Erratum to Clinical Analysis and CT 3D-Mediated Precise Internal Fixation in Maxillofacial Fracture

Objective: To study the clinical effect of minimally invasive single-segment reduction and internal fixation in patients withÂ thoracolumbar fractures. Methods: From June 2013 to June 2014,Â 100 patients with thoracolumbar fractures were selected as theÂ subjects and they were randomly divided into observation groupÂ (50 cases) and control group (50 cases). The patients in theÂ observation group were treated with minimally invasive single-segment reduction and internal fixation. The patients in the controlÂ group were treated with short segmental fixation. The clinical effects of the two groups were compared. Results: There was noÂ significant difference in the compression rate and Cobb angleÂ between the two groups before and after operation (P> 0.05). ForÂ all patients who were followed up for the last time, the Cobb angleÂ was significantly lower in the observation group than in the controlÂ group (P <0.05). The social function, affective function andÂ physical pain score of the observation group were significantlyÂ better than the control group (P <0.05). The amount of bleeding inÂ the observation group was (250.4 Â± 41.0) ml, which wasÂ significantly lower than that in the control group (267.5 Â± 32.8) ml.Â The time required for the operation was (90.2 Â± 35.4) min, whichÂ was significantly lower than that of the control group (104.5 Â± 22.6)Â min (P <0.05). After treatment, the prognosis was 70.00% and theÂ excellent and good rate was 98.00%, which was significantly higherÂ than that of the control group (46.00%) and 78.00% (P <0.05).Â Conclusion: Thoracolumbar fractures in patients with dilated channel minimally invasive single-segment reduction and internalÂ fixation treatment can effectively repair the patient's vertebralÂ height and Cobb angle and the degree of correction after surgeryÂ was significantly better, safer and worthy of clinical recommendedÂ use.

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Clinical Analysis and CT 3D-Mediated Precise Internal Fixation in Maxillofacial Fracture

Ear Nose & Throat Journal ◽

10.1177/0145561319882114 ◽

2019 ◽

pp. 014556131988211 ◽

Cited By ~ 1

Author(s):

Zainure Wubulihasimu ◽

Meiheriban Tuerhong ◽

Zhifei Zhang ◽

Huilin Li ◽

Nurahmat Kadir ◽

...

Keyword(s):

Computed Tomography ◽

Internal Fixation ◽

Clinical Manifestations ◽

Clinical Analysis ◽

Zygomatic Arch ◽

Mandibular Fractures ◽

3 Dimensional ◽

Epidemiological Features ◽

Maxillofacial Fractures ◽

Optimized Treatment

Background/Purpose: To retrospectively analyze the epidemiological features, clinical diagnosis, and treatment of 610 patients with maxillofacial fractures, while providing a reference for the prevention and optimized treatment of maxillofacial fractures. Methods: Data of patients with maxillofacial fractures who were treated and followed up at the Second People’s Hospital of Kashi Prefecture from June 2012 to April 2018 were summarized. The epidemiological features, clinical manifestations, fracture sites, treatment methods, and results were analyzed. Results: The highest incidence was in the age range of 20 to 49 years. The main cause of fracture was traffic injury. Mandibular fractures accounted for 37.77%, zygoma and zygomatic arch fractures for 37.00%, and maxillary fractures for 21.19%. Atypical zygomatic arch fractures were more common in the maxilla, followed by Le Fort I and II fractures. Closed fractures accounted for 85.97%. Many (73.39%) patients were treated with computed tomography 3-dimensional (3D)-mediated precision modified incision internal fixation with satisfactory results. Conclusions: There is a high incidence of maxillofacial fractures among young men, especially in summer, with the most common injuries being traffic-related injuries. The most common site is the mandible, followed by the zygomatic arch, zygomatic complex, and maxilla. Computed tomography 3D-mediated precision modified incision internal fixation can achieve satisfactory results.

