Ham C K, Meyer S W
Department of Physical and Occupational Therapy, University of Virginia Medical Center, Charlottesville.
Plast Reconstr Surg. 1987 Nov;80(5):737-42.
External cranial vault molding using dynamic splinting is an adjunct to surgery in the treatment of craniosynostosis skull deformities. The skull molding cap not only maintains desired skull form, but also provides further active molding to normalize skull shape. Dynamic skull remodeling from these devices occurs primarily by translational movements of bone. Traction and compression result in bony repositioning which allows further reshaping as the osteoblasts and osteoclasts respond to these stresses. Three basic designs have been described. In practice, each one must be modified to meet individual needs, and adaptations are made according to established principles of dynamic splinting.
使用动态夹板进行颅外颅骨重塑是治疗颅缝早闭颅骨畸形手术的一种辅助手段。颅骨重塑帽不仅能维持理想的颅骨形状，还能进一步进行主动重塑以使颅骨形状正常化。这些装置引起的动态颅骨重塑主要通过骨的平移运动发生。牵引和压缩导致骨重新定位，随着成骨细胞和破骨细胞对这些应力作出反应，从而允许进一步重塑。已描述了三种基本设计。在实际应用中，每种设计都必须进行修改以满足个体需求，并根据既定的动态夹板原则进行调整。
