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Delayed miniplate osteosynthesis for mandibular fractures.

W P Smith1

  • 1Department of Oral and Maxillofacial Surgery, Poole General Hospital, Dorset.

The British Journal of Oral & Maxillofacial Surgery
|April 1, 1991
PubMed
Summary
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Delayed miniplate osteosynthesis for mandibular fractures showed comparable complication rates to early intervention. Proper incision placement is crucial for preventing wound issues and infection.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Trauma Surgery
  • Orthopedic Surgery

Background:

  • Mandibular fractures are common facial injuries.
  • Timely osteosynthesis is generally recommended for optimal healing.
  • Delayed treatment may raise concerns about increased complication risks.

Purpose of the Study:

  • To evaluate the outcomes of delayed miniplate osteosynthesis in mandibular fractures.
  • To compare complication rates between delayed and early osteosynthesis.
  • To identify factors influencing surgical outcomes in mandibular fracture repair.

Main Methods:

  • Retrospective review of 40 patients with 51 mandibular fractures.
  • Analysis of cases where miniplate osteosynthesis was delayed beyond the recommended interval.

Related Experiment Videos

  • Assessment of complication rates including wound dehiscence, infection, and delayed union.
  • Comparison with historical data or established benchmarks for early osteosynthesis.

    • Main Results:

    • The incidence of wound dehiscence was 2.5%.
    • The incidence of wound infection was 2.5%.
    • The incidence of delayed union was 2.5%.
    • These complication rates were comparable to those reported for osteosynthesis performed within 24 hours.
    • Stainless steel plates demonstrated short-term effectiveness comparable to more expensive alloys.

    Conclusions:

    • Delayed miniplate osteosynthesis for mandibular fractures can yield outcomes comparable to early intervention.
    • Strategic placement of incision lines is critical for minimizing wound dehiscence and infection.
    • Cost-effective stainless steel plates are a viable option for short-term mandibular fracture fixation.