A 4-Year Multicentre Audit of Complications Following ORIF Treatment of Mandibular Fractures (original) (raw)
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Journal of Maxillofacial and Oral Surgery, 2016
To compare long term and short term outcomes of fixing mandibular symphysis and parasymphysis fractures with single mini plate and conventional fixation using two mini plates. Study design: in this prospective clinical comparative study, 30 patients with fracture in study region were randomly divided into two groups. Group A patients received single 2.5 mm titanium miniplate and Group B patients received two 2 mm titanium miniplates as per Champy's lines of osteosynthesis. Patients were followed up at intervals of 1, 12 and 24 weeks. Parameters assessed were: duration of surgery, fracture stabilization, paresthesia, occlusion and wound dehiscence. Statistically significant difference was observed in mean duration of surgery and wound dehiscence (P \ 0.05). No significant difference was observed with respect to other parameters. Single 2.5 mm miniplate for mandibular symphysis and parasymphysis fractures is a time saving and cost effective technique with post-operative outcomes similar to conventional 2 plate fixation.
Journal of Pharmaceutical Research International
Objective: To compare the outcomes stability, malunion and intra operative time by using 2.0mm conventional miniplates and 3-D plates in management of the anterior mandibular fracture. Materials and Methods: Total 94 patients were included and equally divided in two groups. Fixation of fracture was done by 2.0mm conventional miniplates in Group-A and a single 3D plate in Group-B. Stability, healing and malunion were assessed on follow-up at 1st week, 6th week, and 12th week using Chi Square Test. Results: Stability was 91.5% in group-A and 93.6% in group-B. Clinically malunion was 12.8% at 1st week, 14.8% at 2nd week, 14.8% at 8th week in group-A while in group-B, malunion was 8.5% at 1st week, 2nd week and at 8th week. Radiographically, malunion was 12.8% at 1st week, 14.8% at 2nd week, 14.8% at 8th week in group-A while in group-B, malunion was 8.5% at 1stweek, 2nd week and at 8th week. Conclusion: The results of the study concluded that 3-D plating system has advantages over conv...
Pakistan Journal of Medical and Health Sciences
Background: Mandibular fracture, also known as fracture of the jaw, is a sudden discontinuity through the mandibular bone. In the treatment of un-favorable mandibular angle fractures, 3D plating system was analogous to double miniplates Osteosynthesis. Over the last century, the indicators for closed vs. open reduction have shifted considerably. Objective: To compare the outcome of conventional miniplates versus 3-D miniplates for reduction of mandibular fractures Material & Methods Study Design: It was randomized control trial Setting: Department of Oral & Maxillofacial Surgery, Mayo Hospital, Lahore Duration: 6 months i.e. from 24-04-2017 to 24-10-2017 Data collection: 70 mandibular fracture patients were enrolled. The patients were split into two groups. Group A is treated with 3D plates technique and group B treated with conventional mini plate technique. After surgery patients were evaluated for plate failure or and at 1 month for occlusal discrepancy. All the data was entered ...
IP innovative publication pvt. ltd, 2019
Abstract Introduction: Mandible is the largest and strongest facial bone, by virtue of its position on the face and its prominence, it is commonly fractured when maxillofacial trauma has been sustained. The main disadvantage of conventional bone plate/screw systems is that the plate must be perfectly adapted to the underlying bone to prevent alterations in the alignment of the segments and changes in the occlusal relationship during screw tightening. Introduction of 2.0 mm locking plate/screw plating systems for the treatment of mandibular fractures works on the principle of restricted backout and function as internal fixators, achieving stability by locking the screw to the plate with unique advantage of obviating the need of intimate contact of the plate with the underlying bone. So the study was planned with an aim for comparative evaluation of use of 2.0-mm stainless steel locking miniplates with Champy`s miniplates in mandibular fractures in terms of stability, postoperative healing & associated complications. Materials and Methods: This cross sectional prospective interventional analytical study was carried out in Department of Dentistry at Raipur Institute of Medical Sciences, Raipur over a period of 10 months from September 2016 to July 2017. A total of 60 patients were enrolled in two study groups of 30 each. Detailed clinical, laboratory and radiological examination was followed by standard operative procedures described by the various authorities using two different Miniplates. The results were documented in Microsoft Excel and statistical analysis was done using Epi-info. Results: Both the study groups were having 30 patients each. 26 males and 4 females in group I whereas 28 males and 2 females in group II. A total of 54/60 patients were male and 6 females.Road traffic accident was the most common cause of mandibular fractures in 37/60 (61.66%). Parasymphysis was the most common site of fracture (40%).There is no significant difference in working time, post-operative infections but significant difference is observed in terms of post-operative occlusion, mobility of fractured segments, pain at various point of time measured on visual analogue scale when tested with various tests of significance Conclusion: The use of 2.0mm locking plate system with its advantages of improved handling characteristics, increased stability, less occlusive discrepancy, low infection rate, less mobility, less painappear to be an effective and reliable alternative to Champy`s miniplates in mandibular fractures. Keywords: Locking plate system, Working time, Postoperative occlusion, Post-operative mobility.
