Solas J, Marx O
Rev Stomatol Chir Maxillofac. 1984;85(5):416-8.
Of 52 fractures of the mandible treated over a 2-year period, sixteen involved the insertion of an osteosynthesis plate. The average period between the injury and application of the mandibular plate was 3.5 days (range: 8 hours to 14 days). Reasons for the delays in treatment are given, but it was observed that in spite of sometimes long periods before therapy the overall results could be considered as satisfactory, since poor results were reported in only 3 patients and in two of these there were particular circumstances. These findings suggest that the classical limit of the 8th hour is perhaps not the limit beyond which a mandibular osteosynthesis is valid, although delayed operation is only possible in certain well defined cases.
在为期两年的时间里治疗的52例下颌骨骨折中,有16例采用了接骨板内固定术。受伤至应用下颌接骨板的平均时间为3.5天(范围:8小时至14天)。文中给出了治疗延迟的原因,但观察发现,尽管有时治疗前的间隔时间很长,但总体结果仍可认为是令人满意的,因为只有3例患者报告效果不佳,其中两例存在特殊情况。这些发现表明,传统的8小时时限可能并非下颌骨接骨术不再有效的界限,尽管延迟手术仅在某些明确界定的病例中可行。