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Personalized Temporomandibular Joint Total Alloplastic Replacement as a Solution to Help Patients with Non-Osteosynthesizable Comminuted Mandibular Head Fractures
被引:0
|作者:
Pruszynska, Paulina
[1
]
Kozakiewicz, Marcin
[1
]
Szymor, Piotr
[1
]
Wach, Tomasz
[1
]
机构:
[1] Med Univ Lodz, Dept Maxillofacial Surg, 113 Zeromskiego Str, PL-90549 Lodz, Poland
关键词:
fracture diagnosis;
personalized fracture treatment;
surgical planning tools;
mandibular head fracture;
TMJ;
endoprosthesis;
custom-made total alloplastic replacement;
CAD/CAM;
maxillofacial trauma;
temporomandibular joint;
FINITE-ELEMENT-ANALYSIS;
CONDYLAR HEAD;
CLOSED TREATMENT;
FOLLOW-UP;
SURGICAL-TREATMENT;
INTERNAL-FIXATION;
OPEN REDUCTION;
SCREWS;
METAL;
BONE;
D O I:
10.3390/jcm13175257
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Background: Treatment methods for mandibular head fractures are controversial, although effective techniques for open reduction and rigid fixation (ORIF) have been known since the late 1990s. Notably, some forms of posttraumatic comminution of the mandibular head can be reduced or fixed. Methods: This study presents a personalized treatment to cure patients with nonreduced comminuted fractures of the mandibular head: total temporomandibular joint alloplastic replacement (18 patients). The reference group included patients who underwent ORIF (11 patients). Results: Personalized alloplastic joint replacements resulted in a more stable mandibular ramus after three months compared with ORIF. Conclusions: The authors recommend not performing osteosynthesis when the height of the mandibular ramus cannot be stably restored or when periosteal elevation from most of the mandibular head is necessary for ORIF. Personalized TMJ replacement should be considered in such patients. Personalized medicine allows patients to maintain a normal mandibular ramus height for a long period of time.
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