Fixation of zygomatic and mandibular fractures with biodegradable plates
Saikrishna Degala1, Sujeeth Shetty, S Ramya
1Department of Oral and Maxillofacial Surgery, J.S.S. Dental College and Hospital, S.S. Nagar, Bannimantap, Mysore, Karnataka, India.
Context:
In this prospective study, 13 randomly selected patients underwent treatment for zygomatic-complex fractures (2 site fractures) and mandibular fractures using 1.5 / 2 / 2.5-mm INION CPS biodegradable plates and screws.
Aims:
To assess the fixation of zygomatic-complex and mandibular fractures with biodegradable copolymer osteosynthesis system.
Materials And Methods:
In randomly selected 13 patients, zygomatic-complex and mandibular fractures were plated using resorbable plates and screws using Champy's principle. All the cases were evaluated clinically and radiologically for the type of fracture, need for the intermaxillary fixation (IMF) and its duration, duration of surgery, fixation at operation, state of reduction at operation, state of bone union after operation, anatomic reduction, paresthesia, occlusal discrepancies, soft tissue infection, immediate and late inflammatory reactions related to biodegradation process, and any need for the removal of the plates.
Statistical Analysis Used:
Descriptives, Frequencies, and Chi-square test were used.
Results:
In our study, the age group range was 5 to 55 years. Road traffic accidents accounted for the majority of patients six, (46.2%). Postoperative occlusal discrepancies were found in seven patients as mild to moderate, which resolved with IMF for 1-8 weeks. There were minimal complications seen and only as soft tissue infection.
Conclusions:
Use of biodegradable osteosynthesis system is a reliable alternative method for the fixation of zygomatic-complex and mandibular fractures. The biodegradable system still needs to be refined in material quality and handling to match the stability achieved with metal system. Biodegradable plates and screws is an ideal system for pediatric fractures with favorable outcome.
