Treatment of mandibular fractures. Need for rigid internal fixation.
Identifieur interne : 00C247 ( Main/Merge ); précédent : 00C246; suivant : 00C248Treatment of mandibular fractures. Need for rigid internal fixation.
Auteurs : K. Oikarinen [Finlande] ; M. Altonen ; H. Kauppi ; K. LaitakariSource :
- Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery [ 1010-5182 ] ; 1989.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- instrumentation : Fracture Fixation, Internal.
- methods : Fracture Fixation, Internal.
- surgery : Mandibular Fractures.
- Adolescent, Adult, Aged, Bone Plates, Bone Wires, Child, Child, Preschool, Female, Humans, Jaw, Edentulous, Male, Middle Aged, Retrospective Studies, Splints.
Abstract
The treatment of 200 mandibular fractures was evaluated retrospectively with special reference to the need for rigid internal fixation (AO-plating), as indicated by the ASIF organization. It was shown that the treatment was most typically intermaxillary fixation (50%) followed by Gunning-type splints (17%), wire (16%) and plate (6%) osteosynthesis, while 11% received no active treatment. Complications during splinting were most common among patients treated by osteosynthesis via an extra-oral approach. Most of the fractures (73%) were estimated to be anatomically suitable for AO-plating. One fifth (22%) had relative indications for the use of rigid internal fixation, and 59% had absolute indications, mostly due to simultaneous condylar and corpus (body) fractures or due to fractures in the angle region.
PubMed: 2915044
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pubmed:2915044Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Bone Plates</term>
<term>Bone Wires</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Female</term>
<term>Fracture Fixation, Internal (instrumentation)</term>
<term>Fracture Fixation, Internal (methods)</term>
<term>Humans</term>
<term>Jaw, Edentulous</term>
<term>Male</term>
<term>Mandibular Fractures (surgery)</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
<term>Splints</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Attelles</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Femelle</term>
<term>Fils métalliques</term>
<term>Fractures mandibulaires ()</term>
<term>Humains</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Ostéosynthèse interne ()</term>
<term>Ostéosynthèse interne (instrumentation)</term>
<term>Plaques orthopédiques</term>
<term>Sujet âgé</term>
<term>Études rétrospectives</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Fracture Fixation, Internal</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Fracture Fixation, Internal</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Mandibular Fractures</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Bone Plates</term>
<term>Bone Wires</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
<term>Splints</term>
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<keywords scheme="MESH" qualifier="instrumentation" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Attelles</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Femelle</term>
<term>Fils métalliques</term>
<term>Fractures mandibulaires</term>
<term>Humains</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Ostéosynthèse interne</term>
<term>Plaques orthopédiques</term>
<term>Sujet âgé</term>
<term>Études rétrospectives</term>
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<front><div type="abstract" xml:lang="en">The treatment of 200 mandibular fractures was evaluated retrospectively with special reference to the need for rigid internal fixation (AO-plating), as indicated by the ASIF organization. It was shown that the treatment was most typically intermaxillary fixation (50%) followed by Gunning-type splints (17%), wire (16%) and plate (6%) osteosynthesis, while 11% received no active treatment. Complications during splinting were most common among patients treated by osteosynthesis via an extra-oral approach. Most of the fractures (73%) were estimated to be anatomically suitable for AO-plating. One fifth (22%) had relative indications for the use of rigid internal fixation, and 59% had absolute indications, mostly due to simultaneous condylar and corpus (body) fractures or due to fractures in the angle region.</div>
</front>
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