Miniplate osteosynthesis for fractures of the edentulous mandible: A clinical study 1989–96

Iatrou, Ioannis; Samaras, Christos; Theologie-Lygidakis, Nadia

doi:10.1016/s1010-5182(98)80075-9

Cited by 49 publications

(23 citation statements)

References 11 publications

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“…Iatrou et al [5] and Mugino et al [3] reported series of cases demonstrating reasonable treatment outcomes using miniplate osteosynthesis on fractures of edentulous mandibles, despite the fact that not all mandibles were atrophic as defined by Luhr et al [6]. Nevertheless, their principles of treatment were based on bone buttressing areas of the mandible for placement of the plates.…”

Section: Discussionmentioning

confidence: 99%

“…Important advantages cited throughout the literature in favor of the use of smaller bone plates include: possibility of surgery under local anesthesia and sedation, less invasive surgical procedure and avoidance of a scar and facial nerve lesion due to the use of an intra-oral access [3][4][5].…”

Section: Discussionmentioning

confidence: 99%

“…Hence it is interesting to have a hardware that can carry the properties of a miniplate providing more stability than the conventional miniplates available and leaving the possibility of treating the patient without imperative need for general anesthesia [5].…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, controversies regarding the treatment of such injuries usually engender great debate among oral and maxillofacial surgeons, since no large series of cases or prospective controlled trials are available throughout the literature. The reduced blood supply of the sclerotic bone, the diminished contact area between bone fragments and the patient's systemic condition makes the treatment of those fractures a challenge for any professional [1,[3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

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Treatment of Atrophic Mandibular Fractures with the Pencilboneplate: Report of 2 Cases

Oliveira

Pereira-Filho

Hochuli‐Vieira

et al. 2012

J. Maxillofac. Oral Surg.

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The incidence of fractures of the atrophic edentulous mandible is still low, even with the increasing life expectancy. The reduced blood supply of the sclerotic bone, the diminished contact area between bone fragments and the patient's systemic condition makes the treatment of those fractures a challenge for any professional. Treatment of atrophic mandibular fractures by means of miniplate osteosynthesis has not been the preferred method of fixation by many authors. Yet, many surgeons have applied this type of fixation for the atrophied jaw sections. This paper reports 2 cases of fractured atrophic mandibles treated with the pencilboneplate, a monocortical 2.0 mm titanium, 8 or 10-hole hardware with reinforcement on its middle portion, highlighting important considerations of its use. The pencilboneplate appears to be a valuable option for the treatment of atrophic mandibular fractures, especially by an intra-oral approach, and warrants further biomechanical and clinical studies.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Treatment of Atrophic Mandibular Fractures with the Pencilboneplate: Report of 2 Cases

Oliveira

Pereira-Filho

Hochuli‐Vieira

et al. 2012

J. Maxillofac. Oral Surg.

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show abstract

“…Treatment of fractures in older patients with bone atrophy is characterized by high morbidity due to local and general factors (Ellis and Price, 2008). In fact, serious complications are common, especially in patients with atrophy classes II and III, such as non-union or fracture of hardware, the incidence of which has been reported to range between 4% and 20% (Luhr et al, 1996;Bruce and Strachan, 1976;Buchbinder, 1993;Eyrich et al, 1997;Iatrou et al, 1998;Kunz et al, 2001) and is probably linked to the bone height in the area of fractures (Bruce and Ellis, 1993;Wittwer et al, 2006).…”

Section: Introductionmentioning

confidence: 99%

The role of bone marrow aspirate cells in the management of atrophic mandibular fractures by mini-invasive surgical approach: Single-institution experience

Mannelli

Arcuri

Conti

et al. 2017

Journal of Cranio-Maxillofacial Surgery

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Elderly patients management Bone marrow aspirate cells Min-invasive surgical approach a b s t r a c t Purpose: The treatment of fractures involves addressing the biology of fracture repair and the mechanical stability of fracture fixation. Traditionally it has included the addition of bone graft to enhance healing. New advances in the understanding of the cellular and molecular mechanisms of fracture repair have led to the use of growth factors to accelerate bone healing. This study aimed to assess the advantages of autologous stem cell use for atrophic mandibular fracture treatment in comparison to standard technique. Materials and methods: A total of 35 patients (14 male and 21 female) were treated for fractures of atrophic mandibles between January 2011 and December 2014. Surgical technique provided miniinvasive open reduction with or without immediate homologous bone graft, while selected patients received autologous bone marrow aspirate cell grafts in addition to the standard treatment. Demographic data and details of treatment and outcomes were recorded. Results: Patients were categorized according to the use of autologous stem cells, leaving 17 patients treated with standard technique and autologous stem cells (Group A) and 18 treated with standard osteosynthesis only (Group B). Of the 35 patients, 26 had bilateral fractures; most patients had significant medical co-morbidities. Immediate bone graft was used in 37.1% of patients (7 in group A and 6 in group B). Complications occurred in 5 patients (14.3%). Two patients in group B (11.1%) showed non-union of the fracture. One patient in group A (5.8%) and one patient in group B (5.5%) showed wound dehiscence and were treated conservatively; one patient in group B had a local infection (5.5%), one out of 35 (2.8%), that was managed by prolonged antibiotic treatment. Conclusions: Despite the advanced age and medical co-morbidities of the vast majority of patients, miniinvasive open approach with autologous bone graft ensures a fast and excellent recovery. Moreover, the management of atrophic mandibular fractures by bone marrow aspirate cells is a safe and useful procedure which has a lower complication rate when compared to standard technique.

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Symphysis, Parasymphysis and Body Fractures

Mukul

Singh

2021

Maxillofacial Trauma

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Miniplate osteosynthesis for fractures of the edentulous mandible: A clinical study 1989–96

Cited by 49 publications

References 11 publications

Treatment of Atrophic Mandibular Fractures with the Pencilboneplate: Report of 2 Cases

Treatment of Atrophic Mandibular Fractures with the Pencilboneplate: Report of 2 Cases

The role of bone marrow aspirate cells in the management of atrophic mandibular fractures by mini-invasive surgical approach: Single-institution experience

Symphysis, Parasymphysis and Body Fractures

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