[Experience in using the surgical-orthodontic method proposed by V. V. Donskoĭ for treating mandibular fractures].
The author analyzes his experience gained in the treatment of 200 patients with mandibular corner and denture fractures by the orthodontic surgery method developed by V. V. Donskoĭ. Uni- and bilateral mandibular corner fractures made up 164 cases, the rest were combined injuries to the corner on the one side and to the body or condyle on the other side. 195 patients were operated under conduction analgesia when sitting in the dental chair and in the rest 5 cases condyle osteosynthesis was carried out on the one side and Donskoĭ's osteosynthesis on the other side under general anesthesia. Surgical procedure did not differ from that described earlier. Kirschner's pin, annealed [correction of preburnt] to make it less elastic, was horizontally inserted into the mandibular branch at the level of the posterior dental necks through a mucosal puncture and then shaped to match mandibular denture and fixed to the teeth with wire ligatures. Mandibular traction was carried out for 3-7 days, if necessary. The mean patient's stay in hospital made up approximately 22.7 days, total number of invalidity days 30.1. Infectious inflammatory complications were recorded in 9 patients. The advantages of the described method are discussed and recommendations on its practical use are given.
Ivashchenko
N I
NI
D000293:Adolescent; D000328:Adult; D001858:Bone Nails; D003131:Combined Modality Therapy; D003754:Dental High-Speed Equipment; D005115:Extraoral Traction Appliances; D005260:Female; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D008337:Mandibular Fractures / Q000601:surgery*; D009969:Orthodontic Wires; D009970:Orthodontics / Q000379:methods*; D012189:Retrospective Studies
Opyt primeneniia operativno-ortopedicheskogo metoda lecheniia perelomov nizhneĭ cheliusti, predlozhennogo V. V. Donskim.