Gundlach K K
Dept. of Maxillo-Facial Surgery Nordwestdeutsche Kieferklinik, University Hospital, Hamburg, West-Germany.
J Craniomaxillofac Surg. 1990 Jul;18(5):206-9. doi: 10.1016/s1010-5182(05)80412-3.
The long-term results achieved in 31 joints by means of discoplasty or (temporary) implantation of silastic for treatment of internal derangements are presented. These data support the philosophy of preserving the disc whenever possible. If, however, discectomy is inevitable this fibrous plate should be replaced. Interposition of a sheet of silastic for a period of 3-6 months has proven very useful as it has in surgery for ankylosis. Silastic induces formation of a scar located between fossa and condyle which is necessary for the preservation of both rotational and translatory movements. Our postoperative results have been stable for many years and the disadvantages noted by other authors have not been found in these patients.
本文介绍了通过椎间盘成形术或（临时）植入硅橡胶治疗关节内紊乱在31个关节中取得的长期效果。这些数据支持尽可能保留椎间盘的理念。然而，如果椎间盘切除术不可避免，则应替换该纤维板。植入一片硅橡胶3至6个月已被证明非常有用，就像在关节融合手术中一样。硅橡胶可诱导在窝和髁之间形成瘢痕，这对于保持旋转和平移运动都是必要的。我们的术后结果多年来一直稳定，且在这些患者中未发现其他作者指出的缺点。
