两侧下角骨折的刚性与非刚性固定:一个回顾性的多中心审查
Thomas K Young1, Joel Tuckett2, Nigel R Johnson2,3
1From the Department of Maxillofacial Surgery, Royal Brisbane and Women's Hospital.
Plastic and reconstructive surgery
|September 29, 2023
概括
双边非刚性固定对于治疗双边下角骨折是有效的,提供与刚性固定类似的结果. 在适当的临床情况下,可以考虑这种方法来管理这些不常见的损伤.
科学领域:
- 口腔和牙面部外科手术
- 创伤外科 手术 创伤外科
- 整形手术 整形手术 整形手术
背景情况:
- 双边下角骨折很罕见,只有有限的证据指导最佳的固定策略.
- 目前的文献缺乏明确的指导方针,说明一边的刚性固定是否会比双边的非刚性固定改善结果.
研究的目的:
- 为了评估双边下角骨折的治疗结果.
- 为了比较刚性与非刚性固定在管理这些骨折的有效性.
主要方法:
- 在2010年至2022年期间治疗的84名双侧下角骨折患者的回顾性分析.
- 数据包括人口统计学,损伤机制,固定类型 (双边非刚性与至少一个刚性) 和术后结果.
- 评估结果包括闭塞,结合和并发症,如感染或硬件松动.
主要成果:
- 所有84名患者都实现了骨折结合.
- 在非刚性和刚性固定组之间,没有发现关于闭塞结果,伤口脱落,感染或硬件松动的统计学意义上的差异.
- 52名患者接受了双边非刚性固定,而32名患者至少在一侧有刚性固定.
结论:
- 双边非刚性固定是双边下角骨折的可行治疗选择.
- 固定方法的选择应以骨折的具体临床背景为指导.
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