Clinical implementation of a multidirectional, angular stable osteosynthesis system in maxillofacial traumatology

Gbara, Ali; Heiland, Max; Schmelzle, R.; Blake, Felix

doi:10.1016/j.jcms.2007.08.008

Cited by 6 publications

(4 citation statements)

References 11 publications

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“…In patients at risk, a reduction in the complication rate may be achieved with the use of more rigid fixation devices. The new angular stable mini-locking systems allow smaller access incisions and less soft tissue trauma than traditional reconstruction plates (Gbara et al 2008a;Gbara et al 2008b), yet providing a significantly higher stability than conventional miniplates.…”

Section: Pr Delaymentioning

confidence: 99%

Symptomatic plate removal after treatment of facial fractures

Thorén

Snäll

Kormi

et al. 2010

Journal of Cranio-Maxillofacial Surgery

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Section: Pr Delaymentioning

confidence: 99%

Symptomatic plate removal after treatment of facial fractures

Thorén

Snäll

Kormi

et al. 2010

Journal of Cranio-Maxillofacial Surgery

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“…Exact plate adaptation is no longer necessary which should shorten operation times [32][33][34]. The operating time required for the adaptation and fixation of locking plate ranged from 5 to 9 min with a mean time of 6.8 min and the operating time required for the adaptation and fixation of Champy's miniplate ranges from 8 to 14 min with a mean of 10.1 min.…”

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.

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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.

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“…The same results are demonstrated by Al-Moraissi and Ellis. 14 In group III, the exact plate adaptation is no longer necessary for locking plate which should shorten the operation time as reported by many authors, [36][37][38][39][40] but the needed time to fix the tension zone mini-plate increased its operating time. Nevertheless, it is still shorter than that of the double mini-plates system.…”

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

confidence: 94%

“…Many authors supported our findings regarding this variable. 39,40,41,48 Another possible explanation for the postoperative malocclusion is the presence of concomitant fractures at the contralateral side. This may contribute to the instability of the segments, leading to impaired bone healing and malocclusion, suggesting that there could be several factors contributing towards the development of complications rather than just the biomechanical consideration.…”

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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Clinical implementation of a multidirectional, angular stable osteosynthesis system in maxillofacial traumatology

Cited by 6 publications

References 11 publications

Symptomatic plate removal after treatment of facial fractures

Symptomatic plate removal after treatment of facial fractures

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

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

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