下颌骨骨折微型钢板内固定术的并发症
Complications of miniplate osteosynthesis for mandibular fractures.
作者信息
Nakamura S, Takenoshita Y, Oka M
机构信息
Second Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Kyushu University, Fukuoka, Japan.
出版信息
J Oral Maxillofac Surg. 1994 Mar;52(3):233-8; discussion 238-9. doi: 10.1016/0278-2391(94)90289-5.
Postoperative complications of delayed osteosynthesis with stainless steel miniplates were examined in 110 patients with mandibular fractures. The miniplates were removed in 91 of the patients, even if symptom-free, once sufficient bony union was obtained, and the healing conditions and the surrounding tissues were examined. Malocclusion, exposure of miniplates, delayed union, and infection were observed in 3.6%, 3.6%, 1.8%, and 1.0% of the patients, respectively. The complication rates were within acceptable limits even when treatment was performed later than 24 hours after injury. The healing conditions and the surrounding tissues did not show any serious problems. Thus, at least in short-term retention, stainless steel miniplates seem to be effective and suitable for osteosynthesis of mandibular fractures.
对110例下颌骨骨折患者进行了不锈钢微型钢板延迟接骨术的术后并发症研究。即使无症状，一旦获得足够的骨愈合，91例患者的微型钢板被取出，并检查愈合情况和周围组织。分别有3.6%、3.6%、1.8%和1.0%的患者出现错牙合、微型钢板外露、延迟愈合和感染。即使在受伤后24小时以后进行治疗，并发症发生率仍在可接受范围内。愈合情况和周围组织未显示任何严重问题。因此，至少在短期保留方面，不锈钢微型钢板似乎对下颌骨骨折的接骨术有效且适用。
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