Mini-plate removal in maxillofacial trauma patients during a five-year retrospective study

Park, Hyunchun; Kim, Su Gwan; Oh, Ji‐Su; You, Jae Seek; Kim, Won Gi

doi:10.5125/jkaoms.2016.42.4.182

Cited by 28 publications

(31 citation statements)

References 20 publications

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“…The indication for removal is consequently more often a symptom in other studies, especially with respect to infection. In contrast, Park et al have reported patient demand as the main reason for removal; in their study, the surgeon did not recommend elective plate removal, and surgery was only performed because of patient request or symptoms [5]. The frequency of patient request averaged 16.7% in the present study increasing in the second postoperative year.…”

Section: Discussioncontrasting

confidence: 83%

“…Removal within a year or less after osteosynthesis is frequently reported [3,5,14,17,18]. The most common complication after osteosynthesis was hypesthesia in this study.…”

Section: Discussionsupporting

confidence: 48%

“…In this regard, we should mention that the surgeons of this study recommend plate removal after six months, as this leads to a lower rate of complications. Surgery is more difficult following an overgrowth of bone and is considered, among researchers, a complication of belated plate removal, especially in young patients [1,5,16].…”

Section: Discussionmentioning

confidence: 99%

“…Health insurance companies or governmental regulations also play a major role [4]. More than 80% of patients demand plate removal surgery because of their awareness of a foreign object in their body or because of their surgeon's recommendation [5]. Whereas plate removals after postoperative complications are justified by medical indications, elective removals are questionable [1,[6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

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RETRACTED: Osteosynthesis Plate Removal: Patient Benefits and Burdens

et al. 2020

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Maxillofacial fractures are lege artis treated via open reduction and internal fixation in cases of dislocation of the fracture. Plate removal is indicated for various reasons. Whereas symptomatic plate removals are justified, elective removals are questionable. This retrospective monocenter study examined the individual benefit of plate removal from the patient’s point of view and involved 233 patients undergoing plate removal. The data of 233 patients undergoing plate removal were first collected, and then, an individual follow-up questionnaire was created that assessed the personal reasons of patients requesting removal and addressed whether the patient gained any benefit from removal surgery. A total of 43 patients agreed to complete the survey. The complication rate was lower after plate removal (13.3%) than after osteosynthesis (31.8%). The most common indication for removal was surgeon recommendation (51.9%), followed by ongoing symptoms (31.3%) and request by the patient (16.7%). Significantly, more patients underwent symptomatic plate removal after mandibular fractures (46.8%, n = 37, p = 0.001) than fractures elsewhere. According to the survey, 86% (n = 37) of the patients benefitted from plate removal. Although elective plate removal is nowadays controversial, our data provide evidence for a high level of patient satisfaction after removal surgery.

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Section: Discussioncontrasting

confidence: 83%

“…Removal within a year or less after osteosynthesis is frequently reported [3,5,14,17,18]. The most common complication after osteosynthesis was hypesthesia in this study.…”

Section: Discussionsupporting

confidence: 48%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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RETRACTED: Osteosynthesis Plate Removal: Patient Benefits and Burdens

et al. 2020

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“…The rate of removal of miniplates has wide range in literature from 5% to 40% 11 and our current study has 7% of removal rate. Hyun-chun park et al 12 found patient's demand as the leading cause for plate removal whereas Rosenberg et al 13 in their study observed infection as the commonest cause for which plate exit had been done. In the current study 50% of miniplate removal was due to infection followed by implant exposure as the next reason for removal of miniplates.…”

Section: Discussionmentioning

confidence: 98%

Incidence and Causes of Stainless Steel Miniplate (Ssmp) Implant Exit Following Faciomaxillary Fracture Fixation- A Three Year Retrospective Study

Saravanan¹,

Sridevi²,

Sankamithra³

et al. 2018

jebmh

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BACKGROUND Faciomaxillary fractures are caused mainly by road traffic accidents and are often associated with life threatening emergency situations. They are treated extensively by open reduction and internal fixation with Stainless Steel Mini Plate (SSMP) implants in our medical college hospital. We come across miniplate exit on occasions. Hence, we decided to do a retrospective study on the subject of SSMP implant exit. The aim of the study is to find out the incidence and causes of SSMP implant exit following faciomaxillary fracture fixation over a period of three years. MATERIALS AND METHODS The case records of a total of 189 patients who had undergone faciomaxillary fracture fixation over a period of three years from Jan 2015 to Dec 2017 were perused with respect to the incidence and causes of SSMP implant removal. In addition, demographic parameters like age, sex and type of fracture, site of fracture, number of implants removed, and implant life in-situ were also analysed. RESULTS The SSMP implant exit was done in 14 cases (7.4 %); males-11, females-3. A total of 34 plates were removed. The commonest cause for implant exit was infection and the commonest site was body of mandible. CONCLUSION SSMP implants were well tolerated by most of the patients. SSMP implant exit was done in less than 10% of patients, the main reason being infection. This does not warrant a routine asymptomatic removal of SSMP implant in all cases.

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Effects of degradable osteosynthesis plates of MgYREZr alloy on cell function of human osteoblasts, fibroblasts and osteosarcoma cells

Naujokat

Gülses

Wiltfang

et al. 2017

J Mater Sci: Mater Med

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The aim was to evaluate the biocompatibility of osteosynthesis plates of the MgYREZr/WE43 alloy by using human cells in vitro. Eluates of degradable magnesium osteosynthesis plates as well as halved plates were used for incubation with human osteoblasts, fibroblasts and osteosarcoma cells. The cell viability was evaluated by using FDA/PI-Staining and LDH analysis. Cell proliferation was assessed by MTT, WST-Test and BrdU-ELISA. Scanning electron microscope was used for investigation of the cell adhesion. The number of devitalized cells in all treatment groups did not significantly deviate from the control group. According to MTT results, the number of metabolically active cells was not significantly affected by the addition of the eluates. The number of metabolically active cells was reduced by 24 to 38% compared to the control on incubation in direct contact with the osteosynthesis plates. The proliferation of the cells was inhibited by the addition of the eluates. While the eluate of the half-hour elution has only a very small effect, the 24 h eluate significantly inhibits proliferation by 23-25% compared to the control. The roughened surface of the magnesium osteosynthesis plate after incubation showed adherent cells. However, some areas of the plates were also free of adherent cells. WE43 based magnesium alloys showed favorable biocompatibility considering the viability of the cells evaluated; however, proliferation rates were reduced in a time dependent manner, especially in fibroblast group. This might be a potential clinical benefit of magnesium osteosynthesis plates and their superiority to titanium, thus the fibroblastic ingrowth might negatively influence the bone-plate contact.

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Mini-plate removal in maxillofacial trauma patients during a five-year retrospective study

Cited by 28 publications

References 20 publications

RETRACTED: Osteosynthesis Plate Removal: Patient Benefits and Burdens

RETRACTED: Osteosynthesis Plate Removal: Patient Benefits and Burdens

Incidence and Causes of Stainless Steel Miniplate (Ssmp) Implant Exit Following Faciomaxillary Fracture Fixation- A Three Year Retrospective Study

Effects of degradable osteosynthesis plates of MgYREZr alloy on cell function of human osteoblasts, fibroblasts and osteosarcoma cells

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