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2.0毫米标准型和2.0毫米锁定微型钢板在下颌骨骨折治疗中的有效性:一项临床对比研究

Effectiveness of 2.0 mm Standard and 2.0 mm Locking Miniplates in Management of Mandibular Fractures: A Clinical Comparative Study.

作者信息

Shaik Mahaboob, Subba Raju T, Rao N Koteswara, Reddy Chandra Kiran

机构信息

Department of Oral and Maxillofacial Surgery, St. Joseph Dental College, Eluru, India ; Andhra Hospitals, Governorpet, Vijayawada, Andhra Pradesh India.

Department of Oral and Maxillofacial Surgery, St. Joseph Dental College, Eluru, India.

出版信息

J Maxillofac Oral Surg. 2014 Mar;13(1):47-52. doi: 10.1007/s12663-012-0443-x. Epub 2012 Nov 3.

Abstract

To compare and evaluate the effectiveness of 2.0 mm locking miniplates versus 2.0 mm standard miniplates in treatment of mandible fractures. Sixty randomly selected patients who sustained mandibular fractures were selected for this study. The fractured fragments were stabilized using 2.0 mm locking miniplates in 30 cases and in the remaining 30 cases the fractured fragments were fixed with conventional 2.0 mm miniplates. Post-operative stability was assessed with radiographs at 7th day, 1st, and 3rd months. The stability of the reduced fracture was assessed clinically and both the types of plates were assessed with an OPG or conventional radiographs. This study shows favorable results on use of locking miniplates in mandibular fractures. The results show that there were no significant differences in the post-operative complications between the conventional and the locking plate/screw mandibular systems. The locking plate/screw system was more rigid than conventional plate/screw system, thereby reducing the need and duration of intermaxillary fixation (IMF).

摘要

比较和评估2.0毫米锁定微型钢板与2.0毫米标准微型钢板治疗下颌骨骨折的有效性。本研究选取了60例随机选择的下颌骨骨折患者。30例患者使用2.0毫米锁定微型钢板固定骨折碎片,其余30例患者使用传统的2.0毫米微型钢板固定骨折碎片。术后第7天、第1个月和第3个月通过X线片评估稳定性。通过临床评估复位骨折的稳定性,并使用口腔全景片(OPG)或传统X线片评估两种钢板类型。本研究显示锁定微型钢板用于下颌骨骨折有良好效果。结果表明,传统下颌骨系统与锁定钢板/螺钉下颌骨系统术后并发症无显著差异。锁定钢板/螺钉系统比传统钢板/螺钉系统更坚固,从而减少了颌间固定(IMF)的需求和时间。

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Comparison of locking and nonlocking plates in the treatment of mandibular condyle fractures.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Sep;108(3):328-34. doi: 10.1016/j.tripleo.2009.04.026. Epub 2009 Jul 1.
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Principle and stability of locking plates.锁定钢板的原理与稳定性。
Keio J Med. 2003 Mar;52(1):21-4. doi: 10.2302/kjm.52.21.

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