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Locking v/s non-locking reconstruction plates in mandibular reconstruction.

Bhupendra Harjani¹, R K Singh, U S Pal

¹Department of Oral and Maxillofacial Surgery, K D Dental College, Mathura, India.

National Journal of Maxillofacial Surgery

|July 9, 2013

Summary

This summary is machine-generated.

Locking plates offer greater stability for mandibular fracture osteosynthesis, showing similar clinical outcomes to non-locking plates. This study found locking plates reduced pain and swelling more effectively in patients with mandible fractures.

Keywords:

Locking mandibular reconstruction non-locking

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Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

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Published on: January 5, 2015

Area of Science:

Oral and Maxillofacial Surgery
Biomaterials Engineering
Trauma Surgery

Background:

Mandibular fractures are common injuries requiring surgical stabilization.
Osteosynthesis techniques aim to restore bone integrity and function.
Plate fixation is a standard method for treating mandibular fractures, with ongoing debate regarding locking versus non-locking systems.

Purpose of the Study:

To compare the clinical efficacy of locking plates versus non-locking plates in the osteosynthesis of mandibular fractures.
To evaluate outcomes based on key clinical parameters including pain, swelling, infection, and hardware stability.

Main Methods:

A prospective randomized clinical trial involving 12 patients with mandibular fractures.
Patients were randomized into two groups: Group 1 (locking plates) and Group 2 (non-locking plates).
Clinical assessments were performed at 1, 3, and 6 weeks, and 3 months post-surgery.

Main Results:

No statistically significant differences were observed in infection, paraesthesia, hardware failure, or mobility.
Locking plates demonstrated a statistically significant reduction in pain and swelling compared to non-locking plates.
Pain resolved by 3 weeks in the locking group, whereas it persisted longer in the non-locking group. Swelling was significantly reduced in the locking group.

Conclusions:

Locking plates are efficacious for mandibular fracture osteosynthesis, providing enhanced stability.
While clinical results are largely similar, locking plates offer advantages in managing pain and swelling post-operatively.
The study supports the use of locking plates for improved patient comfort and potentially faster recovery in mandibular fracture treatment.