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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 5, 2025

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

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

Published on: January 5, 2015

Update on ladder plates for mandibular angle fractures.

Luke Soliman¹, Victor King¹, Melvyn S Yeoh²

¹Division of Plastic and Reconstructive Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island.

Current Opinion in Otolaryngology & Head and Neck Surgery

|March 28, 2023

Summary

This summary is machine-generated.

Geometric ladder plates offer superior outcomes for mandibular angle fractures compared to miniplates, reducing hardware failure and malunion. However, miniplates may suffice for simpler fractures, with outcomes depending on surgeon expertise.

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Area of Science:

Oral and Maxillofacial Surgery
Trauma Surgery
Orthognathic Surgery

Background:

Mandibular angle fractures present surgical challenges with frequent complications.
Champy's miniplate fixation and rigid plate fixation are traditional methods.
Geometric ladder plates offer enhanced three-dimensional stability.

Conclusions:

Ladder plates show improved outcomes over miniplate fixation for mandibular angle fractures.
Miniplate fixation may be adequate for less complex fractures.
Optimal treatment choice depends on fracture severity and surgeon experience.