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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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Updated: Aug 29, 2025

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

Published on: April 11, 2012

Resorbable Versus Titanium Rigid Fixation for Pediatric Mandibular Fractures: A Systematic Review, Institutional

Matthew E Pontell¹, Eva B Niklinska², Stephane A Braun¹

¹Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.

Craniomaxillofacial Trauma & Reconstruction

|September 9, 2022

Summary

This summary is machine-generated.

Titanium and resorbable plating systems show similar safety for pediatric mandible fractures. Titanium hardware often needs removal, unlike resorbable options, but complication rates are comparable for these pediatric fracture treatments.

Keywords:

ORIF absorbable biodegradable fracture mandible open reduction internal fixation pediatric resorbable systematic review titanium

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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

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Published on: November 8, 2024

Area of Science:

Oral and Maxillofacial Surgery
Pediatric Traumatology
Biomaterials Science

Background:

Pediatric mandible fractures present unique challenges due to developing dentition and facial growth.
Current treatment options include resorbable and titanium plating systems, with no clear consensus on superiority.
Maxillomandibular fixation is poorly tolerated in pediatric patients.

Purpose of the Study:

To systematically review and compare clinical outcomes of resorbable versus titanium plating for pediatric mandible fractures.
To evaluate complication rates and hardware-related issues for both plating systems.

Main Methods:

Systematic review of studies (1990-2020) on open reduction and internal fixation (ORIF) of pediatric mandible fractures, adhering to PRISMA guidelines.
PROSPERO-registered study with an additional retrospective review at a pediatric level 1 trauma center.
Inclusion criteria encompassed 1,144 patients, analyzing outcomes based on plating material.

Main Results:

Overall complication rate was 13%, with 10% requiring reoperation.
No significant difference in complication rates between titanium (14%) and resorbable (10%) groups (P=0.07).
Titanium hardware was more frequently removed electively (P<0.001); resorbable hardware was more common in condylar fractures, while titanium was favored for angle fractures.

Conclusions:

Both titanium and resorbable plating systems are equally safe for ORIF of pediatric mandible fractures.
Titanium hardware frequently necessitates surgical removal, whereas resorbable plates do not.
Treatment decisions should consider fracture anatomy, patient age, and surgeon preference.