Widmark G, Kahnberg K E
Department of Oral and Maxillofacial Surgery, University of Göteborg, Sweden.
Swed Dent J. 1991;15(6):265-70.
The use of miniplate-osteosynthesis in fracture treatment has been evaluated in 47 patients. In 25 of the patients plate fixation of the fracture was used without intermaxillary fixation and in 22 a supplementary IMF was used. Nine of the 47 patients had alcohol or drug addiction problems. The most common cause of fracture was assault and traffic accidents. The rate of complications including sensibility disturbances, occlusal disturbance and infection was evenly distributed among the two groups. The frequency of postoperative sensibility disturbances was however high, fifteen of the patients, although the sensibility returned in seven of these patients. Postoperative infections developed in five patients where the time between trauma and treatment exceeded three days. In no single case did the plate insertion make any damage to adjacent teeth.
对47例骨折患者采用微型钢板内固定术进行治疗评估。其中25例患者骨折采用钢板固定，未行颌间固定；22例患者采用了辅助颌间固定。47例患者中有9例存在酒精或药物成瘾问题。骨折最常见的原因是袭击和交通事故。包括感觉障碍、咬合紊乱和感染在内的并发症发生率在两组中分布均匀。然而，术后感觉障碍的发生率较高，有15例患者出现此情况，不过其中7例患者的感觉恢复了。5例患者在创伤与治疗间隔超过3天后发生了术后感染。钢板植入未对任何邻牙造成损伤。
