Herford A S, Ellis E
Department of Oral and Maxillofacial Surgery, University of Texas Southwestern Medical Center, Dallas 75235-9109, USA.
J Oral Maxillofac Surg. 1998 Nov;56(11):1261-5. doi: 10.1016/s0278-2391(98)90605-x.
This study examined the use of a locking reconstruction bone plate/screw system for use in mandibular surgery.
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.
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.
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.
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。
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。
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。
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。
