在中面骨折后的患者中预防性去除骨合成迷你板 - 一个回顾性队列研究
Maximilian Riekert1, Max-Philipp Lentzen1, Jelle Tiddens1
1University of Cologne, Faculty of Medicine and University Hospital Cologne, Department of Oral and Craniomaxillofacial and Plastic Surgery, Germany.
概括
在中面骨折治疗后预防性去除迷你板是一种安全的选择. 这项研究发现,即使没有先前的症状,切除板块的并发症率也没有增加.
科学领域:
- 口腔和牙面部外科手术
- 创伤外科 手术 创伤外科
- 整形外科 整形外科 整形外科
背景情况:
- 骨合成迷你板通常用于中面骨折固定.
- 人们对潜在的并发症和与保留硬件相关的患者不适存在担忧.
研究的目的:
- 评估在中脸骨折患者中预防性去除骨合成小板的安全性和有效性.
- 分析与骨质合成材料相关的投诉和切除板后的并发症.
主要方法:
- 对205名因中脸骨折而接受治疗的患者进行了回顾性分析.
- 对99名经过切除板块的患者进行评估,比较症状和无症状组之间的结果.
主要成果:
- 由于与骨质合成物质相关的投诉,经常建议进行板块切除 (p < 0.001).
- 总的来说,22名患者在去除板块后出现并发症.
- 没有发现板块保留的持续时间和术后并发症之间的显著相关性.
- 随着患者年龄的增长 (p < 0.05),视角偏的发生率增加.
结论:
- 在中面骨折修复后,预防性去除小板似乎是一个可行的治疗选择.
- 这种手术似乎与并发症风险的增加无关.
相关概念视频
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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 procedure...