Miniplate removal in trauma and orthognathic surgery - a retrospective study
Miniplate removal in trauma and orthognathic surgery - a retrospective study
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DOI：
10.1054/ijom.2002.0344
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发表时间：
2003-04-01
影响因子：
2.4
通讯作者：
Stenhouse, D
中科院分区：
文献类型：
--
作者：
Mosbah, MR;Oloyede, D;Stenhouse, D
在单个病房治疗颌面部创伤 (n = 49) 和正颌手术 (n = 16) 期间接受手术切除微型钢板的患者记录。对两年多的时间进行了分析。有关电镀适应症、年龄和性别分布、电镀部位的数据。对所有患者的插入和取出之间的时间、抗生素预防、一般医疗因素和钢板取出的临床指征进行了评估。此外。创伤患者的数据包括骨折部位以及受伤和钢板插入之间的时间延迟。尽管在年轻患者中常规使用预防性抗生素，但感染和/或伤口裂开是两组患者取出钢板的主要原因。健康患者队列。两组患者的去除率约为 10%。这种低比率似乎意味着常规去除微型板没有临床意义。
Records of patients undergoing the surgical removal of miniplates placed during the management of maxillofacial trauma (n = 49) and orthognathic surgery (n = 16) in a single unit. over a 2-year period have been analysed.Data concerning indications for plating, age and sex distribution, site of plating. time between insertion and removal, antibiotic prophylaxis, general medical factors and clinical indications for plate removal were evaluated for all patients. In addition. data for trauma patients included the site of fracture, and time delay between injury and plate insertion.Infection and/or wound dehiscence were the predominant causes for plate removal in both groups, in spite of the routine use of prophylactic antibiotics in a predominantly young. healthy cohort of patients.A removal rate of approximately 10% was found in the two groups of patients. This low rate would seem to imply that the routine removal of miniplates is not clinically indicated.