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Fractures: Bone Repair

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...

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Mandibular angle fractures: a comparative study between one- and two-plate fixation.

Marcelo Silva Monnazzi^1,2, Marisa Ap Cabrini Gabrielli³, Mário Francisco Real Gabrielli³

¹Dental School of Araraquara, UNESP, Araraquara, Brazil.

Dental Traumatology : Official Publication of International Association for Dental Traumatology

|December 1, 2016

Summary

This study compared Champy

Keywords:

facial trauma management mandibular angle fracture mandibular fracture

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Area of Science:

Oral and Maxillofacial Surgery
Trauma Surgery
Orthognathic Surgery

Background:

Mandibular angle fractures present significant management challenges.
Various treatment modalities and internal fixation techniques exist for these fractures.
Long-term outcomes and complication rates necessitate ongoing evaluation.

Purpose of the Study:

To compare outcomes and complications of mandibular angle fractures.
Evaluate Champy's technique versus two-plate fixation over 20 years.
Identify optimal management strategies for mandibular angle fractures.

Main Methods:

Retrospective review of 149 patients with 155 mandibular angle fractures.
Data collection included demographics, etiology, clinical presentation, and management.
Analysis of complications and treatment outcomes for each fixation method.

Main Results:

Fractures were most prevalent in males (82%), Caucasians (62%), and individuals in their third decade (mean age 26.5).
Interpersonal violence was the leading cause; pain, edema, and limited mouth opening were common symptoms.
Associated mandibular condyle fractures and infection were the most frequent complications.

Conclusions:

No significant difference in outcomes between Champy's technique and two-plate fixation.
One-plate fixation demonstrated a lower complication rate.
Further research may refine fixation choices for mandibular angle fractures.