锁定重建接骨板/螺钉系统在下颌骨手术中的应用。
Use of a locking reconstruction bone plate/screw system for mandibular surgery.
作者信息
Herford A S, Ellis E
机构信息
Department of Oral and Maxillofacial Surgery, University of Texas Southwestern Medical Center, Dallas 75235-9109, USA.
出版信息
J Oral Maxillofac Surg. 1998 Nov;56(11):1261-5. doi: 10.1016/s0278-2391(98)90605-x.
PURPOSE
This study examined the use of a locking reconstruction bone plate/screw system for use in mandibular surgery.
PATIENTS AND METHODS
All patients treated with a locking reconstruction bone plate/screw system for fractures of the mandible or continuity defects in an 18-month period were prospectively studied. Ease of use of the locking plate/screw system, characteristics of the fractures/defects, and complications were tabulated.
RESULTS
One hundred two locking bone plates were placed in 84 patients. Most patients (n=75) were treated for fractures of the mandible; there were eight continuity defects and one case of mandibular narrowing. There were no cases of malocclusion or difficulties encountered in using the plate/screw system. Loss of fixation was encountered in only one patient.
CONCLUSIONS
The use of a locking plate/screw system was found to be simple, and it offers advantages over conventional bone plates by not requiring the plate to be compressed to the bone to provide stability.
目的
本研究探讨锁定重建接骨板/螺钉系统在颌骨手术中的应用。
患者与方法
对在18个月期间接受锁定重建接骨板/螺钉系统治疗下颌骨骨折或连续性缺损的所有患者进行前瞻性研究。将锁定接骨板/螺钉系统的易用性、骨折/缺损的特征及并发症制成表格。
结果
84例患者共植入102块锁定接骨板。大多数患者（n = 75）接受下颌骨骨折治疗；有8例连续性缺损和1例下颌骨缩窄。未出现错牙合或使用接骨板/螺钉系统时遇到困难的情况。仅1例患者出现内固定失败。
结论
发现锁定接骨板/螺钉系统使用简便，与传统接骨板相比，其优势在于无需对接骨板施加压力使其与骨贴合以提供稳定性。
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