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Mandibular fractures treated by bone plating and intraosseous wiring. A comparative study
N Zachariades1, I Papademetriou, G Rallis
1Oral and Maxillofacial Clinic, General Peripheral Hospital of Attica-K.A.T., Kifissia, Athens, Greece.
Revue De Stomatologie Et De Chirurgie Maxillo-Faciale
|January 1, 1994
Summary
Bone plates offer a promising approach for treating mandibular fractures, showing fewer complications than intraosseous wiring, especially in complex cases. This internal rigid fixation method requires surgical experience but is well-tolerated by patients.
Area of Science:
- Oral and Maxillofacial Surgery
- Trauma Surgery
- Orthopedic Surgery
Background:
- Mandibular fractures are common facial skeletal injuries.
- Treatment options include intraosseous wiring and internal rigid fixation with bone plates.
- Complication rates and treatment outcomes vary between methods.
Purpose of the Study:
- To compare the efficacy and complication rates of bone plates versus intraosseous wiring for treating mandibular fractures.
- To evaluate the suitability of internal rigid fixation for complex fracture cases.
Main Methods:
- A retrospective study of 79 patients treated with bone plates and 79 patients treated with intraosseous wiring.
- Analysis of major and minor complication rates for each treatment group.
- Inclusion of comminuted and infected fractures in the bone plate group.
Main Results:
- Bone plate group: 3.8% major complications, 9% minor complications.
- Intraosseous wiring group: 2.6% major complications, 31% minor complications.
- Bone plates were utilized for more complex fractures, including comminuted and infected cases.
Conclusions:
- Internal rigid fixation with bone plates is a promising and well-tolerated method for treating facial skeleton fractures.
- This technique demonstrates a lower complication rate, particularly for complex mandibular fractures.
- Successful application of bone plates requires specialized surgical experience.