组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2014, Vol. 10 ›› Issue (3): 170-172.doi: 10.3969/j.issn.1673-0364.2014.03.013

• 论著 • 上一篇    下一篇

小型钛板联合颌间牵引钛钉在下颌骨骨折中的应用

翟军，马继红，翟晓东   

  1. 昌邑市人民医院口腔颌面外科；解放军401医院手外科
  • 发布日期:2020-07-23

Clinical Application and Evaluation of the Small Titanium Plate with Intermaxillary Traction Titanium Nail in the Fixation of Mandibular Fracture

ZHAI Jun,MA Jihong,ZHAI Xiaodong   

  1. Department of Oral and Maxillofacial Surgery,Changyi People’s hospital; Department of Hand Surgery,401 Hospital of PLA
  • Published:2020-07-23

摘要： 目的探索小型钛板联合颌间牵引钛钉在下颌骨骨折复位内固定术中的应用及临床效果。方法回顾分析小型钛板联合颌间牵引钛钉,行下颌骨骨折复位内固定术186例的临床资料和应用经验。采用颌间牵引钛钉行颌间牵引,恢复咬牙合关系,经隐蔽微创切口或原开放性创口将下颌骨骨折断端解剖复位,小型钛板骨间固定。结果所有患者创口Ⅰ期愈合,张口度正常,咬牙合关系正常,面部外型、咀嚼功能恢复良好。临床治愈率100%。X线片示:骨折愈合良好,未见钛板螺钉松动、移位、断裂,周围骨质无疏松及吸收现象。结论小型钛板联合颌间牵引钛钉行骨间坚强内固定术,治疗下颌骨骨折,微创,复位准确,简便快捷,效果满意,值得临床推广应用。

关键词: 小型钛板螺钉, 颌间牵引钛钉, 下颌骨骨折, 解剖复位, 内固定术

Abstract: Objective To explore the clinical application and effect?of the small titanium plate with intermaxillary traction titanium nail in the fixation of Mandibular fracture. Methods Retrospective analysis was achieved from the clinical data of 186 cases of Mandibular fracture treated by the small titanium plate with intermaxillary traction titanium nail. In all cases, titanium nails were used for intermaxillary traction to restore the occlusal relationship. Small titanium plates were used for the internal fixation of the mandibular fracture through the hidden minimally invasive incision or the original open wound. Results All the wounds were healed by first intension. All patients regained normal mouth opening, good facial appearance, mastication function and occlusion recovery. The clinical cure rate was 100%. X-ray showed good fracture healing, no loose, shift, fracture of titanium plate or nail was observed, and no osteoporosis and bone resorption was observed. Conclusion Using the small titanium plate with intermaxillary traction titanium nail for the treatment of Mandibular fracture is proved to be convenient and effective with minimally invasive incision and accurately reduction, and is worthy of wide application.

Key words: Small titanium plate, Intermaxillary traction titanium nail, Mandibular fracture, Anatomical reduction, Internal fixation

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