2021
Aim of Study: was to compare both clinically and radiographically between the three-dimensional plates, 2.4 reconstruction plates and superior border Champy's single miniplate fixation in the treatment of mandibular angle fractures. Materials and Methods: The study enrolled patients who suffered from mandibular angle fractures, presented to the outpatient clinic of the oral and maxillofacial surgery department, faculty of dentistry, October 6 University as well as to the emergency unit of October 6 University Hospital. Patients were divided into 3 equal groups; Group I where open reduction and internal rigid fixation (ORIF) was performed by using 3 Dimensional miniplates through an intra-oral approach assisted by transbuccal trocar. Group II where ORIF was performed by 2.4 reconstruction plate through an extra-oral Risdon approach. Group III where ORIF was performed using single superior border Champy's miniplate through an intra-oral approach. Follow up were scheduled 1 wee...
Conventional 2.0 mm Miniplates versus 3D Miniplate in Mandibular Fracture Fixation
Al-Azhar Dental Journal for Girls, 2016
The aim of the present study was to clinically and radiographically compare and evaluate the treatment outcomes using 3D miniplate versus conventional 2.0 mm miniplates in fractures fixation of the anterior mandible. The study enrolled 16 patients with a total of 18 fractures; suffering from anterior mandibular fractures (symphysis and/or parasymphysis) requiring open reduction and internal fixations through an intra-oral approach. Groups I patients were fixed using 3D titanium miniplates and screws. Group II patients were fixed using two 2.0 mm titanium miniplates and screws. Postoperative primary clinical treatment outcome points for comparative evaluation for all patients were fracture stability, the need for additional IMF, the need for minor occlusal adjustments and satisfactory occlusion. Secondary assessment points were infection, wound dehiscence and neurosensory deficit. Radiographic evaluation postoperatively was in terms of reduction adequacy, bone union and condylar positional change measurement. With respect to all the evaluated parameters, statistical analysis showed no statistically significant difference between the two groups in terms of clinical and radiographic treatment outcomes.
International Journal of Contemporary Medical Research [IJCMR], 2019
The aim of mandibular fracture treatment is to restore the pre-injury anatomic form and function, with particular care to establish the occlusion. Of the various treatment modalities available, Champys miniplate fixation has become the most widely used technique. The 3-dimensional (3D) plating for mandibular fracture treatment is relatively new. This study was conducted to compare efficacy, stability and rigidity of 3-dimensional plates with that of 2mm titanium miniplates in the surgical management of anterior mandibular fractures. Material and Methods: The study was conducted on 70 patients with anterior mandbibular fractures (Symphysis and Parasymphysis region). Patients were randomly divided into two groups, Group I (n=35) in which the patients underwent fixation by miniplates (2 nos) while in Group II (n=35), 3D plates were used for fixation. The patients preoperative, intra operative and post-operative clinical and radiological findings were recorded in a proforma and were subjected to statistical analysis. Fisher's Exact Test was used to compare the data obtained from group I and group II patients. Results: Out of 70 patients, 77.14% corresponded to the age group of 15-30 years and 82.85% were males. Road traffic accident (80) % was the leading cause of fracture. The time required to adapt and fix the miniplates was slightly more than 3-D plates and results were statistically significant. Skeletal and occlusal stability was maintained in both group. Conclusion: There is no major difference in terms of treatment outcome in both systems, and both are equally effective in mandibular fracture treatment.
