重建板坚固内固定治疗感染性下颌骨骨折

Management of infected fractures of the mandible by open reduction and rigid internal fixation with reconstructive plates

目的 :总结感染性下颌骨骨折的临床特点和手术治疗方法。方法 :对35例感染性下颌骨骨折采用重建板坚固内固定患者,回顾分析其骨折部位、病因、诊断、手术方法和结局,并对感染性下颌骨骨折手术要点和重建板坚固内固定进行讨论。结果:35例感染性下颌骨骨折病例,34例手术后一期愈合,骨折复位良好,咬合关系恢复正常。1例颏部初始感染性骨折重建板固定术后2个月,颏部皮肤凹陷,可扪及骨缺损。二次手术时:植入髂骨块,重放重建板1块,小钛板1块固定,最终二期愈合。结论:对感染性下颌骨骨折,重建板具有良好的稳定性和可靠性;重建板坚固内固定是预防粉碎性骨折感染最重要的措施。

PURPOSE： To evaluate the epidemiology and the treatment of infected fractures of the mandible. METHODS：Thirty-five cases of infected mandible fractures treated by extra oral open reduction and rigid internal fixation with reconstructive plates were retrospectively investigated. RESULTS： The fracture healing and occlusion recovery of 34 cases were satisfied without any nonunion or deformity, except 1 case healed after bone grafting for bone defect.CONCLUSIONS：The reconstructive plate fixation is applicable to the treatment of infected mandible fractures by its excellent stability and reliability.