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Clinical analysis of internal fixation femoral neck fractures with two or three cannulated screws

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh200727018k ◽

2021 ◽

pp. 18-18

Author(s):

Igor Kostic ◽

Milan Mitkovic ◽

Sasa Milenkovic ◽

Milorad Mitkovic

Keyword(s):

Femoral Neck ◽

Internal Fixation ◽

Operation Time ◽

Study Groups ◽

Clinical Analysis ◽

Healing Time ◽

Femoral Neck Fractures ◽

Fixation Group ◽

Significant Difference ◽

Harris Score

Introduction/Objective. Angular stability and dinamyc fixation are key factors to successful healing of femoral neck fractures. We evaluate the efficacy of internal fixation of femoral neck fractures with two parallel self-tapping antirotation screws (SAF) compared to standard, three cannulated cancellous screws (CCS) fixation. Methods. One-hundred fractures were retrospectivaly analysed, divided in two groups in which two SAF screws were used in parallel (n=50) or three standard AO screws in an inverted triangle configuration (n=50). The groups were compared with operation time, time of consolidation, femoral neck shortening, Harris score and reoperation rates. Results. SAF parallel fixation group of patients achieved consolidation rate of 86% compared to 74% in CCS fixation group, without statistically significant difference between the examined groups (p>0,05). Dynamization of implants was significantly positively correlated with the fracture healing time in both examined groups (SAF: r = 0.324, p = 0.025; CCS: r = 0.572, p = 0.001), with significantly shorter healing time in SAF patients - on average 15 weeks (15.02?1.44) in relation to the CCS group of patient - 19 weeks (19.81?2.94) (?2/z =7.048, p <0.001). There was no statistically significant difference in the Harris score and reoperation rate among the study groups (?2 = 2.44, p = 0.487; ?2 = 0.500, p = 0.696). Conclusion. Our results suggested that dual parallel fixation (SAF) is simpler, less invasive and it demands less time for performing. It is not inferior to fixation with 3 screws, from the point of biomechanics, possible complications, healing and functional recovery.

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Clinical analysis of changes in function of the temporomandibular joint after open reduction and internal fixation of mandible fracture

Indian Journal of Oral Sciences ◽

10.4103/0976-6944.162653 ◽

2015 ◽

Vol 6 (2) ◽

pp. 60 ◽

Cited By ~ 3

Author(s):

Jian Guan ◽

Xinyu Wang ◽

Gopal Sah ◽

NiteshKumar Chaurasia

Keyword(s):

Internal Fixation ◽

Temporomandibular Joint ◽

Open Reduction ◽

Clinical Analysis ◽

Mandible Fracture

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Management of Maxillofacial Fracture: Experience of Emergency and Trauma Acute Care Surgery Department of Sanglah General Hospital Denpasar Bali

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2019.701 ◽

2019 ◽

Vol 7 (19) ◽

pp. 3245-3248

Author(s):

Luciana Luciana ◽

Bramastha Aires Rosadi Oggy ◽

I Ketut Wiargitha ◽

Hendry Irawan

Keyword(s):

Internal Fixation ◽

General Hospital ◽

Treatment Plan ◽

Rapid Diagnosis ◽

Acute Care Surgery ◽

Proper Treatment ◽

Maxillofacial Fracture ◽

Arch Bar ◽

The Right ◽

Care Surgery

BACKGROUND: Maxillofacial fracture is one of the major trauma; the cases were increasing because of the high number of motorcycles in Bali. The goal of the treatment is proper positioning of the occlusion, and it depends on rapid diagnosis and proper treatment. AIM: This study aims to know the characteristics of the maxillofacial fracture patients in Sanglah General Hospital Denpasar Bali. METHODS: A retrospective study, based on medical record were concluded, samples taken in Sanglah General Hospital from January to June 2015. Total recorded patient were 35 patients. The data obtained include age, gender, type of the fractures, and operation management. RESULTS: The injury was more common in male compared to female (80% vs 20%). Age 20 to 40 years old were more common (48.57%), followed by the child to adolescent (aged 0 to 20 years old) were 31.43%, and adult to elderly (aged 40 to 60 years old) was 20%. The mandibular fracture was most common (51.43%), other fractures such as a zygomatic fracture (31.43%) and maxillary fracture (17.14%). Internal fixation was the gold standard of the treatment (65.71%), and the other was an arch bar (34.29%). CONCLUSION: Diagnosing the right injury to the facial bone is a key step in determining a treatment plan. Rapid diagnosis and proper treatment lead to good occlusion, both internal fixation and arch bar were an effective treatment. The importance of dealing with almost all maxillofacial fracture problems in the first surgery.

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