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Treatment of mandibular fractures. Need for rigid internal fixation.

Identifieur interne : 00C247 ( Main/Merge ); précédent : 00C246; suivant : 00C248

Treatment of mandibular fractures. Need for rigid internal fixation.

Auteurs : K. Oikarinen [Finlande] ; M. Altonen ; H. Kauppi ; K. Laitakari

Source :

RBID : pubmed:2915044

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English descriptors

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:2915044

Le document en format XML

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<nlm:affiliation>Dept. of Oral Surgery, Institute of Dentistry, University of Oulu, Finland.</nlm:affiliation>
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<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>
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<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>
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<term>Fracture Fixation, Internal</term>
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<term>Female</term>
<term>Humans</term>
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<term>Middle Aged</term>
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<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Ostéosynthèse interne</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>
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