Evaluation of metacarpal bone plates in the mandibular fracture

Frost, David E.; El-Attar, A.; Moos, K.F.

doi:10.1016/0007-117x(83)90045-8

Cited by 30 publications

(11 citation statements)

References 7 publications

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“…Later, when vitallium was used considering it as an inert implant material, authors supported maintenance of vitallium miniplates (Michelet et al, 1973). However, there was a report of 18% removal of vitallium plates (Frost et al, 1983). In a timeframe, it was demonstrated that titanium (Ti) has alarming achievement in numerous surgeries.…”

Section: Resultsmentioning

confidence: 99%

Miniplate Removal in Mandibular Trauma Patients - A Single Institution Retrospective Study

Shahzan¹,

Madhulaxmi²

2020

Int. J. Res. Pharm. Sci

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Section: Resultsmentioning

confidence: 99%

Miniplate Removal in Mandibular Trauma Patients - A Single Institution Retrospective Study

Shahzan¹,

Madhulaxmi²

2020

Int. J. Res. Pharm. Sci

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“… 8 , 16 , 26 – 42 One additional study was sourced from the subsequent reference search. 43 A total of 20 articles were included in the study and are depicted in a flow diagram (Fig. 1 ) using a modified “Preferred Reporting Items for Systematic Reviews and Meta-Analyses” (PRISMA) 44 template.…”

Section: Resultsmentioning

confidence: 99%

“…There was variation among the types of mandible fracture included across studies with Spinelli et al 35 focusing on angle fractures only, Barker et al 29 excluding condylar and alveolar fractures, and 5 of 20 included studies not reporting mandible fracture location. 8 , 29 , 30 , 36 , 43 It is therefore difficult to compare complication rates between such studies, given that mandible fracture location is considered an important factor influencing the development of complications. 16 …”

Section: Discussionmentioning

confidence: 99%

Treatment Delay Impact on Open Reduction Internal Fixation of Mandibular Fractures: A Systematic Review

Stone¹,

Corneman²,

Sandre³

et al. 2018

Plastic and Reconstructive Surgery - Global Open

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Background:The impact of mandible fracture treatment delay has been contested in the literature for decades, with conventional wisdom favoring earlier surgical treatment to prevent postoperative complications, primarily infection. Through a systematic review of all available evidence, this study aims to determine whether delay to open reduction and internal fixation of traumatic mandibular fractures influences outcomes.Methods:MEDLINE, EMBASE, CINAHL, and Web of Science were systematically searched for English language literature pertaining to the above research question and screened in duplicate. Methodological quality scoring was performed using MINORS criteria. Qualitative and quantitative findings from relevant studies are presented.Results:Twenty eligible studies including 2,671 patients had open reduction internal fixation, with or without adjunct mandibulomaxillary fixation. All studies were observational cohort or case-control studies of low methodological quality with a mean MINORS score of 6.5 of 16 (40.6%) for noncomparative studies and 11.2 of 24 (46.7%) for comparative studies. Only 5 of 20 (25%) studies recommended earlier treatment. Due to insufficient reporting of data and study heterogeneity, the impact of treatment delay on complications could not be quantitatively analyzed.Conclusions:There is substantial heterogeneity and no consensus on the definition of “early” versus “delayed” surgical treatment for patients with traumatic mandibular fractures. The majority of included studies do not make a recommendation for earlier treatment. Future, well-designed prospective studies are essential to determine if there is an optimal surgical treatment delay of mandibular fractures that mitigates the risk of infectious and noninfectious complications.

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“…Later, Vitallium gained acceptance as a more inert implant material and authors advocated retention of vitallium miniplates [10]. Frost et al (1983) studied the fate of vitallium miniplates and reported 18% removal rate on clinical grounds [11]. Around same time it was shown that titanium (Ti) has startling success in many surgical procedures.…”

Section: Discussionmentioning

confidence: 99%

Miniplate removal in operated cases of maxillofacial region in a dental institute in Rajasthan, India

Khandelwal

Bhagavandas

Bulgannawar

et al. 2019

Medicine and Pharmacy Reports

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BackgroundThe long term management of miniplate fixation osteosynthesis remains debatable and controversial with few authors advocating routine removal of the miniplates after 3–6 months of placement, while others recommend retention of the miniplates unless their removal is clinically indicated.ObjectiveThe aim was to study the incidence, indications, time gap, role of metallic composition and site of removal of miniplates in operated cases of maxillofacial region over a two-year period.MethodsPatients undergoing removal of miniplates over 2-year period were studied and evaluated regarding the number of miniplates removed, time gap present between fixation and removal of miniplates, indications for removal, metallic composition of miniplates removed, sites of removal and complications. Correlations between indications for miniplate removal based upon time gap, metallic composition, age group and number of miniplates present were determined using Chi-square test. Correlation between metallic composition of miniplate and time gap was also determined using Chi-square test.ResultsThe miniplates were removed in 20 patients (16 males and 4 females). Most common indication for removal was infection (45%). Forty-five percent of the patients underwent miniplate removal within 1 year of placement. Thirty-four miniplates and 118 screws were removed. The correlation between indications for miniplate removal and time gap was found to be statistically significant (P = 0.04).ConclusionMost of the hardware removal is performed subsequent to complications associated with hardware and local factors play more important role than metallic composition. Routine asymptomatic miniplates do not require removal and is not recommended.

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Evaluation of metacarpal bone plates in the mandibular fracture

Cited by 30 publications

References 7 publications

Miniplate Removal in Mandibular Trauma Patients - A Single Institution Retrospective Study

Miniplate Removal in Mandibular Trauma Patients - A Single Institution Retrospective Study

Treatment Delay Impact on Open Reduction Internal Fixation of Mandibular Fractures: A Systematic Review

Miniplate removal in operated cases of maxillofacial region in a dental institute in Rajasthan, India

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