Ongodia David, Li Zhi, Xing Wu Zhong, Li Zu-Bing
Department of Oral and Maxillofacial Surgery, Hospital and School of Stomatology, Wuhan University, 237 Luoyu Road, Wuhan, 430079 Hubei China.
J Maxillofac Oral Surg. 2014 Jun;13(2):99-103. doi: 10.1007/s12663-013-0501-z. Epub 2013 Mar 30.
The purpose of this article was to review our experience in the treatment of complicated mandibular fractures in children using resorbable plates.
Records of 14 patients who sustained and presented to our department with complicated fractures of the mandible, and were treated with resorbable plates were retrieved. Permission was sought from and granted by the institution ethical committee. Data extracted included patients' gender, age, etiology of fracture, nature of fracture and site of the fracture.
Of the 14 patients, there were 10 males and 4 females with a male to female (M:F) ratio of 2.5:1. Their ages ranged from 6 to 15 years, with a mean of 10.14 years. The etiology of the fractures included road traffic accidents (n = 11) and falls (n = 3). Most of the fractures were sustained on the body of the mandible. Majority of the patients had displacement of the fracture segments; 2 patients had comminuted fractures. All the fractures were treated using resorbable plates and healed uneventfully.
Whereas the number of patients in this case series was small, it is worth noting that children sometimes present with complicated fractures of the mandible, thereby necessitating open reduction and internal fixation. Resorbable plates when available and affordable, are an effective option for open reduction and internal fixation of such fractures.
本文旨在回顾我们使用可吸收接骨板治疗儿童复杂下颌骨骨折的经验。
检索了14例下颌骨复杂骨折并到我院就诊且接受可吸收接骨板治疗的患者记录。已获得机构伦理委员会的许可。提取的数据包括患者的性别、年龄、骨折病因、骨折性质和骨折部位。
14例患者中，男性10例，女性4例，男女比例为2.5:1。年龄范围为6至15岁，平均年龄为10.14岁。骨折病因包括道路交通事故（n = 11）和跌倒（n = 3）。大多数骨折发生在下颌骨体部。大多数患者骨折段有移位；2例为粉碎性骨折。所有骨折均采用可吸收接骨板治疗，愈合良好。
尽管本病例系列中的患者数量较少，但值得注意的是，儿童有时会出现复杂的下颌骨骨折，因此需要切开复位内固定。在有条件且经济可行的情况下，可吸收接骨板是此类骨折切开复位内固定的有效选择。
