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Evaluation of metacarpal bone plates in the mandibular fracture
Abstract:
Of 1587 mandibular fractures, 75 (4.7 per cent) were treated by open reduction with metacarpal bone plates. The plated fractures were reviewed and evaluated for failure. Seventeen plates of the 96 placed were removed (17.7 per cent). Infection was the major cause of failure (9.4 per cent). Operator error played a role in the failure of eight out of 17 plates (47.1 per cent). Various aspects were studied in order to find the significant factors present, and these are discussed.
Insights
Metacarpal bone plates were used for open reduction in 75 mandibular fractures. Plate removal occurred in 17.7% of cases, with infection and operator error being significant failure factors.
Area of Science:
- Oral and Maxillofacial Surgery
- Orthopedic Surgery
- Trauma Surgery
Background:
- Mandibular fractures are common facial injuries.
- Open reduction with internal fixation is a standard treatment.
- Metacarpal bone plates are an alternative fixation method for mandibular fractures.
Purpose of the Study:
- To evaluate the failure rate of metacarpal bone plates used in open reduction of mandibular fractures.
- To identify factors contributing to plate failure.
Main Methods:
- Retrospective review of 75 mandibular fractures treated with metacarpal bone plates.
- Analysis of plate removal incidence and reasons for failure.
Main Results:
- Seventeen out of 96 placed plates (17.7%) were removed.
- Infection was the primary cause of failure (9.4%).
- Operator error contributed to 47.1% of plate failures.
Conclusions:
- Metacarpal bone plates have a notable failure rate in mandibular fracture treatment.
- Infection and operator error are critical factors influencing the success of this technique.