Functional and Radiologic Outcome of Open Reduction and Internal Fixation of Condylar Head and Neck Fractures Using Miniplate or Microplate System

Si-tian, Xie; Singhal, Dhruv; Chen, Chien-Tzung; Chen, Yu-Ray

doi:10.1097/sap.0000000000000040

Cited by 20 publications

(12 citation statements)

References 22 publications

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“…Occlusal discrepancy among the groups presented no significant values except for two patients treated with microplate which was managed by IMF for 3–4 weeks' postoperatively. Sadove and Eppley,[ 41 ] Gupta et al .,[ 42 ] Xie et al .,[ 43 ] Huston and Stassen (2016)[ 44 ] Anand et al ., Abdullah (2009), Ozkan and Cil, Anand et al . [ 45 ] found no significant difference among their study groups for fractures treated with microplates in terms of infection and plate exposure.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of microplates versus miniplates in the management of maxillofacial fractures

Mittal

Agarwal

Garg

et al. 2020

Ann Maxillofac Surg

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Introduction: Increased facial trauma has led to advances in techniques of internal fixation, improvements in plating system, refinements in exposure of facial skeleton fueling the rapid use of internal fixation for the management of facial fractures. Evaluating 40 patients with confirmed midfacial (Le Fort I and II) and mandibular fractures, this study presents the efficacy of microplate in comparison with miniplate in terms of load bearing capacity, stability at the fracture site and postoperative palpability. Objectives: To evaluate the efficacy of microplates in comparison with miniplates in maxillofacial trauma. Materials and Methods: Study sample consists 40 subjects, 20 each in two groups clinically and radiographically diagnosed with Group 1 (maxillary) and Group 2 (mandibular fractures) which were subdivided into 10 each treated with miniplate and microplate respectively. Postoperatively, stability of fracture, bite force, need for postop MMF, pain, infection, wound dehiscence, mouth opening, occlusion and palpability was noted. All cases have been evaluated clinically for various parameters for minimum of 3 months to assess any postoperative complications. Results: We found microplates are stable enough and have adequate load bearing capacity. Due to close adaptability and less hardware, postoperative palpability is less but larger sample study with long term follow up is necessary to conclude its efficacy in load bearing fracture sites.

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Section: Discussionmentioning

confidence: 99%

Efficacy of microplates versus miniplates in the management of maxillofacial fractures

Mittal

Agarwal

Garg

et al. 2020

Ann Maxillofac Surg

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“…Additionally, the rate of complications after microplate fixation is equal to those in the miniplate. 28 Next, smaller plates can be successfully used with the endoscopic intraoral approach and are suitable for fractures of the lower neck and subcondylar. 29 ORIF by both investigated plates, and in all plate and screwing positions, achieved higher mean relative movements in the fracture line (4-15 times worse) than the 2 plain plate fixations, 27 the Medartis 9-hole delta or A-shape plate.…”

Section: Discussionmentioning

confidence: 99%

Finite element analysis of newly introduced plates for mandibular condyle neck fracture treatment by open reduction and rigid fixation

Kozakiewicz¹,

Świniarski²

2017

Dent. Med. Probl.

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“…Osteosynthesis with two positional screws has proven to be appropriate for treating CHF [16] . Although the removal of osteosynthesis material was formerly only recommended in cases of implant failure [17,18] , some of the latest studies using volumetric and three-dimensional evaluation of bone resorption strongly recommend standardised removal four to six months after surgery to prevent screw protrusion and reduce the rate of subsequent joint disorders [15,[19][20][21] .…”

Section: Introductionmentioning

confidence: 99%

Minimal bone resorption after open treatment of mandibular condylar head fractures

Neuhaus

Gellrich

Zeller

et al. 2021

Preprint

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Open treatment of condylar base and neck fractures is widely recommended, whereas treatment of condylar head fractures is still controversial and just is removal of osteosynthesis material. In this study, bone resorption and remodelling after open treatment of condylar head fractures were three-dimensionally (3D) assessed and correlated with clinical parameters in a medium follow-up. Of 18 patients with 25 condylar head fractures who underwent open reduction and internal fixation, clinical data and cone beam computed tomography (CBCT) datasets were analysed. Condylar processes were segmented in the postoperative and follow-up CBCT scans. Volumetric and linear changes were measured using a sophisticated 3D-algorithm. In the course after surgery, patients function and pain improved significantly. Low rates of postoperative complications were observed. All 3D measurements showed no significant bone resorption during the follow-up period. Open reduction of condylar head fractures leads to good patients outcomes and low rates of long-term complications. This study underlines the feasibility and importance of open treatment of condylar head fractures and may help to spread its acceptance as the preferred treatment option.

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Functional and Radiologic Outcome of Open Reduction and Internal Fixation of Condylar Head and Neck Fractures Using Miniplate or Microplate System

Cited by 20 publications

References 22 publications

Efficacy of microplates versus miniplates in the management of maxillofacial fractures

Efficacy of microplates versus miniplates in the management of maxillofacial fractures

Finite element analysis of newly introduced plates for mandibular condyle neck fracture treatment by open reduction and rigid fixation

Minimal bone resorption after open treatment of mandibular condylar head fractures

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