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Use of a 2.0-mm locking plate/screw system for mandibular fracture surgery
1Division of Oral and Maxillofacial Surgery, University of Texas Southwestern Medical Center, Dallas, TX 75390-9109, USA. Edward.Ellis@UTSouthwestern.edu
Purpose:
In this study, we examined the use of a 2.0-mm locking bone plate/screw system in mandibular surgery.
Patients And Methods:
All patients who were treated with a 2.0-mm locking bone plate/screw system during an 8-month period for fractures of the mandible or other defects of the mandible were prospectively studied. Ease of use of locking plate/screw system, characteristics of the fractures and defects, and complications were tabulated.
Results:
A total of 80 fractures in 59 patients were treated with the 2.0-mm locking plate/screw system. One hundred two 2.0-mm locking plates were applied to the 80 fractures; 58 fractures received 1 plate and 22 fractures received 2 plates. There were no intraoperative difficulties associated with their application. Fracture reductions were considered to be excellent in all cases. At the latest follow-up, all fractures had healed, but 2 patients had slight malocclusions. Six patients developed postsurgical infections. Only 1 patient required hospitalization for treatment of the infection; all others were managed in the outpatient clinic. Four patients required removal of their plates for varying reasons.
Conclusions:
The use of a 2.0-mm locking plate/screw system was found to be simple and to provide sound fixation in all cases.