面中份骨折小钛板内固定和钢丝骨间结扎治疗的比较观察

目的比较钢丝骨间结扎和小钛板内固定治疗面中份骨折的临床效果。方法采用头皮冠状入路及辅助切口，对４０例面中份骨折行钢丝骨间结扎和小钛板坚固内固定治疗。结果钢丝骨间结扎不能获得良好的稳定性，而小钛板坚固内固定则可重建面中份骨骼的支柱结构，获得足够的三维稳定性和重建理想的面部外形。在眶下缘、颧上颌缝区，手术野显露较差，小钛板内固定较钢丝骨间结扎更为方便可靠。结论小钛板坚固内固定是治疗面中份骨折的最佳方法。

Comparison of internal fixation with minititanium plate and wire osteosynthesis in midface fractures

Objective\ To compare clinical results of the internal fixation with wire and the internal fixation with minititanium plate in midface fractures. Methods\ By the coronal approach and supplementary incisions,forty patients with midface fractures were treated with wire osteosynthesis or rigid internal fixation (RIF) with minititanium plate. Results\ ]A good stability can not he obtained with wire osteosynthesis in the treatment of midface fractures.The supporting bony structure of midface can be reconstructed with minititanium plate RIF,which results in a sufficient threedimensional stability of the fractured segments and an ideal facial configuration Minititanium plate RIF is more convenient and reliable than wire osteosynthesis in the difficult operation fields of the infraorbital margin and zygomaticomaxillary suture. Conclusion\ Minititanium plate RIF is the best method for treatment of midface fractures.