Clinical comparison between arthrocentesis and conventional conservative treatment with maxillomandibular fixation for unilateral high condylar fractures
Clinical comparison between arthrocentesis and conventional conservative treatment with maxillomandibular fixation for unilateral high condylar fractures
复制标题
关节穿刺术与常规上下颌骨固定保守治疗单侧高髁骨折的临床比较
DOI：
10.1111/joor.12124
复制
发表时间：
2014
期刊：
影响因子：
2.9
通讯作者：
Takahashi T
中科院分区：
文献类型：
--
作者：
Nogami S;Yamauchi K;Kataoka Y;Takano H;Yamashita Y;Takahashi T
本研究旨在比较单侧髁突骨折的关节穿刺和常规闭合复位的效果。对30例单侧髁突骨折患者进行评估。高度髁骨折并有磁共振证据的关节积液（JE）患者分为两组：关节内冲洗和倍他米松注射组（I组）和保守治疗和刚性上颌下颌固定（MMF）组（II组）。在治疗前后，对所有患者进行下颌活动范围（ROM）、突出运动、骨折侧和非骨折侧的侧向运动、颞下颌关节疼痛和错颌合的评估。治疗后12个月，两组患者的前突、侧移运动及错颌畸形发生率比较，差异均无统计学意义（P < 0.05）。在I组中，ROM和关节疼痛较治疗早期有较好的改善，并且在损伤后1和3个月，这些患者的结果比II组更好。目前的研究结果表明，关节穿刺可能比传统的闭合复位更有效，愈合更快。
This study aimed to compare the effects of arthrocentesis and conventional closed reduction for unilateral mandibular condyle fractures. A total of 30 patients with unilateral condylar fractures were evaluated. Patients with a high condylar fracture and magnetic resonance evidence of joint effusion (JE) were divided into two groups: those treated with intra‐articular irrigation and betamethasone injection (group I) and those given conservative treatment and rigid maxillomandibular fixation (MMF) (group II). All patients were assessed for mandibular range of motion (ROM), protrusive movements, lateral excursion movements on the fractured and non‐fractured sides, pain in the temporomandibular joint and malocclusion, both before and after treatment. There were no significant differences in regard to protrusion, lateral excursion movement and incidence of malocclusion at 12 months after treatment between the groups (P>0·05). In group I, ROM and joint pain showed good improvement from the early stages of treatment, and those patients had better outcomes as compared to group II for those parameters at 1 and 3 months after injury. The present findings indicate that arthrocentesis may be more effective and provide faster healing than conventional closed reduction.