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目的:评价利用特制巾钳辅助复位,治疗高位髁突骨折的疗效。方法 :对28例高位髁突骨折患者经耳前进路行髁突解剖复位,术中保留骨折端的翼外肌附着,用微型钛板及螺钉固定,6个月后进行临床疗效评估和影像学观察。结果:2例患者出现轻度开口受限,1例出现开口偏斜,3例出现关节弹响。术后6个月临床评价治愈率达78.6%,影像学评价治愈率达92.8%。结论:利用特制巾钳进行髁突高位骨折解剖复位,避免了术后髁突吸收及畸形改变,有利于颞下颌关节功能的恢复。
Objective: To evaluate the curative effect of using special scarps to assist the reduction and treatment of condylar fractures. Methods: Twenty-eight patients with condylar fractures underwent anatomical reduction via the mandibular approach. The pterygoid remnant was retained during fracture fixation. Micro-titanium plate and screw fixation were performed. Six months later, the clinical efficacy and imaging findings were observed . Results: Two patients had mild opening restriction, one had skewed opening and three had snapping. The cure rate of clinical evaluation after 6 months was 78.6%, and the cure rate of imaging evaluation reached 92.8%. CONCLUSION: Using special forceps to dissect the condylar fractures and avoid the postoperative condyle absorption and deformity changes, which is good for the recovery of temporomandibular joint function.