Treatment of Linear Mandibular Fractures Using a Single 2.0-mm AO Locking Reconstruction Plate: Is a Second Plate Necessary?

Scolozzi, Paolo; Martinez, A.; Jaques, Bertrand

doi:10.1016/j.joms.2009.04.050

Cited by 15 publications

(10 citation statements)

References 8 publications

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“…This improves the stability of the construct, which decreases the gap strain and the mechanical susceptibility to infection that occurs when adequate stabilization is no longer guaranteed. [8]…”

Section: Discussionmentioning

confidence: 99%

“…To overcome the drawbacks associated with the use of compression plates or miniplates,[8] reported their clinical experience with the use of a single 2.0-mm locking reconstruction plate at the inferior border of the mandible to treat linear non-comminuted mandibular fractures since the 2003, launch in Switzerland of a new internal AO low profile 2.0-mm locking system.…”

Section: Introductionmentioning

confidence: 99%

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Use of a single 2.0-mm locking AO reconstruction titanium plate in linear, non-comminuted, mandible fractures

Parmar

Makwana

Patel

et al. 2014

Ann Maxillofac Surg

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Purpose:The aim of the following study is to prospectively evaluate the use of a single Arbeitsgemeinschaft für Osteosynthesefragen (AO) 2.0-mm locking reconstruction plate for linear non-comminuted mandibular fractures without the use of a second plate.Materials and Methods:This study consisted of a sample of 10 patients who reported to the department with fractures of the mandible and were treated over a period of 24 months from November 2010 to November 2012. Out of these, there were 8 male patients and 2 female patients. There were four cases of isolated parasymphysis fractures, 1 of the case had a parasymphysis fracture associated with subcondylar fracture, 4 had a body fracture and 2 had a symphysis fracture.Results:All patients had satisfactory fracture reduction and a successful treatment outcome without major complications. Only one patient (10%) developed minor complications.Conclusion:The study has demonstrated that treating linear non-comminuted mandibular fractures with a single AO 2.0-mm locking reconstruction plate provides excellent stability at the fracture site which in turn leads to sound bone healing and early functional rehabilitation.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Use of a single 2.0-mm locking AO reconstruction titanium plate in linear, non-comminuted, mandible fractures

Parmar

Makwana

Patel

et al. 2014

Ann Maxillofac Surg

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“…Kirkpatrick and coworkers showed that locking reconstruction plates facilitate the management of complicated fractures, but postoperative infections cannot be entirely eliminated (Kirkpatrick et al, 2003). In 45 patients with 74 linear noncomminuted mandibular fractures reduced with a single AO 2.0-mm locking reconstruction plate Scolozzi et al (2009) found sound bone healing with no major complications. Two plates were often used in the presented study because comminuted fractures also were included.…”

Section: Discussionmentioning

confidence: 99%

Clinical aspects of a 2.0-mm locking plate system for mandibular fracture surgery

Sauerbier

Kuenz

Hauptmann

et al. 2010

Journal of Cranio-Maxillofacial Surgery

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SUMMARY. Purpose: The use of a 2.0-mm locking plate system was evaluated in mandibular surgery. Patients and methods: 53 patients (42 male, 11 female) with a total of 56 mandibular fractures were treated with a 2.0-mm mini-locking-plate system and retrospectively examined. Gender, age, cause of fracture, surgical access, classification of fractures, osteosynthesis, postsurgical findings and complications were evaluated. Results: Assault in male patients (mean age 31) was the most common aetiological factor. Fractures in women (mean age 43 years) mostly occurred due to falls. Mandibular angle fractures were the most common and this anatomical site also presented the highest complication rate. Only 6% of patients had minor occlusal disturbance postoperatively, and minor complications (infections and dehiscence) occurred in 14% of patients in this study. Major complications only occurred in one patient included in the study (1.9%). Risk factors for the development of complications in this series were a history of alcohol or tobacco use, mandibular angle fractures, associated facial fractures, presurgical occlusal disturbance and concomitant dental infections. Surgical access to the fracture and the interval from injury to surgery was not associated with the development of complications. Conclusions: The use of a 2.0-mm locking plate system with its advantages of improved handling characteristics, increased stability, shorter surgical time and the preservation of bony perfusion is a viable alternative to conventional miniplates in the management of mandibular fractures. Ó 2010 European Association for Cranio-Maxillo-facial Surgery

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“…This was in agreement with Gerlak et al (14) as no infection has been developed along the study follow up periods as they used the miniplates osteosynthesis and regard to the teeth within the line of the fracture was firmly retained. In the present study, single miniplate was used in the compression area of fracture accompanied by the arch bar placed as a tension band maintained for 5 weeks for its superior advantages including; maximize the advantages of an ORIF technique, more reliable, minimized implanted material, cost effective and decreasing postoperative complications without affecting the stability of the fractured segments as reported by several researchers (15)(16) . It is difficult to calculate the extent to which a reduction of the total amount of titanium used will decrease deposition of metal ions in the peripheral organs.…”

Section: Discussionmentioning

confidence: 95%

Evaluation of mini-locking plate system in management of body mandibular fracture (Clinical study)

Ghoniem

Tawfik

2019

Al-Azhar Journal of Dental Science

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Aim: To evaluate the mini-locking plate system in management of body mandibular fracture. Patient and methods: Twenty patients were randomly classified into two equal groups. Group ( 1): (The study group): Ten patients were treated by open reduction and internal fixation using single 2.0mm locking plate and arch bar as a tension band maintained for 5 weeks. Group (2): (The control group) Ten patients received the same treatment as in group ( 1) but with single 2.0mm conventional plate. Follow-up was performed for 6 months and post-operative complications such as infection, wound dehiscence, neurosensory disturbances and malocclusion were recorded. Arch bar was removed after 5 weeks of surgery. Data regarding age, sex, and bone density at the fracture side during healing, bite force measurements at anterior, premolar and molar regions were collected, tabulated and statistically analyzed using IBM SPSS software package version 20.0.Results: Uneventful healing of all fractures treated with mini-locking plates and conventional plate system, with no cases of malunion, nonunion, infection, or malocclusion being observed through the follow up periods. There was statistically difference between both groups regarding the mean bone density one week, 1, 3 and 6 months post-operatively. Bite force recording showed increasing values at subsequent follow ups corresponding to the healing of the fracture in both groups. Conclusion:Bone density in group (1) was in an accelerated pattern and of higher value than that of group (2). Patients treated with locking plate screw system regain more bite force compared to those treated with conventional miniplate screw system.

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Treatment of Linear Mandibular Fractures Using a Single 2.0-mm AO Locking Reconstruction Plate: Is a Second Plate Necessary?

Cited by 15 publications

References 8 publications

Use of a single 2.0-mm locking AO reconstruction titanium plate in linear, non-comminuted, mandible fractures

Use of a single 2.0-mm locking AO reconstruction titanium plate in linear, non-comminuted, mandible fractures

Clinical aspects of a 2.0-mm locking plate system for mandibular fracture surgery

Evaluation of mini-locking plate system in management of body mandibular fracture (Clinical study)

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