Miniplate osteosynthesis of infected mandibular fractures

Johansson, Björn; Krekmanov, Leonard; Thomsson, M.

doi:10.1016/s1010-5182(88)80009-x

Cited by 43 publications

(13 citation statements)

References 10 publications

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“… Seiji Nakamura et al [9] and others [10] noticed post operative complications like malocclusion (3.6%), exposure of miniplate (3.6%), delayed union (1.8%) and infection (1.0%) in 110 patients with mandibular fractures. Post operative complications may be due to inadequate reduction and stabilization, delay in treatment, teeth in fracture line, failure to provide antibiotics, alcohol or drug abuse [11], [12] . Claude Guimond et al [13] used 2mm 3-Dimensional curved angle strut plate; they noticed low morbidity and infection rate.…”

Section: Discussionmentioning

confidence: 99%

A comparision of 3-dimensional and standard miniplates fixation in the management of mandibular fractures

Manohar¹,

Shaik²,

Reddy.D³

2017

Int J Recent Sci Res

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ARTICLE INFO ABSTRACTPurpose: To compare and evaluate 3-dimensional (3D) and conventional 4-hole miniplates fixation in the management of mandibular fractures. Materials and Methods:In 20 randomly selected patients who sustained mandibular fractures were selected for this study. Of the 20 cases, in 10 cases fractured fragments were stabilized using 2.0mm 3-Dimensional miniplates and in remaining 10 cases the fractured fragments were fixed with conventional 2.0mm miniplates. Post operatively cases were assessed clinically and radiographically at immediate post op, 1month and 3months.Results: This study suggests that fixation of mandibular fracture with 3D Plates provide three dimensional stability and carries low morbidity and infection rates. The only probable limitation of these plates may be excessive implant material due to the extra vertical bars incorporated for countering the torque forces and in cases where the fracture line passing through the mental foramina region. Conclusion:The 3D plate was found to be standard in Profile, strong yet malleable, facilitating reduction and stabilization at both the Superior and inferior borders giving three dimensional stability at fracture site. They seem to be an easy to use alternative to conventional miniplates. But the small sample size and limited follow up could be considered as the limitations of our study.

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Section: Discussionmentioning

confidence: 99%

A comparision of 3-dimensional and standard miniplates fixation in the management of mandibular fractures

Manohar¹,

Shaik²,

Reddy.D³

2017

Int J Recent Sci Res

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“…Lag screw fixation can be performed in any location in the mandible, 12 and normal bone healing can be achieved even with the presence of a salivary fistula or an infectious environment. 15 Serletti et al 12 experienced tangential fracture of the outer cortex during tightening of the lag screw. Our experience with this series shows that the biconcave washer can prevent the well-know complication that arises when lag screw fixation is used in trauma surgery.…”

Section: Discussionmentioning

confidence: 99%

Lag Screw Fixation for Straight Midline Mandibulotomy: Four-Year Experience

Uglešić

Knežević²,

Kosutic³

et al. 2004

Annals of Plastic Surgery

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The authors' experience with 2-lag screw technique for the stabilization of a straight midline mandibulotomy approach for oral cavity and oropharyngeal tumors is presented. Fixation is performed with 2.0-mm pretapped screws. A washer is used to prevent sinking of the screw head into spongy bone and to provide equal pressure distribution of the screw head to the bone edges. Lag screw fixation was used in 24 patients, 18 of whom underwent a full dose of irradiation therapy postoperatively. Two patients developed salivary fistula and 1 developed a local infection. In all patients there were no signs of mandibulotomy site instability, no disturbance of the occlusion, and radiography showed excellent bone healing. There were no indications for tooth extraction to complete the osteotomy. Lag screw fixation proved to be an uneventful and straightforward procedure for the stabilization of a straight midline mandibulotomy approach.

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“…Studies continue to cite high complication rates using these traditional methods [10][11][12][13]. Other studies report favorable results with the 2.0 mm titanium miniplate system [14].…”

Section: Introductionmentioning

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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Miniplate osteosynthesis of infected mandibular fractures

Cited by 43 publications

References 10 publications

A comparision of 3-dimensional and standard miniplates fixation in the management of mandibular fractures

A comparision of 3-dimensional and standard miniplates fixation in the management of mandibular fractures

Lag Screw Fixation for Straight Midline Mandibulotomy: Four-Year Experience

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

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