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Related Concept Videos

Fractures: Bone Repair01:27

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 procedure...

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Related Experiment Video

Updated: May 7, 2026

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
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Fracture Fixation Using Three-dimensional Plate versus Two-dimensional Plate in Mandibular Angle Fractures - A

Lida Mary Nidhin Philip1, Vikas Dhupar2, Francis Akkara2

  • 1Department of Oral and Maxillofacial Surgery, Nitte (Deemed to be University), AB Shetty Memorial Institute of Dental Sciences (ABSMIDS), Mangalore, India.

Annals of Maxillofacial Surgery
|February 23, 2026
PubMed
Summary

Three-dimensional (3D) plates provide superior occlusal stability for mandibular angle fractures compared to 2D plates. This leads to better functional restoration and fewer complications, making 3D plates a promising alternative for fracture management.

Keywords:
Mandibular angle fracturesthree-dimensional platetwo-dimensional plate

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Trauma Surgery
  • Biomaterials Engineering

Background:

  • Mandibular fractures require effective management, with open reduction and internal fixation being the standard.
  • Controversy persists regarding the optimal fixation methods for mandibular angle fractures.

Purpose of the Study:

  • To compare treatment outcomes of three-dimensional (3D) plates versus two-dimensional (2D) plates for mandibular angle fractures.
  • To evaluate the efficacy and complications associated with each plating system.

Main Methods:

  • A clinical comparative study involving 30 patients with mandibular angle fractures.
  • Random allocation into two groups: 3D plate fixation and 2D plate fixation.
  • Assessment of surgical time, pre- and post-operative occlusion, mouth opening, and complications over 6 months.

Main Results:

  • Both plating systems significantly improved mouth opening.
  • No significant difference in surgical time or post-operative complications between groups.
  • 3D plates showed a significantly smaller gap between bony segments at a specific point (P=0.04), indicating better stability.

Conclusions:

  • Three-dimensional plates offer superior occlusal stability for mandibular angle fractures.
  • 3D plates facilitate early functional restoration and may reduce the need for inter-maxillary fixation.
  • 3D plates represent a viable alternative to conventional miniplates with potentially lower morbidity.