Schug T, Rodemer H, Neupert W, Dumbach J
Department of Oral and Maxillofacial Surgery, Klinikum Saarbrücken,
J Craniomaxillofac Surg. 2000 Aug;28(4):235-7. doi: 10.1054/jcms.2000.0146.
The treatment of complex fractures with miniplates is often difficult and unsatisfactory. Such fractures include extremely atrophic mandibles, discontinuity defects, and marked comminuted fractures.
With this paper we want to call to mind once more that titanium mesh is useful for the treatment of such fractures and its use can reduce the number of complications.
Between January 1996 and December 1998 we treated with titanium mesh 17 patients with fractures of extremely atrophic mandibles, mandibular discontinuity defects or comminuted fractures.
Union occurred without complication in 70% of fractures treated with titanium mesh. In 20% there were minor complications such as postoperative haematoma. In only one case did infection occur, a more severe complication.
Because of its geometry and the excellent physical and biomechanical properties, titanium mesh helps to achieve better stabilization of complex mandibular fractures than conventional miniplates do. Complications such as infection and non union can largely be avoided and bony continuity of the mandible can be restored.
使用微型钢板治疗复杂骨折往往困难且效果不佳。此类骨折包括极度萎缩的下颌骨、连续性缺损以及明显的粉碎性骨折。
通过本文我们想再次提醒，钛网对治疗此类骨折有用，其使用可减少并发症的数量。
1996年1月至1998年12月期间，我们用钛网治疗了17例极度萎缩性下颌骨骨折、下颌骨连续性缺损或粉碎性骨折患者。
用钛网治疗的骨折中，70%实现愈合且无并发症。20%出现轻微并发症，如术后血肿。仅1例发生感染，这是一种更严重的并发症。
由于其几何形状以及出色的物理和生物力学性能，钛网比传统微型钢板更有助于实现复杂下颌骨骨折的更好稳定。感染和骨不连等并发症在很大程度上可以避免，下颌骨的骨连续性得以恢复。
