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Plate fixation for open mandibular fractures.

D W Klotch, J R Bilger

    The Laryngoscope
    |November 1, 1985
    PubMed
    Summary

    Rigid internal fixation effectively treated comminuted open mandibular fractures in 26 patients. This method ensured no infections or complications, restoring normal function and occlusion.

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    Area of Science:

    • Oral and Maxillofacial Surgery
    • Trauma Surgery
    • Orthopedic Surgery

    Background:

    • Mandibular fractures are common injuries.
    • Comminuted open fractures present significant treatment challenges.
    • Traditional treatments may lead to complications and delayed function.

    Purpose of the Study:

    • To evaluate the efficacy of rigid internal fixation for comminuted open mandibular fractures.
    • To assess outcomes including infection, nonunion, and functional recovery.

    Main Methods:

    • Retrospective analysis of 81 mandibular fracture patients treated between 1978-1983.
    • Focus on 26 patients with comminuted open fractures treated with AO compression plating.
    • Rigid internal fixation technique utilized.

    Main Results:

    • 47 comminuted open fractures were treated.
    • No instances of infected nonunion, osteomyelitis, or plate extrusion were reported.
    • All patients maintained normal mandibular function and occlusal relationships.

    Conclusions:

    • Rigid internal fixation is a highly effective method for stabilizing comminuted open mandibular fractures.
    • The technique allows for immediate return of mandibular function, crucial for polytraumatized patients.

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