Sauerbier Sebastian, Schön Ralf, Otten Jörg-Elard, Schmelzeisen Rainer, Gutwald Ralf
Department of Oral and Craniomaxillofacial Surgery, University Hospital Freiburg, Freiburg, Germany.
J Craniomaxillofac Surg. 2008 Jul;36(5):251-9. doi: 10.1016/j.jcms.2007.08.011. Epub 2008 Apr 29.
Today plate and screw osteosynthesis of mandibular fractures is a standard procedure in routine clinical practice. In this review, the breakthroughs and drawbacks of the development of this important aspect of maxillofacial surgery are followed-up.
Medline search of relevant English and German literature.
In 1886, Carl Hansmann was the first who applied steel screws and plates. Until today the material, the types of plates and applications have been continually improved. Over the last two decades miniplate osteosynthesis has induced a revolution in mandibular fracture treatment. The modern systems provide better handling, higher stability and less pressure on the bone.
Modern miniplates have great advantages, like the intra-oral approach and the easy adaptability. In addition, it is no longer necessary to expose bone as extensively.
如今，下颌骨骨折的钢板螺钉内固定术是常规临床实践中的标准手术。在本综述中，对颌面外科这一重要领域发展的突破与不足进行了追踪。
对相关英文和德文文献进行医学文献数据库检索。
1886年，卡尔·汉斯曼首次应用钢螺钉和钢板。直至今日，材料、钢板类型及应用一直在不断改进。在过去二十年中，微型钢板内固定术引发了下颌骨骨折治疗的一场革命。现代系统操作更简便、稳定性更高且对骨的压力更小。
现代微型钢板具有诸多优势，如口内入路和易于适配。此外，不再需要广泛暴露骨质。
