【摘要】 目的 :总结感染性下颌骨骨折的临床特点和手术治疗方法。方法 :对35例感染性下颌骨骨折采用重建板坚固内固定患者,回顾分析其骨折部位、病因、诊断、手术方法和结局,并对感染性下颌骨骨折手术要点和重建板坚固内固定进行讨论。结果:35例感染性下颌骨骨折病例,34例手术后一期愈合,骨折复位良好,咬合关系恢复正常。1例颏部初始感染性骨折重建板固定术后2个月,颏部皮肤凹陷,可扪及骨缺损。二次手术时:植入髂骨块,重放重建板1块,小钛板1块固定,最终二期愈合。结论:对感染性下颌骨骨折,重建板具有良好的稳定性和可靠性;重建板坚固内固定是预防粉碎性骨折感染最重要的措施。更多还原

【Abstract】 PURPOSE: To evaluate the epidemiology and the treatment of infected fractures of the mandible. METHODS:Thirty-five cases of infected mandible fractures treated by extra oral open reduction and rigid internal fixation with reconstructive plates were retrospectively investigated. RESULTS: The fracture healing and occlusion recovery of 34 cases were satisfied without any nonunion or deformity, except 1 case healed after bone grafting for bone defect.CONCLUSIONS:The reconstructive plate fixation is applicable to the treatment of infected mandible fractures by its excellent stability and reliability.更多还原