Clinical results of two different three-dimensional plate types for the treatment of mandibular angle fractures: a retrospective analysis.
Oral Maxillofac Surg
; 2024 Jun 26.
Article
en En
| MEDLINE
| ID: mdl-38918316
ABSTRACT
OBJECTIVES:
The purpose of this study was to compare two different designs of three-dimensional osteosynthesis plates for their suitability in the treatment of mandibular angle fractures in terms of sufficient fracture healing and concomitant complications. MATERIALS ANDMETHODS:
Retrospectively a total of 54 patients with 56 mandibular angle fractures were evaluated. Two different types of three-dimensional plates from the Medartis Trilock system were analyzed (A) Square design plate (â-plate) with a thickness of 1.0 mm, and (B) triangular-shaped 3D-plate (â³-plate) with a thickness of 1.3 mm. Patient demographics, fracture mechanism and intraoperative details were recorded during an average follow-up period of 1 year.RESULTS:
The utilization of â³-plates was observed to entail a considerably lengthier surgical time in contrast to â-plate systems (P = 0.037). The application of â³-plate showed a tendency of higher incidence of major complications than â-plate (P = 0.06), as evidenced by the occurrence of non-union in 2 out of 22 cases, resulting in higher surgical revision rate for â³-plate (P = 0.027).CONCLUSION:
Sufficient treatment of mandibular angle fractures is feasible by using 1.0 mm thick, square shaped three-dimensional plate systems. The use of thicker three-dimensional osteosynthesis plates seems to significantly increase the operating time and complication rates, whereby the geometry of the plate seems to have an influence. CLINICAL RELEVANCE The plate design could have an impact on treatment outcomes of mandibular angle fractures. TRIAL REGISTRATION NUMBER Not applicable.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Idioma:
En
Revista:
Oral Maxillofac Surg
Asunto de la revista:
ODONTOLOGIA
Año:
2024
Tipo del documento:
Article
País de afiliación:
Suiza