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用于下颌骨骨合成的聚合物微型钢板的应用特点:一项初步研究。

Peculiarities of employment of polymeric miniplates for mandibular osteosynthesis: a preliminary study.

作者信息

Vares Yan

机构信息

Department of Maxillofacial Surgery, Lviv National Medical University, Lviv, Ukraine.

出版信息

Craniomaxillofac Trauma Reconstr. 2013 Mar;6(1):21-4. doi: 10.1055/s-0032-1332214.

Abstract

Searching for new materials for bone substitution, fixation, and reconstruction is a challenging task that attracts scientists and researchers of different fields of medicine. During the last few decades, much interest has been paid to polymeric materials, polyethylene in particular. The aim of this study is to present generalizations about our own experience in the employment of polyethylene miniplates for the surgical treatment of mandibular fractures. Ninety patients with 139 uni- and bilateral mandibular fractures in different locations were involved. Treatment modalities included open reduction and internal fixation with self-made polyethylene miniplates of straight, T-shaped, Y-shaped, and X-shaped configurations and titanium screws. In 88 (97.8%) cases of surgical treatment of mandibular fractures using polymer miniplates, good anatomical and functional results were achieved. Regardless of the necessity for improvement of some mechanical properties of polyethylene, the results obtained in our clinical investigation allow us to recommend polyethylene miniplates for routine practice.

摘要

寻找用于骨替代、固定和重建的新材料是一项具有挑战性的任务,吸引了医学不同领域的科学家和研究人员。在过去几十年中,人们对聚合物材料,尤其是聚乙烯,给予了极大关注。本研究的目的是总结我们自己使用聚乙烯微型钢板手术治疗下颌骨骨折的经验。90例患者共发生139处不同部位的单侧和双侧下颌骨骨折。治疗方式包括切开复位内固定,使用自制的直形、T形、Y形和X形配置的聚乙烯微型钢板及钛螺钉。在88例(97.8%)使用聚合物微型钢板手术治疗下颌骨骨折的病例中,取得了良好的解剖和功能效果。尽管聚乙烯的某些力学性能有必要改进,但我们临床研究获得的结果使我们能够推荐将聚乙烯微型钢板用于常规临床实践。

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