三种钢板接骨术用于髁突颈部骨折固定的临床评估
Clinical evaluation of 3 types of plate osteosynthesis for fixation of condylar neck fractures.
作者信息
Choi B H, Yi C K, Yoo J H
机构信息
Brain Korea 21 Project for Medical Science, Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University, South Korea.
出版信息
J Oral Maxillofac Surg. 2001 Jul;59(7):734-7; discussion 738. doi: 10.1053/joms.2001.24283.
PURPOSE
The goal of this study was to evaluate outcomes in patients who had condylar neck fractures treated with 3 different plating techniques.
PATIENTS AND METHODS
A retrospective study was performed on 37 patients with 40 fractures of the condylar neck that were reduced and stabilized using an approach involving exposure of the facial nerve. Stabilization was achieved with a single miniplate (17 fractures), a minidynamic compression plate (13 fractures), or double miniplates (10 fractures).
RESULTS
Plate fracture or screw loosening was exclusively observed in cases stabilized with either a single miniplate or a minidynamic compression plate. No cases of inadequate stability were observed when 2 miniplates were used.
CONCLUSIONS
The 2-miniplate fixation technique provides functionally stable fixation for fractures of the condylar neck.
目的
本研究的目的是评估采用3种不同接骨板技术治疗髁突颈部骨折患者的治疗效果。
患者与方法
对37例患者的40处髁突颈部骨折进行回顾性研究，这些骨折采用暴露面神经的方法进行复位和固定。分别采用单枚微型接骨板（17例骨折）、微型动力加压接骨板（13例骨折）或双枚微型接骨板（10例骨折）进行固定。
结果
仅在采用单枚微型接骨板或微型动力加压接骨板固定的病例中观察到接骨板骨折或螺钉松动。使用双枚微型接骨板时未观察到稳定性不足的病例。
结论
双枚微型接骨板固定技术可为髁突颈部骨折提供功能稳定的固定。
Zotero 插件