定制的3DPEEK板与3D板用于下角骨折固定:一个随机临床试验
Aliaa Osama Kamal1, Ahmed Mamdouh Shaaban1, Mohamed Mamdouh Shokry1
1Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University, Champlion Street, El-Azarita, Alexandria, Egypt.
定制的3D PEEK板和3D板在治疗下角骨折方面表现出类似的有效性. 这两种材料都提供了可比的临床,放射和功能结果,表明PEEK是合适的替代品.
科学领域:
- 口腔和牙面部外科手术
- 生物材料科学 生物材料科学
- 医疗成像医学成像
背景情况:
- 角骨折需要进行手术固定.
- 传统的板通常使用.
- 研究像PEEK这样的新生物材料对于改善患者的治疗结果至关重要.
研究的目的:
- 为了比较定制3DPEEK板与3D板的临床和放射性疗效,用于下角骨折管理.
- 评估功能恢复,特别是咬伤力和骨密度.
- 评估二次结果,包括手术时间,闭塞,稳定性和伤口愈合.
主要方法:
- 随机对照试验涉及18名下角骨折患者.
- 两个组:9名患者使用3DPEEK板,9名患者使用3D板.
- 主要结果测量:切口力恢复和骨密度 (HU) 通过CT在手术后立即和12周.
主要成果:
- 在两组中,随着时间的推移,咬伤力显著增加 (p < 0.001),并且在两组之间没有差异.
- 骨密度在PEEK和组显著增加 (p < 0.001),没有显著的组间差异.
- 在PEEK和组之间,手术时间,遮,断片间稳定性和伤口愈合是可比的.
结论:
- 定制的3DPEEK板显示了与3D板相比的临床,放射和功能结果.
- PEEK材料为下角骨折的内部固定提供了可行和有效的替代方案.
- 这项研究支持PEEK在面创伤重建中的应用.
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