用电梯和修改过的电线和螺丝来减少肌肉骨复合骨折:一个案例报告
Bramasto Purbo Sejati1, Muhammad Fuadi2, Lina Mariana2
1Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas Gadjah Mada Yogyakarta and Temanggung Regional General Hospital, Temanggung, Central Java, Indonesia.
Trauma case reports
|February 3, 2026
概括
这项研究提出了一种有效的电梯和修改过的线/螺丝技术,用于治疗腹肌骨复合 (ZMC) 骨折. 这种方法成功地恢复了面部对称性和功能,在一个有明显面部不对称性的患者身上.
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:
- 斜骨骨复合体 (ZMC) 骨折通常会由于斜骨骨位移而导致面部不对称.
- 由于复杂的3D解剖学和手术访问挑战,管理这些骨折是复杂的.
- 面部不对称和功能缺陷可以显著影响患者的生活质量.
研究的目的:
- 评估一个联合的电梯和修改的电线和螺丝技术,用于治疗移位的ZMC骨折.
- 评估该技术在恢复面部对称性和面部中部功能方面的有效性.
- 报告患者在手术后的结果和满意度.
主要方法:
- 一份病例报告详细介绍了一名31岁的男性在摩托车事故后患有移位ZMC骨折的手术管理.
- 使用了三点固定ORIF (开放减速内部固定) 技术,结合了电梯和修改的电线和螺丝技术.
- 使用CT扫描用于诊断和术后评估骨折减少和对称性.
主要成果:
- 手术技术成功地减少了骨折的骨碎片,并恢复了解剖位置.
- 手术后的随访显示恢复了面部中部对称性和改善了眼部运动性.
- 患者报告高满意度与最小的并发症,表明成功的功能和美学恢复.
结论:
- 电梯和修改的电线和螺丝技术的结合是管理复杂的ZMC骨折的可行和有效的解决方案.
- 这种方法解决了旋转变形问题,并提供了可控的强度,特别是对于ZMC IV组骨折.
- 该技术促进了解剖修复,功能恢复,并在ZMC骨折管理中改善了患者的结果.
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