Matrix miniplate versus locking miniplate in the management of displaced mandibular angle fractures

Abstract

Aim:The purpose of this study was to determine and compare various postoperative parameters like ease of operability, plate adaptability, stability etc., associated with use of matrix miniplate versus locking miniplate in the treatment of displaced mandibular angle fractures.Materials and Methods:The study was carried out in the Department of Oral and Maxillofacial surgery, King George's Medical College, GM and Associated Hospital, Lucknow. Total 50 patients were treated and included in the study. These were divided into two groups of 25 each and were treated with two of the standard techniques, i.e., one is matrix miniplate osteosynthesis and other is locking miniplate osteosynthesis. These patients were evaluated for postoperative complications and the differences between the two Groups were assessed.Results:Patients treated by matrix miniplate showed better recovery phase postoperatively as compared to locking miniplate group.Conclusion:Based on this study matrix mini plate osteosynthesis may be considered as the better alternative method available for the treatment of displaced mandibular angle fractures.

Management of Mandibular Angle Fractures: Single Stainless Steel Linear Miniplate Versus Rectangular Grid Plate—A Prospective Randomised Study

“…The use of 3-D plates was less widespread in the management of mandibular angle fractures [4]. To the best of our knowledge only six comparative clinical studies [16][17][18][19][20][21] and one systematic review [22] have been reported in literature but the parameters assessed, dimension of the plates and number of screws used for fixation varied compared to present study.…”

“…The time taken for the linear miniplate group was 47.40 min, minimally longer than that of rectangular grid plate which was 44.00 min, without any significant statistical difference. Several clinical comparative studies also report decrease in operating time with the use of 3-D plates [16][17][18][19][20][21].…”

Management of pediatric mandibular fractures using bioresorbable plating system – Efficacy, stability, and clinical outcomes: Our experiences and literature review

“…4 Hence, these patients present with their own unique treatment requirements. Treatment of mandible fractures with titanium plates 5 and lag screws 6 has been applied to improve osteosynthesis at mandibular fracture sites for decades. There are reported disadvantages, such as osteoporosis, 7 implant migration, 8 release of metal ions, 9 extrusion, 10 stress shielding, 11 artifacts on radiographic examinations, 12 restrictions on growth in children, 13,14 and thermal sensitivity.…”

Role of fixation in posttraumatic nerve injury recovery in displaced mandibular angle fracture

“…Displaced fractures generally resulted in paresthesia, which causes problems such fluid drooling or food escape or accidental lip biting and occasionally shaving and applying makeup even kissing become difficult. [34] Angle fracture can be displaced by a number of ways as an open book, vertical overlap, and laterally. This can be explained on the basis that etiology of fracture shifting toward assault or interpersonal violence with a blow to side of the face.…”