Treatment of complex mandibular fractures using titanium mesh
Treatment of complex mandibular fractures using titanium mesh
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DOI：
10.1054/jcms.2000.0146
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发表时间：
2000-08-01
影响因子：
3.1
通讯作者：
Dumbach, J
中科院分区：
文献类型：
--
作者：
Schug, T;Rodemer, H;Dumbach, J
简介：使用微型钢板治疗复杂骨折通常困难且不令人满意。此类骨折包括极度萎缩的下颌骨、不连续性缺陷和明显的粉碎性骨折。目的：通过这篇文章，我想再次提醒大家，钛网对于治疗此类骨折是有用的，它的使用可以减少并发症的数量。患者：1996年1月至1998年12月，我们用钛网治疗了17例下颌骨极度萎缩、下颌骨不连续缺损或粉碎性骨折的患者。结果：钛网治疗骨折愈合率为70%，无并发症。20%的患者出现了轻微的并发症，如术后血肿，只有1例发生了感染，这是一种更严重的并发症。结论：由于钛网具有良好的几何形状和生物力学性能，与传统的微型钛板相比，钛网能更好地稳定复杂的下颌骨骨折，避免感染、骨不连等并发症，恢复下颌骨的连续性。(C)2000年欧洲颅颌面外科协会。
Introduction: The treatment of complex fractures with miniplates is often difficult and unsatisfactory. Such fractures include extremely atrophic mandibles, discontinuity defects, and marked comminuted fractures. Aim: With this paper me want to call to mind once more that titanium mesh is useful for the treatment of such fractures and its use can reduce the number of complications. Patients: Between January 1996 and December 1998 we treated with titanium mesh 17 patients with fractures of extremely atrophic mandibles, mandibular discontinuity defects or comminuted fractures. Results: Union occurred without complication in 70% of fractures treated with titanium mesh. In 20% there were minor complications such as postoperative haematoma, In only one case did infection occur, a more severe complication. Conclusion: Because of its geometry and the excellent physical and biomechanical properties, titanium mesh helps to achieve better stabilization of complex mandibular fractures than conventional miniplates do, Complications such as infection and non union can largely be avoided and bony continuity of the mandible can be restored. (C) 2000 European Association for Cranio-Maxillofacial Surgery.