Titanium Lag Screw Versus Miniplate Fixation in the Treatment of Anterior Mandibular Fractures

Tiwari, Manish Kumar; Meshram, Vikas; Lambade, Pravin; Fernandes, Gabriela

doi:10.1016/j.joms.2019.01.001

Cited by 12 publications

(13 citation statements)

References 28 publications

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“…This was in agreement with Wusiman et al [8] , systematic review that showed shorter operative time following leg screw and 3D plates than miniplates. Other reports showed similar findings [21,24] .…”

Section: Discussionsupporting

confidence: 74%

“…In a recent two reports by Elhussein et al [19] , and El Nakeeb et al [20] , the rates of satisfactory clinical and radiological outcomes were comparable between miniplates and lag screw and 3D plates, respectively. Nonetheless, other published reports showed significantly better improvement in early clinical and radiological outcomes following lag screws, compared to miniplates [21,22] . Likewise, in a recent systematic review, the lag screws and 3D plates were superior to miniplates in terms of early clinical outcomes [8] .…”

Section: Discussionmentioning

confidence: 80%

See 1 more Smart Citation

Comparative Evaluation of Three Different Techniques for Open Reduction and Fixation of Anterior MandibulComparative Evaluation of Three Different Techniques for Open Reduction and Fixation of Anterior Mandibular Fracturesar Fractures

Shuman

Tawfik

2020

OMX

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Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 80%

Comparative Evaluation of Three Different Techniques for Open Reduction and Fixation of Anterior MandibulComparative Evaluation of Three Different Techniques for Open Reduction and Fixation of Anterior Mandibular Fracturesar Fractures

Shuman

Tawfik

2020

OMX

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“…This is due to the compression effect of the lag screw which improve healing by primary intention by permitting direct lamellar ossification inside the gap (27,28) . It was reported that fracture gap larger than 2mm cause delayed union (29) which not noticed in this study.…”

Section: Discussioncontrasting

confidence: 47%

Comparison of lag-screw versus miniplate for osteosynthesis of anterior mandibular fracture: A Randomized Control study

Shuman

2020

Egyptian Dental Journal

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Objective: The aim of this study was to evaluate the outcome of mandibular fractures fixation in order to compare lag screw technique with standard miniplates. Methods: This prospective randomized comparative study was conducted on 20 patients with mandibular anterior fractures treated with open reduction and internal fixation. The patients were then randomly allocated into two groups. Group 1: two lag screws were used for fracture osteosynthesis in 10 patients. Group 2: two miniplates were used for fracture osteosynthesis in 10 patients. The surgery was done by the same surgical team who did not involve within the research work. The time for hardware fixation was recorded intraoperatively. Patients were assessed clinically and radiographically for fracture stability, malocclusion, masticatory efficiency, mouth opening, paresthesia, pain, edema, infection, wound dehiscence, malunion/ununion and hardware loosening. A repeated measure ANOVA were used to evaluate the different between lag screw and miniplates. Results: Hardware fixation time showed a highly significant (p<0.001*) difference between group-1 Lag screw with an average of 15.80±0.80 minutes and group-2 miniplates with an average of 20.01±0.823 minutes. The difference in interfragmentary distance between lag screw and miniplates treatments were nonsignificant (p>0.05). regarding occlusion, fracture stability, mastication biting efficiency and postoperative complications a non-significant (p<0.05) difference between both groups as revealed. Conclusions: According to the result of this prospective study it is concluded that, the internal fixation of anterior mandibular fractures with lag screws osteosynthesis is simple, successful, achieving rapid fixation with minimal complications.

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“…Open reduction and internal fixation is the widely accepted method of treatment. Lag screws when compared with plates, have an advantage of the requirement of minimum implant material and they also provide maximum stability [3][4][5].…”

Section: Review Articlementioning

confidence: 99%

Lag Screws in Maxillofacial Trauma- A Review

Ramasubbu

2021

JPRI

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The etiology of mandibular fractures includes mainly assaults and road traffic automobile accidents. Additionally, fall and sports injuries are the foremost common causes for mandibular fractures. Mandibular fractures outnumbered zygomatic and maxillary fractures by a ratio of 6:2:1, respectively. Road traffic accidents is that the most typical etiology, followed by assaults and sport-related injuries. For the management of maxillofacial trauma, the treatment commonly done is open reduction and Internal Fixation using miniplates. Lag screws as compared with plates, have a plus of the necessity of minimum implant material which they also provide maximum stability. The lag screw placement is a simple method of rigid fixation. The choice of the lag screw technique depends on patient factors, kind of fracture, site of fracture, and thus the skill of surgeon. The aim of this review is to assess the efficiency of Lag Screws for the management of maxillofacial trauma.

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Titanium Lag Screw Versus Miniplate Fixation in the Treatment of Anterior Mandibular Fractures

Cited by 12 publications

References 28 publications

Comparative Evaluation of Three Different Techniques for Open Reduction and Fixation of Anterior MandibulComparative Evaluation of Three Different Techniques for Open Reduction and Fixation of Anterior Mandibular Fracturesar Fractures

Comparative Evaluation of Three Different Techniques for Open Reduction and Fixation of Anterior MandibulComparative Evaluation of Three Different Techniques for Open Reduction and Fixation of Anterior Mandibular Fracturesar Fractures

Comparison of lag-screw versus miniplate for osteosynthesis of anterior mandibular fracture: A Randomized Control study

Lag Screws in Maxillofacial Trauma- A Review

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