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.; Leonard-Pirinjian, G.; Alcalde, Rafael

doi:10.1016/s0278-2391(03)00517-2

Cited by 17 publications

(34 citation statements)

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“…Collins et al [10] found no statistically significant difference in clinical outcome using 2.0 mm locking and 2.0 mm standard plates. Ellis and Graham [11] reported 15% complication rate with 2.0 mm locking plates, out of which 50% were major (malocclusion and nonunion).…”

Section: Discussionmentioning

confidence: 94%

“…The use of single 3-D plate in cases of comminuted and severely displaced fractures with considerable gap (malunited fractures) where more than the usual number of miniplates for that site is required shows that 3-D locking plates are biomechanically more stable than the miniplates. The theoretical advantages (Collins et al [10]) of locking system developed for miniplates are; less screw loosening, greater stability across fracture site, less precision required in plate adaptation and less alteration in occlusal or osseous relationship upon screw tightening. In our study no case of screw loosening was observed.…”

Section: Discussionmentioning

confidence: 99%

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Mandibular Osteosynthesis: A Comparative Evaluation of Two Different Fixation Systems Using 2.0 mm Titanium Miniplates and 3-D Locking Plates

Goyal

Marya

Chawla

et al. 2011

J. Maxillofac. Oral Surg.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Mandibular Osteosynthesis: A Comparative Evaluation of Two Different Fixation Systems Using 2.0 mm Titanium Miniplates and 3-D Locking Plates

Goyal

Marya

Chawla

et al. 2011

J. Maxillofac. Oral Surg.

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“…This finding may be associated with inadequate postoperative patient compliance, which has been reported as a factor that influences the outcome [16,17]. In non-compliant patients, the use of stronger osteosynthesis material is indicated [11].…”

Section: Discussionmentioning

confidence: 99%

“…Maxillomandibular fixation for 4 weeks postoperatively (20) has been performed with the use of 2.0-mm locking or conventional systems [16]. Additionally, a 1-week period of intermaxillary fixation has been proposed due to the greater stability of the 2.0-mm locking miniplate [25,26], which is a viable treatment modality for most mandibular fractures [26].…”

Section: Discussionmentioning

confidence: 99%

“…Some studies have compared standard 2.0-mm monocortical plates to 2.0-mm locking plates in the treatment of mandibular fractures and reported similar short-term complication rates [16][17][18]. However, the use of a 2.0-mm locking plate system has been considered a viable alternative to conventional miniplates http://dx.doi.org/10.1016/j.ajoms.2015.06.003 2212-5558/© 2015 Asian AOMS, ASOMP, JSOP, JSOMS, JSOM, and JAMI.…”

Section: Introductionmentioning

confidence: 99%

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Use of the locking 2.0-mm fixation system for treating mandibular fractures with the potential for complications

Camino

Linard-Martins²,

Luz

2016

Journal of Oral and Maxillofacial Surgery, Medicine, and Pathol

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Miniplate Fixation of Fractures of the Symphyseal and Parasymphyseal Regions of the Mandible

Lee

Sawhney

Ducic

2013

JAMA Facial Plast Surg

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To review our experience with miniplate fixation of fractures of the symphyseal and parasymphyseal regions of the mandible. Methods: A retrospective review of all mandible fractures treated from July 1, 1999, through July 31, 2011, by one of us (Y.D.) was performed. Intraoral, open rigid fixation of noncomminuted symphyseal and parasymphyseal fractures was performed using a combination of 2 miniplates that were either a 4-hole or a 6-hole miniplate using monocortical screws. The miniplates were 1-mm thick with a 2-mm screw diameter. Results: A total of 218 patients with noncomminuted symphyseal and parasymphyseal mandible fractures were included in this study. Eighteen patients (8.3%) with concurrent panfacial fractures and other indications were left in postoperative maxillomandibular fixation (MMF), whereas 200 patients (91.7%) did not require postoperative MMF. All patients in this series achieved bony union. The following complications were noted: plate exposure, 2.3%; malocclusion, 1.4%; wound infection, 1.4%; and tooth root injury, 0.9%. The use of postoperative antibiotics and either a nonlocking or locking system was not associated with significant differences in the rates of complications. Conclusions: For noncomminuted symphyseal and parasymphyseal mandible fractures, the application of 2 miniplates with monocortical screws offers good surgical outcomes in most patients with minimal complications. The advantages of using miniplates include easy plate adaptability, no need for MMF unless indicated, small screw diameter, and provision of adequate load-sharing rigid fixation for simple, noncomminuted symphyseal and parasymphyseal mandible fractures.

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

Cited by 17 publications

References 0 publications

Mandibular Osteosynthesis: A Comparative Evaluation of Two Different Fixation Systems Using 2.0 mm Titanium Miniplates and 3-D Locking Plates

Mandibular Osteosynthesis: A Comparative Evaluation of Two Different Fixation Systems Using 2.0 mm Titanium Miniplates and 3-D Locking Plates

Use of the locking 2.0-mm fixation system for treating mandibular fractures with the potential for complications

Miniplate Fixation of Fractures of the Symphyseal and Parasymphyseal Regions of the Mandible

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