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用定制网和迷你板固定状骨折:一个案例报告

Tadashi Kawai¹, Shinsuke Kawamata¹, Shuu Suzuki¹

¹Division of Oral and Maxillofacial Surgery, Department of Reconstructive Oral and Maxillofacial Surgery, School of Dentistry, Iwate Medical University, Morioka, Iwate, Japan.

The American journal of case reports

|June 28, 2023

概括

治疗上骨折可能具有挑战性. 一个定制的网和迷你板有效地重新定位和稳定了困难的骨骨折,改善了患者的治疗结果.

科学领域:

口腔和牙面部外科手术
整形外科手术整形外科手术
生物材料工程生物材料工程

背景情况:

骨骨折的开放缩小和内部固定,特别是在上部地区,带来了外科手术的挑战.
准确的重新定位和稳定固定状骨碎片对于成功治疗至关重要.
现有的方法在处理复杂的状部骨折方面可能存在局限性.

研究的目的:

为介绍一种新的技术,用于治疗在上部区域具有挑战性的骨骨折.
评估定制网和迷你板系统用于骨骨折固定的有效性.
为了证明用这种定制设备实现的碎片重新定位和稳定性的容易性.

主要方法:

一个病例报告,一名20岁的男性患有右带部骨折,导致三和下偏差.
手术干预包括在全身麻醉下进行开放式缩小和内部固定.
一个定制的网被用于碎片的抓取和重新定位,以及一个迷你板和螺丝用于固定,采用修改的Risdon-斯特拉斯堡方法.

主要成果:

定制的网可轻松重新定位破裂的圆片段.
使用网,迷你板和螺丝实现了稳定的固定.
在术后九个月,患者表现出良好的口腔开口 (40毫米),没有下偏差.
没有观察到硬件故障或并发症.

结论:

定制的网与迷你板相结合,为部上部区域的困难状骨折提供了有效的解决方案.
这种技术简化了碎片的重新定位,并确保了稳定的固定,从而带来了有利的功能结果.
提出的方法代表了一个可行的替代方案来管理复杂的下骨骨折.

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Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...