[AO and miniplate osteosynthesis of the mandible in an 8-year comparison].

B Niederhagen, S Anke, D Hültenschmidt, T Appel
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Abstract

During a period of 8 years (1986-1994) we treated 183 patients with mandibular fractures. Within this period we changed our treatment protocol from the rigid internal fixation (AO/ASIF method) to monocortical noncompression miniplates. The complications of 127 AO/ASIF cases versus 41 miniplate cases were studied. Complications mostly consisted in dehiscences. Comparing the two methods we found more complications (19.5%) when the AO plate is applicated via an intraoral approach. After extraoral AO treatment and after monocortical miniplates there was no significant difference concerning our complications (8.1% versus 7.3%).

[AO与微型钢板在下颌骨内固定8年的比较]。
在8年期间(1986-1994),我们治疗了183例下颌骨骨折患者。在此期间,我们将治疗方案从刚性内固定(AO/ASIF方法)改为单皮质无压迫微型钢板。研究了127例AO/ASIF与41例微型钢板的并发症。并发症主要表现为裂开。比较两种方法,我们发现经口内入路应用AO板时并发症较多(19.5%)。经口外AO治疗和单皮质微型钢板治疗后,并发症无显著差异(8.1% vs 7.3%)。
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