下颌骨髁突骨折轴向拉力螺钉复位固定的应用研究  

Surgical reduction of condylar fracture using lag screw

作　　者：林野[1] 伊彪[1] 李自力[1] 王兴[1] 

机构地区：[1]北京医科大学口腔医学院,100081

出　　处：《中华口腔医学杂志》1999年第4期245-248,共4页Chinese Journal of Stomatology

摘　　要：目的　评估髁突骨折轴向拉力螺钉复位技术的临床可行性及治疗效果。方法　6例成人颞下颌关节囊外移位性髁突骨折患者接受了轴向拉力螺钉外科复位手术,其中男性5例,女性1例,平均年龄32岁,术后追踪平均7个月(3～13个月)。结果　6例伤口均I期愈合,术后3个月,临床检查无关节区疼痛不适及面部不对称,咬合关系良好,最大开口度除1例外均大于40mm,全部患者对手术效果满意。结论　轴向拉力螺钉复位固定技术对于固定髁突骨折、恢复髁突的生理功能。Objective To evaluate the feasibility and result of application of lag screw osteosynthesis in condylar fracture Methods Six dislocated condylar fractures were treated with lag screw Postoperative follow_up mean 7 months (range 3～13 months) Results It showed no complaint on TMJ area from patients during the follow up , no facial asymmetry was found , no patient had malocclusion , 5 patients had mouth opening over 40 mm 3 months postoperatively , and all patients were satisfied with the treatment result Conclusion Based on the clinical and radiological results the authers believe that lag screw technique is a feasible method for indicated condylar fracture

关 键 词：下颌骨骨折 下颌骨髁状突 骨折固定术 

分 类 号：R782.4[医药卫生—口腔医学]