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, No. 1, Santosh Nagar, Pratap Vihar, Sec-12, Ghaziabad, Uttar Pradesh India.
Journal of Maxillofacial and Oral Surgery
|December 4, 2012
Summary
This study compared 2.0 mm titanium miniplates and 3-D locking plates for mandibular fracture fixation. 3-D locking plates showed promise for complex fractures, while miniplates were effective and economical for simpler cases.
Area of Science:
- Oral and Maxillofacial Surgery
- Trauma Surgery
- Biomaterials in Medicine
Background:
- Mandibular fractures require effective fixation for optimal healing.
- Titanium miniplates and 3-D locking plates are common fixation methods.
- Comparing their outcomes is crucial for surgical decision-making.
Purpose of the Study:
- To evaluate and compare postoperative complications and treatment outcomes.
- Assessing the efficacy of 2.0 mm titanium miniplates versus 3-D locking plates in mandibular fracture fixation.
Main Methods:
- Randomized controlled trial with 30 patients divided into two groups (15 each).
- Group A: Open Reduction Internal Fixation (ORIF) with 2.0 mm miniplates.
- Group B: ORIF with 3-D locking plates, including comminuted and malunited fractures.
Main Results:
- Five complications occurred in four patients across both groups.
- Miniplate group: Implant exposure and infection.
- 3-D locking plate group: Neurosensory deficit, implant failure, and implant exposure.
Conclusions:
- 3-D locking plates may be preferable for symphysis/parasymphysis, severely displaced angle, and comminuted mandibular fractures.
- Miniplates (Champy's technique) offer ease of use, less surgical trauma, cost-effectiveness, and similar results for angle and body fractures.
