Manoj Goyal1, Karan Marya, Sonia Chawla, Richa Pandey. 1. Department of Oral & Maxillofacial Surgery, Santosh Dental & Medical College Hospitals, No. 1, Santosh Nagar, Pratap Vihar, Sec-12, Ghaziabad, Uttar Pradesh India.
Abstract
PURPOSE: To compare & evaluate postoperative complications & treatment outcome in mandibular fracture fixation using 2.0 mm titanium miniplates & 3-D locking plates. METHOD:30 patients were divided randomly into two groups of 15 each (including comminuted & malunited fractures). GROUP A was treated with Open Reduction Internal Fixation (ORIF) using 2.0 mm miniplates & GROUP B with 3-D locking plates. RESULTS: A total of five complications were observed in four patients: Implant exposure & infection in miniplate group & postoperative neurosensory deficit, implant failure & implant exposure in 3-D group. CONCLUSION: For fractures in symphysis & parasymphysis region, severely displaced angle fractures and for comminuted fractures 3-D locking plate could be a better option. In the angle & body region a single miniplate fixed according to Champy's technique is easy to place with less surgical time, less surgical trauma, is more economical & has similar clinical results.
RCT Entities:
PURPOSE: To compare & evaluate postoperative complications & treatment outcome in mandibular fracture fixation using 2.0 mm titanium miniplates & 3-D locking plates. METHOD: 30 patients were divided randomly into two groups of 15 each (including comminuted & malunited fractures). GROUP A was treated with Open Reduction Internal Fixation (ORIF) using 2.0 mm miniplates & GROUP B with 3-D locking plates. RESULTS: A total of five complications were observed in four patients: Implant exposure & infection in miniplate group & postoperative neurosensory deficit, implant failure & implant exposure in 3-D group. CONCLUSION: For fractures in symphysis & parasymphysis region, severely displaced angle fractures and for comminuted fractures 3-D locking plate could be a better option. In the angle & body region a single miniplate fixed according to Champy's technique is easy to place with less surgical time, less surgical trauma, is more economical & has similar clinical results.
Authors: Domenick P Coletti; John F Caccamese; Clint Norby; Scott Edwards; J Anthony von Fraunhofer Journal: J Oral Maxillofac Surg Date: 2007-12 Impact factor: 1.895