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The Use of 2.4-mm Locking Plate System in Treating Comminuted Mandibular Fracture by Firearm
Cassiano Costa Silva Pereira1, Pâmela Letícia Dos Santos, Ellen Cristina Gaetti Jardim
1Surgery and Integrated Clinic, Aracatuba Dental School, Araçatuba.
Craniomaxillofacial Trauma & Reconstruction
|June 5, 2013
Summary
Firearm-related maxillofacial trauma, particularly to the mandible, is rising. Locking plates offer a promising solution for treating complex mandibular fractures, overcoming limitations of conventional plates.
Area of Science:
- Oral and Maxillofacial Surgery
- Trauma Surgery
- Biomaterials in Medicine
Background:
- Maxillofacial trauma from firearms is increasing, with the mandibular body being the most affected area.
- Titanium plates and screws are standard for restoring mandibular form and function.
- Conventional plating systems have limitations, including bone interface compression and fit issues.
Purpose of the Study:
- To report a clinical case of operative treatment for firearm-induced mandibular fracture using a locking plate system.
- To discuss the indications, advantages, and disadvantages of locking plates in managing complex mandibular fractures.
Main Methods:
- Operative treatment of a mandibular fracture caused by firearm projectiles.
- Application of a locking plate system for fracture stabilization.
- Clinical case reporting and literature review on locking plate technology.
Main Results:
- The locking plate system allowed for stable and predictable restoration of mandibular form and function.
- The case demonstrated the successful application of locking plates in a comminuted mandibular fracture scenario.
- Advantages of locking plates include improved bone interface stability and reduced need for precise plate contouring.
Conclusions:
- Locking plates represent an advancement in treating complex mandibular fractures, particularly those resulting from firearm trauma.
- This system offers potential solutions to the limitations encountered with conventional plating methods.
- Further evaluation of indications, advantages, and disadvantages is warranted for optimal clinical application.
