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[Indications for plate osteosynthesis in childhood]
B Hoffmeister1, B Fleiner, H Jönck
1Abeteilung Kieferchirurgie im Klinikum der Christian-Albrechts-Universität Kiel.
Deutsche Zahnarztliche Zeitschrift
|December 1, 1990
Summary
Miniplate osteosynthesis is effective for adult fractures. This study suggests miniplates can also treat childhood mandibular fractures from age eight, using short screws for adequate stability.
Area of Science:
- Orthopedic surgery
- Pediatric fracture management
- Biomechanical testing
Background:
- Miniplate osteosynthesis is standard for adult fractures.
- Its application in pediatric fractures requires further investigation.
- Evaluating criteria for using miniplates in growing bone is essential.
Observation:
- A study analyzed 121 fractures during the growth period.
- Experiments on cadaver jaw bone demonstrated screw retentive forces.
- Sufficient stabilization was achieved with 5 mm screws.
Findings:
- Miniplate osteosynthesis is feasible for pediatric mandibular fractures.
- Application is recommended from the eighth year of life.
- Short screws provide adequate retentive forces for fracture stabilization.
Implications:
- Expands treatment options for pediatric mandibular fractures.
- Offers a stable fixation method for growing patients.
- Supports the use of miniplates in specific childhood fracture cases.