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可吸收板与钛板在下颌联合部和角部骨折固定稳定性方面的比较。

Comparison of resorbable plates and titanium plates for fixation stability of combined mandibular symphysis and angle fractures.

作者信息

Lim Ho-Yong, Jung Chang-Hwa, Kim Seong-Yong, Cho Jin-Yong, Ryu Jae-Young, Kim Hyeon-Min

机构信息

Department of Oral and Maxillofacial Surgery, Gachon University Gil Medical Center, Incheon, Korea.

出版信息

J Korean Assoc Oral Maxillofac Surg. 2014 Dec;40(6):285-90. doi: 10.5125/jkaoms.2014.40.6.285. Epub 2014 Dec 26.

Abstract

OBJECTIVES

We compared resorbable plates with titanium plates for treatment of combined mandibular angle and symphyseal fractures.

MATERIALS AND METHODS

Patients with mandibular angle and symphysis fractures were divided into two groups. The control (T) group received titanium plates while the experimental (R) group received resorbable plates. All procedures were carried out under general anesthesia using standard surgical techniques. We compared the frequency of wound dehiscence, development of infection, malocclusion, malunion, screw breakage, and any other technical difficulties between the two groups.

RESULTS

Thirteen patients were included in the R group, where 39 resorbable plates were applied. The T group consisted of 16 patients who received 48 titanium plates. The mean age in the R and T groups was 28.29 and 24.23 years, respectively. Primary healing of the fractured mandible was obtained in all patients in both groups. Postoperative complications were minor and transient. Moreover, there were no significant differences in the rates of various complications between the two groups. Breakage of 3 screws during the perioperative period was seen in the R group, while no screws or plates were broken in the T group.

CONCLUSION

Resorbable plates can be used to stabilize combined mandibular angle and symphysis fractures.

摘要

目的

我们比较了可吸收接骨板与钛接骨板治疗下颌角联合颏部骨折的效果。

材料与方法

下颌角和颏部骨折患者分为两组。对照组(T组)使用钛接骨板,试验组(R组)使用可吸收接骨板。所有手术均在全身麻醉下采用标准手术技术进行。我们比较了两组之间伤口裂开、感染发生、咬合不正、骨不连、螺钉断裂及其他技术难题的发生率。

结果

R组纳入13例患者,应用了39块可吸收接骨板。T组由16例患者组成,使用了48块钛接骨板。R组和T组的平均年龄分别为28.29岁和24.23岁。两组所有患者下颌骨骨折均实现一期愈合。术后并发症轻微且短暂。此外,两组之间各种并发症的发生率无显著差异。R组围手术期有3枚螺钉断裂,而T组无螺钉或接骨板断裂。

结论

可吸收接骨板可用于稳定下颌角联合颏部骨折。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a50/4279974/07ccefa8f65a/jkaoms-40-285-g001.jpg

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