切开复位治疗髁状突骨折的疗效分析

The Clinical Effect Analysis of Open Reduction on Condylar Fractures

目的分析切开复位治疗髁状突骨折的疗效,探索更能提高髁状突骨折治疗效果的临床治疗方法。方法对38例46侧髁状突骨折行切开复位微型钛板内固定术,术后行临床和影像学观察。结果术后一年临床评价优良率为79%,无张口受限,关节疼痛及弹响,无面瘫症状。影像学评价优良率为65%,髁状突异常主要有骨折片移位,骨质吸收和成角畸形。结论切开复位微型钛板内固定治疗髁状突骨折可取得满意临床疗效,合理选择手术适应证和规范的手术操作是避免手术并发症的关键。

Objective To analyze the clinical effects of open reduction on condylar fractures and to explore a more beneficial treatment for fracture of condyloid process. Methods Out of 38 cases, 46 sides of mandibular condyle fractures were treated by open reduction and miniplate rigid internal fixation. The curative effects were evaluated by clinical examination and radiography. Results 79% of cases got satisfactory results in the one -year follow - up, and no facial nerve damages and limitation of mouth opening was found. None was found to have joint snap or pain. Radiography showed that 65% of cases got satisfactory results and the condyle abnormality mainly included displacement of condylar fragment, fractured bone resorption and angle - displacement. Conclusions Condylar fractures can be treated successfully by open reduction and miniplate rigid internal fixation. Standard operation and reasonable choice of therapy are decisive to avoid complications.