关键词: Mandibular fracture miniplate stability three-dimensional locking miniplates three-dimensional standard miniplates

来  源:   DOI:10.4103/ams.ams_51_23   PDF(Pubmed)

Abstract:
UNASSIGNED: Fifty patients were included to compare the efficacy of three-dimensional (3D) locking miniplates versus 3D standard miniplates in the management of mandibular fractures.
UNASSIGNED: Fifty patients were randomly allocated to either 3D locking miniplate group or 3D standard miniplate group. All patients were followed for six months to compare post-operative occlusion, stability and associated clinical complications such as wound dehiscence, infection and plate/screw fracture and mental nerve paraesthesia.
UNASSIGNED: All the fractures were adequately fixed when checked intraoperatively. Four patients in each group had mildly deranged occlusion, one patient in Group A and two patients in Group B had reduced stability. None of the patients had complications of non-union or malunion. In Group A, one out of 25 patients had mental nerve paraesthesia and two had wound dehiscence. Moreover, in Group B, two patients had mental nerve paraesthesia and two others had wound dehiscence. The data when compared were statistically significant (=0.05).
UNASSIGNED: The overall result of our study led us to the conclusion that both the plating systems were satisfactory and there is no statistically significant difference when used for open reduction and fixation in mandibular fractures. Healing was satisfactory in both groups.
摘要:
纳入50例患者,以比较三维(3D)锁定微型钢板与3D标准微型钢板在下颌骨骨折治疗中的疗效。
50名患者被随机分配到3D锁定微型板组或3D标准微型板组。所有患者随访6个月,比较术后闭塞情况,稳定性和相关的临床并发症,如伤口裂开,感染和钢板/螺钉骨折和精神神经感觉异常。
术中检查时,所有骨折均已充分固定。每组4例患者有轻度错乱的咬合,A组1例患者和B组2例患者稳定性降低.所有患者均未出现不愈合或不愈合的并发症。A组,25例患者中有1例精神神经感觉异常,2例伤口裂开。此外,B组,两名患者有精神神经感觉异常,另外两名患者有伤口裂开。比较时的数据具有统计学意义(=0.05)。
我们研究的总体结果使我们得出结论,两种钢板系统均令人满意,并且在下颌骨骨折中用于切开复位和固定时没有统计学上的显着差异。两组的愈合情况均令人满意。
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