van der Walt J C, Graewe F R, McIntosh C
Plastic and Reconstructive Surgery Department, Port Elizabeth Hospital Complex.
SADJ. 2010 Sep;65(8):358-63.
Many mandible fractures can be treated effectively with closed methods. The authors describe a simple method, with the use of commercial cable ties, to obtain maxillary-mandibular fixation (MMF). This technique can be effectively employed to treat certain mandible fractures.
A simple, safe and cost-effective method for treating mandible fractures by employing commercial cable ties to obtain MMF was developed. A clinical prospective study was conducted to evaluate the feasibility of this technique.
Twenty consecutive patients were enrolled into this study. MMF was obtained with cable ties. The study group was evaluated according to occlusion, clinical outcome, discomfort level and complications.
Ninety percent of patients had normal occlusion after treatment. All fractures were clinically united. Seventy percent described their discomfort level as moderate during placement of the cable ties. The majority of patients experienced minimal discomfort both during MMF (95%), and with the removal of the cable ties (90%). No major complications occurred. Early loosening of MMF occurred in three patients with resultant subjective malocclusion in two of these.
Employing commercial cable ties to obtain MMF for the treatment of certain mandible fractures is safe, simple, effective and cost-effective.
许多下颌骨骨折可以通过闭合方法有效治疗。作者描述了一种使用商用束带获得上颌-下颌固定（MMF）的简单方法。该技术可有效用于治疗某些下颌骨骨折。
开发一种使用商用束带获得MMF来治疗下颌骨骨折的简单、安全且经济有效的方法。进行了一项临床前瞻性研究以评估该技术的可行性。
连续20例患者纳入本研究。使用束带获得MMF。根据咬合情况、临床结果、不适程度和并发症对研究组进行评估。
90%的患者治疗后咬合正常。所有骨折均临床愈合。70%的患者表示在放置束带期间不适程度为中度。大多数患者在MMF期间（95%）和拆除束带时（90%）不适程度最小。未发生重大并发症。3例患者出现MMF早期松动，其中2例导致主观错牙合。
使用商用束带获得MMF治疗某些下颌骨骨折是安全、简单、有效且经济的。
