Infection after rigid internal fixation of mandibular fractures: A clinical and radiologic study

Iizuka, Tetsuya; Lindqvist, Christian; Hallikainen, Dorrit; Paukku, Pertti

doi:10.1016/0278-2391(91)90340-r

Cited by 174 publications

(81 citation statements)

References 16 publications

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“…Mandibular angle fractures are plagued with widespread complications ranging from 0 to 32 % [8][9][10]. Several factors play significant role in the incidence of complications, but the key factor was the rigidity of fixation applied across the fracture which is inversely proportional [9].…”

Section: Discussionmentioning

confidence: 99%

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Management of Mandibular Angle Fractures: Single Stainless Steel Linear Miniplate Versus Rectangular Grid Plate—A Prospective Randomised Study

Kanubaddy

Devireddy

Kumar

et al. 2016

J. Maxillofac. Oral Surg.

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Purpose This prospective study was conducted to evaluate the efficacy of stainless steel single linear miniplate with rectangular grid plate in the treatment of mandibular angle fractures. Methods This study included 30 patients who were allocated randomly into two groups of each. Group 1 patients were treated with single 2 mm 9 4 hole linear stainless steel miniplate and group 2 patients with 2 mm 9 4 hole rectangular grid plate. Patients were evaluated for fracture stability, occlusion, mouth opening, and complications at 1st week, 1 and 3 months post operatively. Results There were no significant differences between the two groups with respective variables statistically. In group 1 20 % (n = 3) had mild occlussal derangement 6.66 % (n = 1) patient had deranged occlusion at 1 week post operatively and 13.3 % (n = 2) had mild derangement at 1 month post operatively. In group 2 6.66 % (n = 1) had mild derangement at 1 week postoperatively. 20 % (n = 3) had limited mouth opening at 1 week in group 1 and 13.3 % (n = 2) in group 2. All patients in both groups achieved adequate mouth opening by the end of 3 month. None of the patients in both groups had plate fracture, screw loosening, non union or mal-union. Conclusion Within the limits of the study, use of rectangular grid plates for fixation of mandibular angle fractures was reliable with low complication rates, easy adaptation and an effective alternative to conventional miniplates. Further clinical studies with larger sample size can derive a more comprehensive conclusion.

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Section: Discussionmentioning

confidence: 99%

“…Several factors play significant role in the incidence of complications, but the key factor was the rigidity of fixation applied across the fracture which is inversely proportional [9]. Two points of fixation had higher complications than one point of fixation for mandibular angle fractures [8,[11][12][13].…”

Section: Discussionmentioning

confidence: 99%

Management of Mandibular Angle Fractures: Single Stainless Steel Linear Miniplate Versus Rectangular Grid Plate—A Prospective Randomised Study

Kanubaddy

Devireddy

Kumar

et al. 2016

J. Maxillofac. Oral Surg.

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“…The next advance combined RIF with debridement of the fracture site (creating a defect fracture) and primary bone grafting, an approach noted by several authors. 3,6,[8][9][10][11][12] Benson et al 13 reported the effectiveness of this approach with outcomes as favorable as those for noninfected mandibular fractures. This shortened the course of treatment and simplified the convalescence by allowing function.…”

Section: Conceptual Advancesmentioning

confidence: 99%

Contemporary Management of Infected Mandibular Fractures

Alpert

Kushner

Tiwana

2008

Craniomaxillofacial Trauma & Reconstruction

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The treatment of infected mandibular fractures has advanced rather dramatically over the past 50 years. Immobilization with maxillomandibular fixation and/or splints, removal of diseased teeth in the fracture line, external fixation, use of antibiotics, debridement, and rigid internal fixation has played a role in management. Perhaps the most important advance was the realization that infected fractures also result from moving fragments and nonvital bone, not just bacteria. Controlling movement and eliminating the dead bone allowed body defenses to also eliminate bacteria. The next logical step in the evolution of treatment was primary bone grafting of the resulting defect following application of rigid internal fixation and debridement of the dead bone. We offer our results with this treatment in 21 infected fractures, 20 of which achieved primary union.

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“…One of the main advantages of semi rigid fixation is that these plates do not disturb the underlying cortical plate perfusion as much as compression plate. The infection rate with titanium plates has been reported to be 3 % to 23 % [21]. The low infection rate with bone plates is related to the low mobility of fragments.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Stability of Fracture Segments in Mandible Fracture Treated with Different Designs of Mini-Plates Using FEM Analysis

Joshi

Kurakar

2013

J. Maxillofac. Oral Surg.

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Aim To compare the displacement gap of mandible fracture segments treated with different designs of miniplates under various loading conditions. Materials and Methods Fracture in the body of mandible was bridged with 15 different designs and configuration of titanium mini-plates. Bite forces were applied at 3 locations, ipsilateral fractured side, contra lateral side and incisor site. 3D finite element methods (FEM) model of mandible was generated using 10 nodal tetrahedral elements. A commercial FE solver was used to solve bone inter fragmentary displacement during loading. Results Superior position of mini-plates produced better stability than inferior position. Positive bending moments can be reduced by larger plate in lower border in 2 plate system. Results of X mini-plate are comparable to 2 plate configuration. If length of middle portion of plate increased, stability decreased. Number of screws did not affect fracture stability. Conclusion Finite element methods analysis is used to determine the gap between mandible fragments which is otherwise impossible to measure clinically. The results obtained from this study offered us a choice of mini-plate design and configuration for clinical application.

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Infection after rigid internal fixation of mandibular fractures: A clinical and radiologic study

Cited by 174 publications

References 16 publications

Management of Mandibular Angle Fractures: Single Stainless Steel Linear Miniplate Versus Rectangular Grid Plate—A Prospective Randomised Study

Management of Mandibular Angle Fractures: Single Stainless Steel Linear Miniplate Versus Rectangular Grid Plate—A Prospective Randomised Study

Contemporary Management of Infected Mandibular Fractures

Comparison of Stability of Fracture Segments in Mandible Fracture Treated with Different Designs of Mini-Plates Using FEM Analysis

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