A comparative analysis of the efficacy of cortical screws as lag screws and miniplates for internal fixation of mandibular symphyseal region fractures: a randomized prospective study

Agnihotri, Akhil; Prabhu, S.; Thomas, Steven R.

doi:10.1016/j.ijom.2013.07.001

Cited by 37 publications

(22 citation statements)

References 12 publications

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“…This is in accordance with the work of Agnihotri et al, 28 who found that cortical screw fixation has the lowest rates of complications regarding primary stability of the fracture segments, postoperative swelling, infection, wound dehiscence, implant removal, and malunion or non-union of the fracture segments. However, this finding does not agree with recent comparative studies that have reported incidences of infection of 7.5% with an AO reconstruction plate and 13% with a solitary lag screw and one titanium plate.…”

Section: Discussionsupporting

confidence: 92%

Clinical outcomes of three different types of hardware for the treatment of mandibular angle fractures: a comparative retrospective study

Elsayed

Mohamed

Khalifa

2015

International Journal of Oral and Maxillofacial Surgery

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Section: Discussionsupporting

confidence: 92%

Clinical outcomes of three different types of hardware for the treatment of mandibular angle fractures: a comparative retrospective study

Elsayed

Mohamed

Khalifa

2015

International Journal of Oral and Maxillofacial Surgery

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“…Over a period of time, many studies have been conducted comparing lag screw with miniplate in various areas of mandibular fractures and have found that lag screw is better than miniplates in various aspects. 2,7,[9][10][11] Lag screws also have biomechanical advantages over miniplate fixation. Miniplates fractured under functional loads and adequate stability could not be obtained with single miniplate.…”

Section: Discussionmentioning

confidence: 99%

“…Mandible fracture is the most common than any other facial bone fracture. 2 The maxillofacial region occupies the most prominent position in the human body, making it highly vulnerable to injuries. The common etiologies of maxillofacial fractures, across the world, are road traffi c accidents (RTAs), falls, assaults, fi rearm injury, sports, and industrial accidents; RTAs are reported to be the leading causes of maxillofacial fractures.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Titanium Lag Screw Osteosynthesis in the Management of Mandibular Fractures

Bansal¹,

Mishra²,

Jaiswal³

et al. 2017

World Journal of Dentistry

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Introduction:The management of facial trauma is one of the most important and demanding aspects of maxillofacial surgery. Mandible is the most movable and prominent bone of facial skeleton. The management of the injuries to the maxillofacial complex remains a challenge for oral and maxillofacial surgeons. The aim of mandibular fracture treatment is the restoration of anatomical form and function with particular care to establish occlusion. The lag screw technique was fi rst introduced to maxillo facial surgery by Brons and Boering in 1970, who cautioned that at least two lag screws are necessary to prevent rotational movement of the fragments in oblique fractures of mandible.

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“…Similar results have been described previously by many authors. 34,35 It is not surprising that the placement of the 3D mini-plate required shorter operative time than that of 2 mini-plates and locking plates. This is because the 3D mini-plate required minimal manipulation and adaptation, where it is considered as only one plate instead of 2; they also have a low profile that makes their manipulation simple and easy.…”

Section: Data Presented As Numbers With Percentages In Parentheses(pmentioning

confidence: 99%

Management of anterior mandibular fractures using four fixation methods: A clinical comparative study

Mohamed

2018

Egyptian Dental Journal

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Purpose: To compare the surgical outcomes of three-dimensional (3D) mini-plates for fixation of anterior mandibular fractures (AMFs) and those of bone plates and lag screws. Materials and methods:Patients with AMFs, who met the inclusion criteria, were equally distributed into 4 groups. Those in Group I were treated with double 2.0 mm mini-plates, patients in Group II were treated with double lag screws, 2.3mm locking plates were used in group III, while in Group IV 2.0 mm 3D mini-plates were used. Prior to the surgical intervention, MMF was performed to verify the centric occlusion in all patients. After hardware fixation, the MMF was intraoperatively released, and the adequacy of fixation and occlusion was verified. The operation time and postoperative outcomes were also analyzed.Results: Sixty patients (41 males and 19 females) were included in this prospective study. There were no significant differences in demographic data. The clinical examination showed stable fixation with no mobility in all cases. None of the patients in the 3D mini-plates group showed clinical manifestations of infection or dehiscence. The incidence of malocclusion was the highest in the mini-plates group. There was no statistically significant difference among the groups in all parameters, except for infection and paresthesia. They were significantly greater in double miniplates and 2.3 mm locking plate groups respectively. Conclusion:The use of 3D mini-plates is a viable option for fixation of AMFs. It has advantages of both lag screws and bone plates. A 3D mini-plate provided sufficient inter-fragmentary stability with a relatively low rate of complications when compared with other conventional fixation techniques.

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A comparative analysis of the efficacy of cortical screws as lag screws and miniplates for internal fixation of mandibular symphyseal region fractures: a randomized prospective study

Cited by 37 publications

References 12 publications

Clinical outcomes of three different types of hardware for the treatment of mandibular angle fractures: a comparative retrospective study

Clinical outcomes of three different types of hardware for the treatment of mandibular angle fractures: a comparative retrospective study

Evaluation of Titanium Lag Screw Osteosynthesis in the Management of Mandibular Fractures

Management of anterior mandibular fractures using four fixation methods: A clinical comparative study

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