Locking Plate System Versus Standard Plate Fixation in the Management of Mandibular Fractures

Abstract

Mandible fractures treated with 2.0-mm locking miniplates and standard 2.0-mm miniplates present similar short-term complication rates, and the low postoperative maxillomandibular fixation rate of using 2.0-mm locking miniplates also indicates that the 2.0-mm locking miniplate has a promising application in treatment of mandibular fractures.

Complications of locking and non-locking plate systems in mandibular fractures

“…All three reviews did not report a list of excluded studies and did not calculate kappa values as measures for inter-observer agreement for study selection. Moreover, the review by Wusiman et al 16 did not report a flowchart of the study selection process, and that review is almost identical to the review by Zhan et al 15 . The quality of published systematic reviews was low (Appendix 3).…”

“…The methodological qualities of the included studies in the systematic reviews were assessed using the Jadad tool 21 and Cochrane risk of bias tool 19 . Two of these reviews compared 2.0-mm locking and 2.0-mm nonlocking Plates 15,16 , and one compared various types of locking and non-locking Plates 14 . All three reviews did not report a list of excluded studies and did not calculate kappa values as measures for inter-observer agreement for study selection.…”

“…Therefore, these reviews should be unbiased, and the most recent studies should have been included. Currently, three systematic reviews and meta-analyses have been published comparing postoperative complications in locking and non-locking plate systems for mandibular fracture treatment [14][15][16] . However, these reviews all have several methodological weaknesses, such as unreported inter-rater reliability and absence of a flow chart, but so far no critical appraisal of these reviews has been published.…”

Aktualne poglądy na temat leczenia złamań wyrostka kłykciowego żuchwy

“…Locking plates are also made from titanium but they are thicker (1.2 to 1.5 mm) than standard plates. Some authors decided to compare standard (non-locking) plates and screws with locking plates and screws [82,83,84,85]. Glória et al in their meta-analysis in the field of locking and non-locking plates and screws argue that although a better bite force result with the locking plates, there is still no sufficient evidence to support this information safely [85].…”

“…Glória et al in their meta-analysis in the field of locking and non-locking plates and screws argue that although a better bite force result with the locking plates, there is still no sufficient evidence to support this information safely [85]. Wusiman et al claim that mandible fractures treated with 2.0 mm locking miniplates and standard 2.0 mm miniplates present similar short-term complication rates [83].…”