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儿童牙骨复合骨折的开放缩小和内部固定:一项为期11年的多中心回顾性研究

Fabio Roccia¹, Federica Sobrero¹, Carlo Strada¹

¹Division of Maxillofacial Surgery, Città della Salute e della Scienza Hospital, University of Turin, Turin, Italy.

Dental traumatology : official publication of International Association for Dental Traumatology

|June 20, 2024

概括

开放式减小和内部固定 (ORIF) 对于儿科大骨复合 (MZC) 骨折是有效的,即使是单点固定. 肌支柱是首选的固定部位,提供良好的结果与最小的并发症.

科学领域:

口面部手术口面部手术
儿科整形医生儿科整形医生
创伤外科手术是什么

背景情况:

儿科大骨复合 (MZC) 骨折很少见,手术管理的数据有限.
这项研究解决了关于这些骨折的手术治疗选择和结果的信息稀缺问题.

研究的目的:

分析小儿MZC骨折的外科治疗选择和开放缩减和内部固定 (ORIF) 的结果.
评估ORIF的有效性,包括单点固定,在管理这些伤害.

主要方法:

多中心回顾性观察性研究,对16岁以下的四足MZC骨折患者进行ORIF治疗.
收集的数据包括患者人口统计,骨折细节,手术方法,骨质合成部位,固定材料和结果.
最少的随访时间为6个月;统计分析使用了费舍尔的精确测试或奇平方测试.

主要成果:

包括64名患有MZC骨折的儿科患者; 72%接受了单点固定.
最常见的固定部位是肌支柱支柱,通常与前肌支柱结合.
并发症包括伤口感染 (7.8%),麻醉 (3.1%),ectropion (1.6%) 和面部不对称 (7.8%);年龄的增加与更高的板块去除率相关.

结论:

包括单点固定在内的ORIF是儿童移位MZC骨折的可行治疗方法.
肌支柱是首选的固定部位,提供足够的稳定,并发症率低.
需要进一步的前性研究来建立最终的外科手术方案.

关键词:

青少年青少年青少年青少年孩子孩子孩子孩子孩子孩子骨折固定方法骨折固定方法大骨骨折骨骨折骨骨折脊柱骨折脊柱骨折脊柱骨折

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