坚固内固定技术治疗髁状突骨折疗效分析

目的：分析坚固内固定术对髁状突骨折的治疗效果，探索更有利于髁状突骨折疗效的临床治疗方法。方法：对27例28侧髁状突骨折行钛板坚固内固定技术治疗的病例进行总结分析，观察治疗过程对张口受限、颌间结扎的时间、术后颞下颌关节（TMJ）功能状态改变的影响。结果：27 例术后均I期愈合，未作颌间结扎，术后1个月时主动张口度达到37mm以上者2例，占7．5％，3个月后张口度达到37mm以上者25例，占85．3％。所有病例均未出现关节弹响、疼痛等症状；20例咬合关系恢复到伤前状态，6例经调颌后恢复良好，1例术后颌间牵引者失访。结论：坚固内固定术作为髁状突骨折手术复位后的内固定方法是可行的，术后TMJ功能状态良好，咬合关系的恢复完全可以达到满意的效果。

Miniplate osteosynthesis of mandibular condyle fracture

Objective: To explore a more beneficial treatment for fracture of condyloid process. Methods: 28 sides of mandibular condyle fractures of 27 cases treated with titanium miniplate osteosynthesis were analyzed. Results: No infection was found. The mouth opening of 2 cases was over 37 mm at the end of the first month after operation. After 3 months, mouth opening of 25 cases was over 37 mm. No case was found to have joint snap or pain. 20 cases had satisfied occlusion. Conclusions: The miniplate osteosynthesis has the advantages over conventional treatment.