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[Fractures of the edentulous atrophic mandible. Fracture management and complications].

Identifieur interne : 002A02 ( PubMed/Checkpoint ); précédent : 002A01; suivant : 002A03

[Fractures of the edentulous atrophic mandible. Fracture management and complications].

Auteurs : C. Kunz [Suisse] ; B. Hammer ; J. Prein

Source :

RBID : pubmed:11550605

Descripteurs français

English descriptors

Abstract

With increasing atrophy, fractures of the edentulous mandible tend to have a higher incidence of nonunion. However, the connection between disturbances of bony consolidation and inadequate primary stability is often insufficiently discussed.

DOI: 10.1007/s100060100304
PubMed: 11550605


Affiliations:


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pubmed:11550605

Le document en format XML

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<title xml:lang="en">[Fractures of the edentulous atrophic mandible. Fracture management and complications].</title>
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<name sortKey="Kunz, C" sort="Kunz, C" uniqKey="Kunz C" first="C" last="Kunz">C. Kunz</name>
<affiliation wicri:level="1">
<nlm:affiliation>Abteilung für Kiefer- und Gesichtschirurgie, Universitätsklinik für Wiederherstellende Chirurgie, Kantonsspital Basel, Spitalstrasse 21, CH-4031 Basel, Schweiz.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Abteilung für Kiefer- und Gesichtschirurgie, Universitätsklinik für Wiederherstellende Chirurgie, Kantonsspital Basel, Spitalstrasse 21, CH-4031 Basel</wicri:regionArea>
<wicri:noRegion>CH-4031 Basel</wicri:noRegion>
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<author>
<name sortKey="Hammer, B" sort="Hammer, B" uniqKey="Hammer B" first="B" last="Hammer">B. Hammer</name>
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<name sortKey="Prein, J" sort="Prein, J" uniqKey="Prein J" first="J" last="Prein">J. Prein</name>
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<title xml:lang="en">[Fractures of the edentulous atrophic mandible. Fracture management and complications].</title>
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<nlm:affiliation>Abteilung für Kiefer- und Gesichtschirurgie, Universitätsklinik für Wiederherstellende Chirurgie, Kantonsspital Basel, Spitalstrasse 21, CH-4031 Basel, Schweiz.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Bone Diseases, Metabolic (diagnostic imaging)</term>
<term>Bone Diseases, Metabolic (surgery)</term>
<term>Bone Plates</term>
<term>Bone Screws</term>
<term>Female</term>
<term>Fracture Fixation, Internal</term>
<term>Fracture Healing</term>
<term>Humans</term>
<term>Male</term>
<term>Mandibular Fractures (diagnostic imaging)</term>
<term>Mandibular Fractures (surgery)</term>
<term>Middle Aged</term>
<term>Mouth, Edentulous (diagnostic imaging)</term>
<term>Mouth, Edentulous (surgery)</term>
<term>Postoperative Complications (diagnostic imaging)</term>
<term>Postoperative Complications (surgery)</term>
<term>Radiography, Panoramic</term>
<term>Reoperation</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Bouche édentée ()</term>
<term>Bouche édentée (imagerie diagnostique)</term>
<term>Complications postopératoires ()</term>
<term>Complications postopératoires (imagerie diagnostique)</term>
<term>Consolidation de fracture</term>
<term>Femelle</term>
<term>Fractures mandibulaires ()</term>
<term>Fractures mandibulaires (imagerie diagnostique)</term>
<term>Humains</term>
<term>Maladies osseuses métaboliques ()</term>
<term>Maladies osseuses métaboliques (imagerie diagnostique)</term>
<term>Mâle</term>
<term>Ostéosynthèse interne</term>
<term>Plaques orthopédiques</term>
<term>Radiographie panoramique</term>
<term>Réintervention</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Vis orthopédiques</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Bone Diseases, Metabolic</term>
<term>Mandibular Fractures</term>
<term>Mouth, Edentulous</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Bouche édentée</term>
<term>Complications postopératoires</term>
<term>Fractures mandibulaires</term>
<term>Maladies osseuses métaboliques</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Bone Diseases, Metabolic</term>
<term>Mandibular Fractures</term>
<term>Mouth, Edentulous</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Bone Plates</term>
<term>Bone Screws</term>
<term>Female</term>
<term>Fracture Fixation, Internal</term>
<term>Fracture Healing</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Radiography, Panoramic</term>
<term>Reoperation</term>
</keywords>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Bouche édentée</term>
<term>Complications postopératoires</term>
<term>Consolidation de fracture</term>
<term>Femelle</term>
<term>Fractures mandibulaires</term>
<term>Humains</term>
<term>Maladies osseuses métaboliques</term>
<term>Mâle</term>
<term>Ostéosynthèse interne</term>
<term>Plaques orthopédiques</term>
<term>Radiographie panoramique</term>
<term>Réintervention</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Vis orthopédiques</term>
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<front>
<div type="abstract" xml:lang="en">With increasing atrophy, fractures of the edentulous mandible tend to have a higher incidence of nonunion. However, the connection between disturbances of bony consolidation and inadequate primary stability is often insufficiently discussed.</div>
</front>
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<PMID Version="1">11550605</PMID>
<DateCompleted>
<Year>2001</Year>
<Month>12</Month>
<Day>04</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>02</Month>
<Day>25</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">1432-9417</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>5</Volume>
<Issue>4</Issue>
<PubDate>
<Year>2001</Year>
<Month>Jul</Month>
</PubDate>
</JournalIssue>
<Title>Mund-, Kiefer- und Gesichtschirurgie : MKG</Title>
<ISOAbbreviation>Mund Kiefer Gesichtschir</ISOAbbreviation>
</Journal>
<ArticleTitle>[Fractures of the edentulous atrophic mandible. Fracture management and complications].</ArticleTitle>
<Pagination>
<MedlinePgn>227-32</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">With increasing atrophy, fractures of the edentulous mandible tend to have a higher incidence of nonunion. However, the connection between disturbances of bony consolidation and inadequate primary stability is often insufficiently discussed.</AbstractText>
<AbstractText Label="FIXATION" NlmCategory="UNASSIGNED">Rigid internal fixation with 2.7 or now 2.4 AO compression and reconstruction plates is a safe procedure to achieve short-term rehabilitation in the mostly elderly patients by ensuring immediate function without intermaxillary fixation. With increasing atrophy, our concept suggests the use of stronger plates and fixation of screws in safe bony regions far from the fracture site.</AbstractText>
<AbstractText Label="RESULTS AND DISCUSSION" NlmCategory="CONCLUSIONS">This study reports the results of treatment of 40 fractures of the edentulous mandible in 25 patients from 1979 until 1996: 38 fractures (95%) showed primary healing, and only 1 nonunion was revealed after fracture of the plate. The criteria for choice of plates are discussed as well as fracture exposure and the question of primary and secondary bone grafting.</AbstractText>
</Abstract>
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<LastName>Kunz</LastName>
<ForeName>C</ForeName>
<Initials>C</Initials>
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<Affiliation>Abteilung für Kiefer- und Gesichtschirurgie, Universitätsklinik für Wiederherstellende Chirurgie, Kantonsspital Basel, Spitalstrasse 21, CH-4031 Basel, Schweiz.</Affiliation>
</AffiliationInfo>
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<LastName>Prein</LastName>
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</PublicationTypeList>
<VernacularTitle>Frakturen des zahnlosen atrophischen Unterkiefers. Frakturversorgung und Komplikationen.</VernacularTitle>
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<Country>Germany</Country>
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