摘要：

目的：探讨临时螺钉和钢丝牵引技术在下颌骨髁颈骨折复位手术中的应用及效果。方法：选取2023年6月至2024年5月于我院口腔科就诊并行下颌骨髁颈骨折切开复位内固定术的8例髁颈骨折患者，记录髁颈骨折手术时间，术后随访至6个月，观察患者开口度及咬合关系的恢复情况。结果：所有患者手术顺利，髁颈骨折复位及固定平均用时50 min，术后6个月复诊，患者开口度及咬合关系恢复良好。结论：临时螺钉和钢丝牵引技术可有效辅助下颌骨髁颈骨折的复位，且其操作受髁颈骨折手术入路的限制较小。

Abstract:

Objective: To investigate the application and efficacy of a temporary screw and steel wire traction technique during reduction surgery for mandibular condylar neck fractures. Methods: A total of eight patients with condylar neck fractures who underwent open reduction and internal fixation in our department between June 2023 and May 2024 were selected for this study. The operative time for condylar fracture reduction was recorded, and postoperative follow-up was conducted for six months to assess the recovery of mouth opening and occlusal relationships. Results: All patients successfully underwent surgery, with an average reduction and fixation time of 50 minutes. At the six-month follow-up, significant improvements in mouth opening and occlusal relationships were observed. Conclusion: The temporary screw and steel wire traction technique effectively facilitates the reduction of mandibular condylar neck fractures, and its operation is less restricted by the surgical approach for condylar fractures.

中图分类号: 

• 髁颈骨折

• 切开复位内固定术

• 钢丝牵引

• condylar neck fracture

• open reduction and internal fixation

• steel wire traction