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首页> 外文期刊>Craniomaxillofacial Trauma & Reconstruction >Screw-Wire Osteo-Traction: An Adjunctive or Alternative Method of Anatomical Reduction of Multisegment Midfacial Fractures? A Description of Technique and Prospective Study of 40 Patients
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Screw-Wire Osteo-Traction: An Adjunctive or Alternative Method of Anatomical Reduction of Multisegment Midfacial Fractures? A Description of Technique and Prospective Study of 40 Patients

机译：螺旋线骨牵引：多节中颌骨折的解剖复位的辅助或替代方法？ 40例患者的技术描述和前瞻性研究

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摘要

Stable anatomical fracture reduction and segment control before miniplate fixation can be difficult to achieve in comminuted midfacial fractures. Fracture mobilization and reduction methods include Gillies elevation, malar hook, and Dingman elevators. No single method is used universally. Disadvantages include imprecise segment alignment and poor segment stability/control. We have employed screw-wire osteo-traction (SWOT) to address this problem. A literature review revealed two published reports. The aims were to evaluate the SWOT technique effectiveness as a fracture reduction method and to examine rates of revision fixation and plate removal. We recruited 40 consecutive patients requiring open reduction and internal fixation of multisegment midfacial fractures (2009-2012) and employed miniplate osteosynthesis in all patients. SWOT was used as a default reduction method in all patients. The rates of successful fracture reduction achieved by SWOT alone or in combination and of revision fixation and plate removal, were used as outcome indices of the reduction method effectiveness. The SWOT technique achieved satisfactory anatomical reduction in 27/40 patients when used alone. Other reduction methods were also used in 13/40 patients. No patient required revision fixation and three patients required late plate removal. SWOT can be used across the midface fracture pattern in conjunction with other methods or as a sole reduction method before miniplate fixation.
机译：在粉碎性中颌面骨折中，很难实现在微型钢板固定之前稳定的解剖骨折复位和节段控制。骨折动员和复位方法包括Gillies抬高，黄斑钩和Dingman升降器。没有一种方法被普遍使用。缺点包括节段对齐不精确和节段稳定性/控制性差。我们采用了螺旋式骨牵引（SWOT）来解决此问题。文献综述揭示了两个已发表的报告。目的是评估SWOT技术作为骨折复位方法的有效性，并检查翻修固定和钢板去除的比率。我们招募了40例需要进行多节段中颌面骨折的切开复位和内固定的患者（2009-2012年），并在所有患者中采用了微型钢板进行骨固定。 SWOT被用作所有患者的默认减少方法。单独或联合使用SWOT取得的成功的骨折复位率以及修订固定和钢板去除率均被用作复位方法有效性的结果指标。单独使用SWOT技术可使27/40例患者的解剖解剖学令人满意。其他减少方法也用于13/40患者。没有患者需要翻修固定，三名患者需要晚期钢板移除。 SWOT可以与其他方法结合使用，或在微型钢板固定之前作为唯一的复位方法，用于整个中面骨折类型。

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