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侧向拉力螺钉技术治疗髁突囊内矢状骨折
引用本文:黄盛兴,范海东,张春雷,周修杰,陈鹏. 侧向拉力螺钉技术治疗髁突囊内矢状骨折[J]. 中华口腔医学杂志, 2004, 39(6): 481-483
作者姓名:黄盛兴  范海东  张春雷  周修杰  陈鹏
作者单位:518020,广东深圳,暨南大学医学院第二附属医院口腔颌面外科
摘    要:目的 探讨应用侧向拉力螺钉技术治疗髁突囊内矢状骨折的方法与疗效。方法 对11例患者 ( 13侧 )髁突囊内矢状骨折经耳前途径行髁突游离复位 ,用 2颗钛螺钉依照拉力螺钉技术操作规范从外侧固定 ,术后行临床与影像学追踪观察。结果 平均追踪 12个月 ,全部患者疗效满意 ,9例痊愈 ,2例轻微错畸形 ,均无关节症状 ,影像检查 3例有髁突轻微骨质吸收和形态异常。结论 侧向拉力螺钉固定髁突囊内矢状骨折的方法简便可靠 ,疗效确切 ,并发症少

关 键 词:骨折固定术  下颌骨髁状突  拉力螺钉
修稿时间:2003-11-27

Clinical application of lateral lag screw in fixing intracapsular sagittal condylar fracture
HUANG Sheng-xing,FAN Hai-dong,ZHANG Chun-lei,ZHOU Xiou-jie,CHEN Peng. Clinical application of lateral lag screw in fixing intracapsular sagittal condylar fracture[J]. Chinese journal of stomatology, 2004, 39(6): 481-483
Authors:HUANG Sheng-xing  FAN Hai-dong  ZHANG Chun-lei  ZHOU Xiou-jie  CHEN Peng
Affiliation:Department of Oral and Maxillofacial Surgery, The Second Affiliated Hospital, Medical College of Jinan University, Shenzhen Guangdong 518020, China. shxhuang@mail.china.com
Abstract:OBJECTIVE: To introduce the clinical application and curative effect of lateral lag screw technique in fixing condylar intracapsular sagittal fractures. METHODS: Thirteen condyles with intracapsular sagittal fracture of 11 cases were fixed using lateral lag screw technique. Curative effects were observed by clinical and radiological follow-up for 6 approximately 30 months (mean 12 months) postoperatively. RESULTS: The favorable results were obtained in all cases. All patients were satisfied with the clinical results. slight malocclusion existed in 2 cases. Radiological abnormalities were seen in 3 cases by CT scanning, but without any obvious function disturbances. CONCLUSIONS: Lateral lag screw technique is a simple and effective treatment in fixing intracapsular sagittal condylar fractures.
Keywords:Fracture fixation  Mandibular condyle  Lag screw
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