Rigid internal fixation with miniplates and screws: a cost-effective technique for treating mandible fractures?

Area of Science:

• Oral and Maxillofacial Surgery
• Trauma Surgery
• Biomaterials in Medicine

Background:

• Traditional mandible fracture stabilization often involves intermaxillary fixation.
• Rigid internal fixation (RIF) with miniplates and screws has gained prominence in recent years.
• Healthcare cost containment necessitates evaluation of therapeutic method cost-effectiveness.

Purpose of the Study:

• To retrospectively compare intermaxillary fixation, interosseous wire osteosynthesis, and RIF with miniplates and screws for mandible fractures.
• To assess the cost-effectiveness and clinical outcomes of different fixation methods.
• To provide evidence for justifying therapeutic choices in mandible fracture management.

Main Methods:

• Retrospective analysis of hospital records from three patient groups (n=25 each).
• Comparison of treatment outcomes between intermaxillary fixation, interosseous wire osteosynthesis, and RIF with miniplates and screws.
• Evaluation of cost-effectiveness, including initial purchase costs and long-term benefits.

Main Results:

• Miniplates and screws demonstrated cost-effectiveness despite higher initial costs and operating time.
• RIF with miniplates and screws facilitated a quicker return to pre-injury lifestyle.
• Patients treated with RIF experienced decreased weight loss, improved oral hygiene, and better wound care.

Conclusions:

• Rigid internal fixation with miniplates and screws is a cost-effective strategy for mandible fractures.
• RIF offers significant clinical advantages, including improved patient recovery and reduced complications.
• This approach eliminates the need for monitored intensive care unit admissions due to airway protection.