Five-Year Retrospective Study of Mandibular Fractures in Freiburg, Germany: Incidence, Etiology, Treatment, and Complications
| Autor: | Ralf Schön, Rainer Schmelzeisen, Kai-Hendrik Bormann, Constantin Stühmer, Sarah Wild, Horst Kokemüller, Nils-Claudius Gellrich |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Bone Screws Poison control Violence Condyle Young Adult Postoperative Complications Sex Factors Fracture Fixation Germany Mandibular Fractures medicine Humans Surgical Wound Infection Mandibular Diseases Child Aged Retrospective Studies Aged 80 and over Osteosynthesis business.industry Incidence Osteomyelitis Incidence (epidemiology) Accidents Traffic Mandibular Condyle Mandible Retrospective cohort study Middle Aged medicine.disease Abscess Surgery Fractures Spontaneous Otorhinolaryngology Athletic Injuries Oral and maxillofacial surgery Accidental Falls Female Oral Surgery business Bone Plates |
| Zdroj: | Journal of Oral and Maxillofacial Surgery. 67:1251-1255 |
| ISSN: | 0278-2391 |
| DOI: | 10.1016/j.joms.2008.09.022 |
| Popis: | Purpose To evaluate current trends in maxillofacial trauma, a retrospective review of mandibular fractures at a German university hospital was carried out. Patients and Methods In this retrospective study, records of 444 patients with mandibular fractures between 2000 and 2005 at the Department of Oral and Maxillofacial Surgery, University Hospital of Freiburg, Germany, were reviewed. A total of 444 patients presented with 696 mandibular fractures. Results Three hundred twenty-nine (74%) of the fractures occurred in male and 115 (26%) in female patients (2.9:1). One hundred forty-two fractures (32%) resulted from road traffic accidents, 126 from fights (28%), and 116 from falls (26%). Forty-four fractures were caused by sport accidents (10%) and 16 by pathologic fractures (4%). The mandibular condyle area was the most common fracture site, with 291 fractures (42%), followed by 144 fractures of the symphyseal and parasymphyseal area (21%) and 141 angle fractures (20%). Combined fractures were found in nearly half of the cases. Five hundred seventy-nine (83%) of patients with mandibular fractures were treated by surgical intervention, 117 (17%) of patients conservatively. Regarding the surgical treatment, 561 (65%) miniplates, 247 (29%) locking plates, and 51 (6%) lag screws were used. Complications, such as postoperative infections, abscesses, and osteomyelitis appeared in 66 (9%) cases. Conclusion We concluded that osteosynthesis of mandibular fractures by miniplates and locking plates are both reliable. |
| Databáze: | OpenAIRE |
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