Jammet P, Souyris F, Atlan G, Dupoirieux L
Clinique de Chirurgie Maxillo-Faciale, Faculté de Médecine, Montpellier.
Rev Stomatol Chir Maxillofac. 1992;93(2):76-9.
In a retrospective study, we compared monocortical internal fixation versus bicortical screwing in the treatment of the mandibular fractures. Between 1983 and 1985, 40 patients underwent bicortical screw plate osteosynthesis and 46 were treated with the monocortical screw plate technique. The results are favorable to bicortical screwing, as regards both infection and pseudarthrosis. Monocortical screwing caused fewer occlusal disorders than bicortical screwing. Best on the increased amount of complications we decided to abandon the using of monocortical in favour with bicortical plates.
在一项回顾性研究中,我们比较了单皮质内固定与双皮质螺钉固定在下颌骨骨折治疗中的效果。1983年至1985年期间,40例患者接受了双皮质螺钉钢板骨合成术,46例患者采用单皮质螺钉钢板技术进行治疗。在感染和假关节形成方面,结果显示双皮质螺钉固定更具优势。单皮质螺钉固定比双皮质螺钉固定引起的咬合紊乱更少。鉴于并发症数量增加,我们决定放弃使用单皮质螺钉,转而采用双皮质钢板。