Comparison of circummandibular wiring with resorbable bone plates in pediatric mandibular fractures

Degala, Saikrishna; Gupta, Nimish

doi:10.1007/s12663-010-0037-4

Cited by 4 publications

(3 citation statements)

References 3 publications

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“…Thirty seven studies met inclusion criteria for systematic review, none of which were prospective, randomized clinical trials 1,9,11,15,16,20,21,23,33,39–65 (Table 1). After excluding patients over the age of 18, 1,086 patients from the systematic review and 58 from the institutional cohort were included in the final database (Figure 1, Supplement 1).…”

Section: Resultsmentioning

confidence: 99%

Resorbable Versus Titanium Rigid Fixation for Pediatric Mandibular Fractures: A Systematic Review, Institutional Experience and Comparative Analysis

Pontell

Niklinska

Braün

et al. 2021

Craniomaxillofacial Trauma & Reconstruction

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Study Design: Pediatric mandible fractures mandate special consideration because of unerupted teeth, mixed dentition, facial growth and the inability to tolerate maxillomandibular fixation. No consensus exists as to whether resorbable or titanium plating systems are superior with regards to clinical outcomes. Objective: This study aims to systematically review and compare the outcomes of both material types in the treatment of pediatric mandible fractures. Methods: After PROSPERO registration, studies from 1990-2020 publishing on outcomes of ORIF of pediatric mandible fractures were systematically reviewed according to PRISMA guidelines. An additional retrospective review was conducted at a pediatric level 1 trauma center. Results: 1,144 patients met inclusion criteria (30.5% resorbable vs. 69.5% titanium). Total complication rate was 13%, and 10% required a second, unplanned operation. Complication rates in the titanium and resorbable groups were not significantly different (14% vs. 10%; P = 0.07), and titanium hardware was more frequently removed on an elective basis (P < 0.001). Condylar/sub-condylar fractures were more often treated with resorbable hardware (P = 0.01); whereas angle fractures were more often treated with titanium hardware (P < 0.001). Within both cohorts, fracture type did not increase the risk of complications, and comparison between groups by anatomic level did not demonstrate any significant difference in complications. Conclusions: Pediatric mandible fractures requiring ORIF are rare, and hardware-specific outcomes data is scarce. This study suggests that titanium and resorbable plating systems are equally safe, but titanium hardware often requires surgical removal. Surgical approach should be tailored by fracture anatomy, age-related concerns and surgeon preference.

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Section: Resultsmentioning

confidence: 99%

Resorbable Versus Titanium Rigid Fixation for Pediatric Mandibular Fractures: A Systematic Review, Institutional Experience and Comparative Analysis

Pontell

Niklinska

Braün

et al. 2021

Craniomaxillofacial Trauma & Reconstruction

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“…There is no difference in the rate of wound complication, subjective complaints, clinical or radiographic outcome in the use of absorbable vs stainless steel fixation (1)(2)(3)(4). Moreover, bioabsorbable material has some advantages compared with the titanium and other metals.…”

mentioning

confidence: 99%

“…The application of bioabsorbable implants in maxillofacial fracture is increasingly common in trauma, orthopedic, and craniomaxillofacial surgery. There is no difference in the rate of wound complication, subjective complaints, clinical or radiographic outcome in the use of absorbable vs stainless steel fixation . Moreover, bioabsorbable material has some advantages compared with the titanium and other metals.…”

mentioning

confidence: 99%

Biomechanical evaluation of maxillary Lefort Ι fracture with bioabsorbable osteosynthesis internal fixation

Zhou

et al. 2014

Dent Traumatol

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The aim of this study was to apply biomechanical analysis model to evaluate the effects of bioabsorbable internal fixation devices on maxillary Lefort Ι fracture. CT scan technology and the finite element software (ansys) were used to establish three-dimensional finite element models of five resorbable internal fixation devices in maxillary Lefort Ι fractures. We used the model to calculate the stress of the upper jaw and internal fixation. We further analyzed the stability of fixation under four occlusions. The fixation using two bioabsorbable plates was not stable. The zygomaticomaxillary pillars fixation is more stable than other fixations. The stability of fracture fixation was influenced with the molar occlusion. The current study developed a functional three-dimensional finite element model of bioabsorbable internal fixation and compared the stability of five fixation methods for maxillary Lefort Ι fractures. The results would facilitate the application of bioabsorbable materials in dental clinic.

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Maxillofacial Trauma in Pediatric Patients: A Retrospective Study

Patidar¹,

Sogi

Fry

et al. 2023

J. Maxillofac. Oral Surg.

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Comparison of circummandibular wiring with resorbable bone plates in pediatric mandibular fractures

Cited by 4 publications

References 3 publications

Resorbable Versus Titanium Rigid Fixation for Pediatric Mandibular Fractures: A Systematic Review, Institutional Experience and Comparative Analysis

Resorbable Versus Titanium Rigid Fixation for Pediatric Mandibular Fractures: A Systematic Review, Institutional Experience and Comparative Analysis

Biomechanical evaluation of maxillary Lefort Ι fracture with bioabsorbable osteosynthesis internal fixation

Maxillofacial Trauma in Pediatric Patients: A Retrospective Study

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