Mandibular Osteosynthesis: A Comparative Evaluation of Two Different Fixation Systems Using 2.0 mm Titanium
Manoj Goyal1, Karan Marya, Sonia Chawla
1Department of Oral & Maxillofacial Surgery, Santosh Dental & Medical College Hospitals, Ghaziabad (NCR), Delhi, Uttar Pradesh India.
Purpose:
To compare and evaluate postoperative complications and treatment outcome in mandibular fracture fixation using 2.0 mm titanium miniplates and 3-D locking plates.
Method:
Thirty patients were divided randomly into two groups of 15 each (including comminuted and malunited fractures). Group A was treated with open reduction internal fixation using 2.0 mm miniplates and group B with 3-D locking plates.
Results:
A total of five complications were observed in four patients: implant exposure and infection in miniplate group and postoperative neurosensory deficit, implant failure and implant exposure in 3-D group.
Conclusion:
For fractures in symphysis and parasymphysis region, severely displaced angle fractures and for comminuted fractures 3-D locking plate could be a better option. In the angle and 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 and has similar clinical results.
