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下颌角骨折:临床与生物力学比较——埃利斯与豪格的研究成果

Mandibular Angle Fractures: A Clinical and Biomechanical Comparison-the Works of Ellis and Haug.

作者信息

Haug Richard H, Serafin Bethany L

出版信息

Craniomaxillofac Trauma Reconstr. 2008 Nov;1(1):31-8. doi: 10.1055/s-0028-1098961.

DOI:10.1055/s-0028-1098961
PMID:22110787
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3052729/
Abstract

In a series of articles spanning 8 years, Ed Ellis reviewed the clinical results of the treatment of 478 mandibular angle fractures managed by eight different techniques. During a series of benchtop investigations employing polyurethane synthetic mandible replicas, Rich Haug investigated the biomechanical behavior of approximately 15 different techniques designed to reconstruct mandibular angle fractures. This article reviews these two series of investigations in an attempt to gain insight into the biomechanical and biological factors that affect the successful reconstruction of mandibular angle fractures. It appears that the current techniques used to reconstruct mandibular angle fractures are sound from the standpoint of biomechanics within a range of forces encountered during clinical function. It also appears that an unsuccessful reconstruction is based on a biological result of a behavioral issue such as noncompliance, substance abuse, and/or nutritional or immune compromise.

摘要

在一系列历时8年的文章中,埃德·埃利斯回顾了采用8种不同技术治疗478例下颌角骨折的临床结果。在一系列使用聚氨酯合成下颌骨复制品的台式研究中,里奇·豪格研究了旨在重建下颌角骨折的约15种不同技术的生物力学行为。本文回顾这两个系列的研究,试图深入了解影响下颌角骨折成功重建的生物力学和生物学因素。从临床功能中遇到的一系列力的生物力学角度来看,目前用于重建下颌角骨折的技术似乎是合理的。不成功的重建似乎也是行为问题的生物学结果,如不依从、药物滥用和/或营养或免疫功能受损。

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本文引用的文献

1
Does plate adaptation affect stability? A biomechanical comparison of locking and nonlocking plates.接骨板适应性是否会影响稳定性?锁定接骨板与非锁定接骨板的生物力学比较。
J Oral Maxillofac Surg. 2002 Nov;60(11):1319-26. doi: 10.1053/joms.2002.35732.
2
A biomechanical evaluation of mandibular angle fracture plating techniques.下颌角骨折接骨板固定技术的生物力学评估
J Oral Maxillofac Surg. 2001 Oct;59(10):1199-210. doi: 10.1053/joms.2001.26726.
3
Substitutes for human cadaveric bone in maxillofacial rigid fixation research.颌面坚固内固定研究中人体尸体骨的替代物
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000 Nov;90(5):574-80. doi: 10.1067/moe.2000.111025.
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An in vitro comparison of the effect of number and pattern of positional screws on load resistance.位置螺钉数量和排列方式对负载阻力影响的体外比较
J Oral Maxillofac Surg. 1999 Mar;57(3):300-8; discussion 308-9. doi: 10.1016/s0278-2391(99)90677-8.
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Treatment of mandibular angle fractures with a malleable noncompression miniplate.使用可塑形非加压微型钢板治疗下颌角骨折。
J Oral Maxillofac Surg. 1999 Mar;57(3):288-92; discussion 292-3. doi: 10.1016/s0278-2391(99)90674-2.
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Technique for the harvesting of human cadaveric spines.人类尸体脊柱的采集技术。
Spine (Phila Pa 1976). 1998 Oct 15;23(20):2222-5. doi: 10.1097/00007632-199810150-00016.
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