A prospective randomized clinical trial comparing 2.0-mm locking plates to 2.0-mm standard plates in treatment of mandible fractures

Collins, Chad P.; Pirinjian-Leonard, Galia; Tolas, Andrew G.; Alcalde, Rafael

doi:10.1016/j.joms.2004.04.020

Cited by 69 publications

(36 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…None of our patient reported with hardware failure in any group, as we did not observe any case of infection and loosening of screws which promotes inflammation, which is in agreement with Collins et al, 25 while Nayak et al 17 reported 1% and 12% patients with plate fracture and 4% and 28% with loosening of screws in locking and non-locking group respectively and Saikrishna et al 22 reported 5% and 15% patients with hardware failure in locking and non-locking group respectively. Higher incidence of hardware failure is associated with the use of conventional miniplates because mandible has uneven surface and adapting conventional miniplates to the contours of bone can compensate for such incongruities.…”

Section: Discussionsupporting

confidence: 93%

“…Swelling, local rise in temperature, local inflammation, and pus discharge were considered as indicators for the presence of infection. We found pre-operative infection in 5 patients of Group I and 3 patients of Group II but after Visit 3 and visits thereafter, infection was not found in any of the group because of judicious use of post-operative anti-microbial therapy, while Collins et al 25 reported 4.6% patients with complications in locking group and 5.2% in non-locking group and suggested no clinical advantage of 1 plate/screw system over the other. When complication rates of 2.0-mm locking plates are compared with standard 2.0-mm plates, there is no statistically significant difference.…”

Section: Discussionmentioning

confidence: 61%

See 1 more Smart Citation

Comparison of 2 mm single locking miniplates versus 2 mm two non-locking miniplates in symphysis and parasymphysis fracture of mandible

Vashistha

Singh

Chaudhary

et al. 2017

Journal of Oral Biology and Craniofacial Research

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 61%

Comparison of 2 mm single locking miniplates versus 2 mm two non-locking miniplates in symphysis and parasymphysis fracture of mandible

Vashistha

Singh

Chaudhary

et al. 2017

Journal of Oral Biology and Craniofacial Research

View full text Add to dashboard Cite

“…Collins et al [27] did prospective randomized clinical trial to compare 2.0-mm locking plates to 2.0-mm standard plates in treating consecutive mandible fractures and similar overall complication rates occurred between the 2.0-mm locking group (4.6 %) and the 2.0-mm standard plate group (5.2 %). The data was not statistically significant.…”

Section: Discussionmentioning

confidence: 93%

“…This limits stress shielding and creates a more stable fixation over time [26]. Theoretical advantages proposed include: less precision required in plate adaptation because of the internal/external fixator; less alteration in osseous or occlusal relationship on screw tightening; greater stability across the fracture site; and less screw loosening [27]. The locking plate/screw system has only minor additions to the instrument armamentarium.…”

Section: Discussionmentioning

confidence: 99%

Study of Efficacy and the Comparison Between 2.0 mm Locking Plating System and 2.0 mm Standard Plating System in Mandibular Fractures

Kumar

Venkatesh

et al. 2014

J. Maxillofac. Oral Surg.

View full text Add to dashboard Cite

Purpose The purpose of this study was to evaluate the efficacy and comparison between 2.0 mm locking plate system and 2.0 mm Champy's titanium mini plating system in mandible fractures. Materials and Methods A total of 20 patients with mandibular fractures were selected and divided into two groups A and B on randomized basis. Group A was treated with open reduction internal fixation using 2.0 mm locking plates and group B with 2.0 mm Champy's titanium miniplates. All patients were followed up for 12 weeks postoperatively.Results Results of the study show less screw loosening, less precision in plate adaptation and less alteration of the osseous or occlusal relationship upon screw tightening in group A. Chi square test was applied to compare the results between the two groups. Statistical analysis did not show significant difference of incidence of malocclusion between the two groups (p value = 0.606). Statistical analysis using un-paired t test showed significant difference of working time between the two groups (p value = 0.00296). When comparing the overall complication rates according to plates used, the v 2 test showed no statistically significant difference between the locking and nonlocking plates (p [ 0.05).Conclusion It is observed in our study that the locking plate/screw system offers significant advantages over the conventional plating system. The precise adaptation required for using conventional plates is not needed when this locking plate/screw system is used. Locking plate/ screw system provides better stability than the conventional plate/screw system.

show abstract

“…Though clinically more efficient than a conventional plate, the locking plate still has the same complication rates [22,23].…”

Section: Discussionmentioning

confidence: 99%

Bite Force Evaluation of Conventional Plating System Versus Locking Plating System for Mandibular Fracture

Giri¹,

Sahu²,

Rastogi³

et al. 2015

J. Maxillofac. Oral Surg.

View full text Add to dashboard Cite

Aims and Objectives To compare and evaluate the variation in recorded bite forces in patients with mandibular fractures undergoing open reduction and rigid internal fixation using standard 2.0 versus 2.0 mm locking miniplates. Materials and Methods A prospective randomized study was conducted for the treatment of mandibular fractures. Twenty adult patients with 31 mandibular fractures requiring an open reduction and internal fixation were included in the study. The sample was divided into two groups depending upon whether the patients received 2.0 mm non-locking (standard) or 2.0 mm locking miniplates for rigid fixation respectively. Bite force was evaluated at 1st, 3rd and 6th week after the open reduction and rigid fixation using miniplates. Results A statistically significant difference was not found in the clinical parameters such as pain, swelling, infection, paresthesia, hardware failure, and mobility between the fracture segments. The results showed that amongst locking vs non-locking miniplates, the former showed a greater bite force enhancement when compared to baseline values(post-trauma).A comparison between 2nd day post-operative vs 6th week post-operative values showed a significant increase in bite force in Group 1 (nonlocking) (p \ 0.05) whereas the values Were highly significant (p \ 0.001) in Group 2 (locking Plate). Conclusion The findings were suggestive that the efficacy of locking miniplates plate in mandibular fracture was superior in terms of bearing the masticatory loads during osteosynthesis of the fracture. However, the clinical results were almost similar to those seen with non-locking miniplate osteosynthesis.

show abstract

A prospective randomized clinical trial comparing 2.0-mm locking plates to 2.0-mm standard plates in treatment of mandible fractures

Cited by 69 publications

References 10 publications

Comparison of 2 mm single locking miniplates versus 2 mm two non-locking miniplates in symphysis and parasymphysis fracture of mandible

Comparison of 2 mm single locking miniplates versus 2 mm two non-locking miniplates in symphysis and parasymphysis fracture of mandible

Study of Efficacy and the Comparison Between 2.0 mm Locking Plating System and 2.0 mm Standard Plating System in Mandibular Fractures

Bite Force Evaluation of Conventional Plating System Versus Locking Plating System for Mandibular Fracture

Contact Info

Product

Resources

About