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使用微型钢板和三维钢板治疗下颌角及体部骨折

Management of mandibular angle and body fractures using miniplates and 3D plates.

作者信息

Balani Abhishek, Saroj Praveen, Kharsan Vinay, Karan Abhishek, Mazhar Heena, Awasthy Arunima

机构信息

Department of Oral and Maxillofacial Surgery, New Horizon Dental College and Research Institute, Sakri, Bilaspur, Chhattisgarh, India.

出版信息

Bioinformation. 2024 Jun 30;20(6):605-609. doi: 10.6026/973206300200605. eCollection 2024.

Abstract

Mandibular angle fractures have the greatest recorded rate of postoperative complications of any mandibular location and hence they present an especially difficult task for surgeons. Therefore, it is of interest to compare the conventional miniplates and three dimensional (3D) plates in management of mandibular angle fracture and body fractures.60 patients with isolated non-comminuted mandibular angle fractures and body fractures were randomly assigned into two groups by lottery. Utilizing Champy's osteosynthesis standards, group one (n = 30) received treatment with 2-mm standard miniplate and group two (n = 30) had treatment with open reduction and internal fixation utilizing 2-mm 3D locking stainless steel plates. The mean operative time was greater in conventional miniplate category as compared to three dimensional plates. Need for postoperative occlusion correction was lesser n 3 dimensional plate category. The incidence of postoperative infection was comparable in both categories. Incidental tooth damage was lesser in three-dimensional plate's category three-dimensional locking plates are an alternate strategy that has a comparable result profile to miniplates.

摘要

下颌角骨折在所有下颌骨部位中术后并发症发生率最高,因此对外科医生来说是一项特别棘手的任务。所以,比较传统微型钢板和三维(3D)钢板在治疗下颌角骨折和体部骨折方面很有意义。60例孤立的非粉碎性下颌角骨折和体部骨折患者通过抽签随机分为两组。按照尚皮的接骨术标准,第一组(n = 30)采用2毫米标准微型钢板治疗,第二组(n = 30)采用切开复位内固定术并使用2毫米3D锁定不锈钢钢板治疗。与三维钢板相比,传统微型钢板类别的平均手术时间更长。三维钢板类别术后需要进行咬合矫正的情况较少。两类术后感染发生率相当。三维钢板类别中意外牙齿损伤较少。三维锁定钢板是一种替代策略,其结果与微型钢板相当。

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