Hospital General "Dr. Rubén Leñero," Plan de San Luis -Salvador Díaz Mirón no number, Col. Santo Tomás, Miguel Hidalgo. ZC. México City, México.
J Craniofac Surg. 2021 Jun 1;32(4):1491-1493. doi: 10.1097/SCS.0000000000007451.
The incidence of facial bones fractures is 18 to 32 for each 100,000 inhabitants. The most affected population are young working people. Fractures are most commonly caused by assaults and motor vehicle accidents. Its cost of care reaches 1.06 billion dollars. Premodeling osteosynthesis plates with anatomical models can decrease surgical time, bleeding, and increase patient satisfaction. This study aims to evaluate the impact of premodeled osteosynthesis plates, using anatomical models in patients with facial fractures.
Patients with facial fractures treated by open reduction and internal fixation were included-Group A without premolding plates and Group B with premolding. The variables studied were: age, sex, etiology of the fractures, number of fractures, among other variables that reflect the quality of the results.
A total of 17 osteosynthesis plates were included in 6 patients. The age was 22 to 47 years; all patients were male. The maximum surgery time was 129 to 300 minutes. The average time to start work was 4.8 weeks. When comparing the variables between the groups, we found no difference between the groups for bleeding P = 0.24, the start of work P = 0.19, the time of surgery P = 0.082, or for osteosynthesis time P = 0.15. There was only a significant difference in patient satisfaction, P = 0.04.
The evidence collected shows that premodeling the plates only improves patients' satisfaction among facial fractures treated by open reduction and internal fixation.
面部骨折的发病率为每 10 万人中有 18 至 32 例。受影响最大的人群是年轻的劳动人口。骨折最常见的原因是袭击和机动车事故。其护理费用达到 10.6 亿美元。使用解剖模型对预成型接骨板进行塑形可以减少手术时间、出血，并提高患者满意度。本研究旨在评估在面部骨折患者中使用解剖模型的预成型接骨板的影响。
纳入接受切开复位内固定治疗的面部骨折患者-无预成型板的 A 组和有预成型板的 B 组。研究的变量包括：年龄、性别、骨折病因、骨折数量等反映结果质量的变量。
共纳入 6 例患者的 17 块接骨板。年龄为 22 至 47 岁；所有患者均为男性。最长手术时间为 129 至 300 分钟。平均开始工作时间为 4.8 周。在比较两组间的变量时，我们发现两组间在出血方面无差异 P=0.24、开始工作 P=0.19、手术时间 P=0.082 或接骨时间 P=0.15。只有患者满意度有显著差异，P=0.04。
所收集的证据表明，在切开复位内固定治疗的面部骨折中，仅对接骨板进行预成型可以提高患者的满意度。
