., Fazel S., McMillan T., Hughes N., Parsonage M., Tonks J. Traumatic brain injury: a potential cause of violent crime? Lancet Psychiatry. 2018; 10 (5): 836–844.Clavert P., Aim F., Bonnevialle N., Arboucalot M., Ehlinger M., Bauer T. Biome-chanical properties of transosseous bony Bankart repair in a cadaver model. Orthop Traumatol Surg Res. 2019; 2 (105); 271–274.Clavert P., Aim F., Bonnevialle N., Arboucalot M., Ehlinger M., Bauer T. Biome-chanical properties of transosseous bony Bankart repair in a cadaver model. Orthop Traumatol Surg Res. 2019; 2 (105); 271–274.Hindle B.R., Lorimer A., Winwood P., Keogh J.W.L. The Biomechanics and Appli-cations of Strongman Exercises: a Systematic Review. Sports Med Open. 2019; 1 (5): 49.Hindle B.R., Lorimer A., Winwood P., Keogh J.W.L. The Biomechanics and Appli-cations of Strongman Exercises: a Systematic Review. Sports Med Open. 2019; 1 (5): 49.Rony L., Lancigu R., Hubert L. Intraosseous metal implants in orthopedics: A review. Morphologie. 2018; 339 (102): 231–242.Rony L., Lancigu R., Hubert L. Intraosseous metal implants in orthopedics: A review. Morphologie. 2018; 339 (102): 231–242.Asad W.A., Younis M.H.S., Ahmed A.F., Ibrahim T. Open versus closed treatment of distal tibia physeal fractures: a systematic review and meta-analysis. Eur J Orthop Surg Traumatol. 2018; 3 (28); 503–509.Asad W.A., Younis M.H.S., Ahmed A.F., Ibrahim T. Open versus closed treatment of distal tibia physeal fractures: a systematic review and meta-analysis. Eur J Orthop Surg Traumatol. 2018; 3 (28); 503–509.Vorobyev A.A., Dyachenko D.Yu., Makedonova Yu.A., Dyachenko S.V. Study of elastic elements of lower jaw exoskeleton. Archiv Euromedica. 2020; 2 (10); 126–130.Vorobyev A.A., Dyachenko D.Yu., Makedonova Yu.A., Dyachenko S.V. Study of elastic elements of lower jaw exoskeleton. Archiv Euromedica. 2020; 2 (10); 126–130.Feeley B.T., Lau B.C. Biomechanics and Clinical Outcomes of Partial Meniscec-tomy. J Am Acad Orthop Surg. 2018; 24 (26): 853–863.Feeley B.T., Lau B.C. Biomechanics and Clinical Outcomes of Partial Meniscec-tomy. J Am Acad Orthop Surg. 2018; 24 (26): 853–863.Воробьев А.А., Македонова Ю.А., Дьяченко Д.Ю., Саргсян К.А. Обоснование возможностей упругих элементов аппарата «экзоскелет нижней челюсти». Russian Jornal of Pain. 2020; (18); 17–18. Vorob’ev A.A., Makedonova YU.A., D’yachenko D.YU., Sargsyan K.A. Sub-stantiation of the possibilities of elastic elements of the apparatus «lower jaw exoskeleton» (in English). Russian Jornal of Pain. 2020; (18); 17–18.Vorob’ev A.A., Makedonova YU.A., D’yachenko D.YU., Sargsyan K.A. Sub-stantiation of the possibilities of elastic elements of the apparatus «lower jaw exoskeleton» (in English). Russian Jornal of Pain. 2020; (18); 17–18.Кинаш И.Н., Пусева М.Э., Бутаев Ч.З., Ипполитова Е.Г. Динамика показателей крови у пациентов с повреждением диафиза лучевой кости при использовании метода чрескостного остеосинтеза аппаратом внешней фиксации спицевой компоновки. Acta Biomedica Scientifica. 2018; (3); 95–99.Kinash I.N., Puseva M.E., Butaev CH.Z., Ippolitova E.G. Dynamics of blood pa-rameters in patients with damage to the diaphysis of the radial bone using the method of transosseous osteosynthesis with an apparatus for external fixation of the wire assembly (in English). Acta Biomedica Scientifica. 2018; (3); 95–99.Dyusupov A., Dyusupov A., Manarbekov E., Bukatov A., Serikbaev A. Transosseous osteosynthesis of lower extremities bones fractures and quality of life of patients in the treatment period. Georgian Med News. 2018; (2); 22–28.Dyusupov A., Dyusupov A., Manarbekov E., Bukatov A., Serikbaev A. Transosseous osteosynthesis of lower extremities bones fractures and quality of life of patients in the treatment period. Georgian Med News. 2018; (2); 22–28.Lauridsen E., Gerds T., Andreasen J.O. Alveolar process fractures in the permanent dentition. Part 2. The risk of healing complications in teeth involved in an alveolar process fracture. Dent Traumatol. 2016; 2 (32): 128–139.Lauridsen E., Gerds T., Andreasen J.O. Alveolar process fractures in the permanent dentition. Part 2. The risk of healing complications in teeth involved in an alveolar process fracture. Dent Traumatol. 2016; 2 (32): 128–139.Molteni F., Gasperini G., Cannaviello G., Guanziroli E. Exoskeleton and End-Ef-fector Robots for Upper and Lower Limbs Rehabilitation: Narrative Review. PM R. 2018; 9 (10): 174–188.Molteni F., Gasperini G., Cannaviello G., Guanziroli E. Exoskeleton and End-Ef-fector Robots for Upper and Lower Limbs Rehabilitation: Narrative Review. PM R. 2018; 9 (10): 174–188.Vorobyev A.A., Dyachenko D.Yu., Makedonova Yu.A., Mikhalchenko D.V., Fo-michev E.V., Sargsyan K.A. Mandible Exoskeleton - First Results of Development and Implementation. Journal of International Dental and Medical research. 2020; 13 (2); 400–406.Vorobyev A.A., Dyachenko D.Yu., Makedonova Yu.A., Mikhalchenko D.V., Fo-michev E.V., Sargsyan K.A. Mandible Exoskeleton - First Results of Development and Implementation. Journal of International Dental and Medical research. 2020; 13 (2); 400–406.

The authors declare that there are no conflicts of interest present.