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在下冠状骨折中,体外固定是可行的选择吗? 一个系统的审查

Rafael Alvim Magesty¹, Ighor Andrade Fernandes², Cláudio Rômulo Comunian³

¹Department of Dentistry, Federal University dos Vales do Jequitinhonha and Mucuri - UFVJM, Diamantina, 187 - Diamantina, MG, 39100-000, Brazil. rafaelmagesty@live.com.

BMC oral health

|October 28, 2025

概括

对下冠骨骨折 (MCFs) 的体外固定显示出希望,大多数并发症不会显著影响功能. 需要进一步的试验来确认这种替代治疗方法的长期结果.

科学领域:

口腔和牙面部外科手术
创伤外科手术创伤外科
整形外科手术整形外科手术

背景情况:

带骨折 (MCFs) 是常见的创伤性损伤,有着争论的治疗选择.
外体固定为MCFs提供了传统方法的潜在替代方案.
了解体外固定的有效性和结果对于临床指导至关重要.

研究的目的:

为了评估下骨骨折的体外固定的有效性和结果.
分析与MCFs体外固定相关的术后并发症.
为指导临床决策对复杂下骨折的治疗方法.

主要方法:

在PubMed,EMBASE和BVS (VHL) 上进行了系统的文献搜索,直到2024年8月.
包括的研究包括观察性研究和评估术后并发症的临床试验.
数据提取侧重于骨折病因,分类,手术方法和并发症.

主要成果:

分析了31项涉及436名参与者的研究.
最常见的并发症是膜再吸收 (18.58%),其次是关节功能障碍.
尽管有并发症,但大多数研究报告没有显著的长期影响功能或闭塞.

结论:

身体外固定是MCF的可行选择,特别是在有限的状体接入的情况下.
虽然状体再吸收是一种风险,但功能障碍似乎很小.
需要进一步进行高质量的临床试验,以验证长期结果和恢复.

关键词:

骨折骨质合成骨折骨质合成骨折骨折骨折骨折状状体是一个状体.口面部手术口面部手术部关节部关节

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