de Oliveira J C S, Moura L B, de Menezes J D S, Gabrielli M A C, Pereira Filho V A, Hochuli-Vieira E
Oral and Maxillofacial Surgery Residency Program, Department of Diagnosis and Surgery, Dental School at Araraquara, UNESP - Universidade Estadual Paulista, Araraquara, São Paulo, Brazil.
Department of Diagnosis and Surgery, Dental School at Araraquara, UNESP - Universidade Estadual Paulista, Araraquara, São Paulo, Brazil.
Int J Oral Maxillofac Surg. 2018 Mar;47(3):330-338. doi: 10.1016/j.ijom.2017.08.009. Epub 2017 Sep 18.
The treatment of mandibular fractures by open reduction and internal fixation is very variable. Thus, there are many controversies about the best fixation system in terms of stability, functional recovery, and postoperative complications. This systematic review sought scientific evidence regarding the best indication for the use of three-dimensional (3D) plates in the treatment of mandibular fractures. A systematic search of the PubMed/MEDLINE, Elsevier/Scopus, and Cochrane Library databases was conducted to include articles published up until November 2016. Following the application of the inclusion criteria, 25 scientific articles were selected for detailed analysis. These studies included a total of 1036 patients (mean age 29 years), with a higher prevalence of males. The anatomical location most involved was the mandibular angle. The success rate of 3D plates was high at this location compared to other methods of fixation. In conclusion, the use of 3D plates for the treatment of mandibular fractures is recommended, since they result in little or no displacement between bone fragments.
采用切开复位内固定治疗下颌骨骨折的方法差异很大。因此，在稳定性、功能恢复和术后并发症方面，关于最佳固定系统存在许多争议。本系统评价旨在寻找有关使用三维（3D）接骨板治疗下颌骨骨折的最佳适应证的科学证据。对PubMed/MEDLINE、爱思唯尔/Scopus和考克兰图书馆数据库进行了系统检索，纳入截至2016年11月发表的文章。应用纳入标准后，选择了25篇科学文章进行详细分析。这些研究共纳入1036例患者（平均年龄29岁），男性患病率较高。最常累及的解剖部位是下颌角。与其他固定方法相比，3D接骨板在该部位的成功率较高。总之，推荐使用3D接骨板治疗下颌骨骨折，因为它们能使骨碎片之间几乎没有或没有移位。