Journal of Maxillofacial and Oral Surgery, 2015
Aims and Objectives To compare and evaluate the variation in recorded bite forces in patients with mandibular fractures undergoing open reduction and rigid internal fixation using standard 2.0 versus 2.0 mm locking miniplates. Materials and Methods A prospective randomized study was conducted for the treatment of mandibular fractures. Twenty adult patients with 31 mandibular fractures requiring an open reduction and internal fixation were included in the study. The sample was divided into two groups depending upon whether the patients received 2.0 mm non-locking (standard) or 2.0 mm locking miniplates for rigid fixation respectively. Bite force was evaluated at 1st, 3rd and 6th week after the open reduction and rigid fixation using miniplates. Results A statistically significant difference was not found in the clinical parameters such as pain, swelling, infection, paresthesia, hardware failure, and mobility between the fracture segments. The results showed that amongst locking vs non-locking miniplates, the former showed a greater bite force enhancement when compared to baseline values(post-trauma).A comparison between 2nd day post-operative vs 6th week post-operative values showed a significant increase in bite force in Group 1 (nonlocking) (p \ 0.05) whereas the values Were highly significant (p \ 0.001) in Group 2 (locking Plate). Conclusion The findings were suggestive that the efficacy of locking miniplates plate in mandibular fracture was superior in terms of bearing the masticatory loads during osteosynthesis of the fracture. However, the clinical results were almost similar to those seen with non-locking miniplate osteosynthesis.
Conventional 2.0 mm miniplates versus 3-D plates in mandibular fractures
Annals of Maxillofacial Surgery, 2013
To compare and evaluate the treatment outcome and postoperative complications in mandibular fractures using 2-and 3-dimensional miniplates. Materials and Methods: This study consisted of a sample of 28 patients (40 fracture sites) divided randomly but equally (single-blind control trial study) into two groups. Each group contains 14 patients (20 similar fracture sites in each group). Group 1 was treated with open reduction and internal fixation using 3-dimensional (3-D) miniplates. Group II was treated using 2-dimensional (2-D) 2-mm miniplates. Results: Out of 14 patients treated by conventional 2-mm miniplates, 2 patients developed occlusal discrepancy, another 2 had postoperative mobility at fracture site, and 1 developed plate failure and subsequent infection, which was treated by removal of the plate under antibiotic coverage. One patient treated by 3-dimensional plates had tooth damage. Statistical Analysis: Chi-square test. Conclusion: The results of this study suggested that the treatment of mandibular fractures (symphysis, parasymphysis, and angle) with 3-dimensional plates provided 3-dimensional stability and carried low morbidity and infection rates. The only probable limitations of 3-dimensional plates were excessive implant material due to the extra vertical bars incorporated for countering the torque forces.
World Journal of Dentistry
Aim: To evaluate and compare the effectiveness of locking vs conventional 2.0 mm titanium miniplate in the fixation of mandibular fractures and to compare masticatory efficiency. Materials and methods: In this study, 30 patients were selected and randomly divided into two groups (I and II). Both groups I and II consisted of 15 patients who underwent mandibular osteosynthesis using locking and conventional (non-locking) 2-mm miniplates, respectively. Postoperative follow-up was done at first, second, fourth week, and at third month for radiological and clinical assessment of all the patients. Results: In this study, a statistically insignificant result was found in the following parameters: pain, swelling, paresthesia, infection, hardware failure, and postoperative occlusal bite forces. An increase in bite force is recorded at each follow-up (first, second, fourth week, and at third month) for both the groups. When occlusal bite forces were compared, group I showed greater mean bite force than group II at each follow-up, however, the results were statistically insignificant (p value > 05). Conclusion: This study concludes that both locking and conventional miniplates are equally effective in withstanding masticatory load, with locking plates/screw system having added advantage of higher initial stability and stiffness thereby minimizing the duration of IMF. Locking miniplates system was found to have less infection and hardware failure. Clinical significance: In this study, locking plate group was found to be clinically superior because of ease of handling, higher initial stability, and stiffness, hence minimizing the total duration and had less infection and failure.