Infections associated with locking reconstruction plates: A retrospective review

Kirkpatrick, David; Gandhi, Rahul; Sickels, Joseph E. Van

doi:10.1053/joms.2003.50089

Cited by 45 publications

(39 citation statements)

References 16 publications

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“…Locking-plates are often used in reconstructive procedures (Wongchuensoontorn et al, 2009). Kirkpatrick and coworkers showed that locking reconstruction plates facilitate the management of complicated fractures, but postoperative infections cannot be entirely eliminated (Kirkpatrick et al, 2003). In 45 patients with 74 linear noncomminuted mandibular fractures reduced with a single AO 2.0-mm locking reconstruction plate Scolozzi et al (2009) found sound bone healing with no major complications.…”

Section: Discussionmentioning

confidence: 99%

Clinical aspects of a 2.0-mm locking plate system for mandibular fracture surgery

Sauerbier

Kuenz

Hauptmann

et al. 2010

Journal of Cranio-Maxillofacial Surgery

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SUMMARY. Purpose: The use of a 2.0-mm locking plate system was evaluated in mandibular surgery. Patients and methods: 53 patients (42 male, 11 female) with a total of 56 mandibular fractures were treated with a 2.0-mm mini-locking-plate system and retrospectively examined. Gender, age, cause of fracture, surgical access, classification of fractures, osteosynthesis, postsurgical findings and complications were evaluated. Results: Assault in male patients (mean age 31) was the most common aetiological factor. Fractures in women (mean age 43 years) mostly occurred due to falls. Mandibular angle fractures were the most common and this anatomical site also presented the highest complication rate. Only 6% of patients had minor occlusal disturbance postoperatively, and minor complications (infections and dehiscence) occurred in 14% of patients in this study. Major complications only occurred in one patient included in the study (1.9%). Risk factors for the development of complications in this series were a history of alcohol or tobacco use, mandibular angle fractures, associated facial fractures, presurgical occlusal disturbance and concomitant dental infections. Surgical access to the fracture and the interval from injury to surgery was not associated with the development of complications. Conclusions: The use of a 2.0-mm locking plate system with its advantages of improved handling characteristics, increased stability, shorter surgical time and the preservation of bony perfusion is a viable alternative to conventional miniplates in the management of mandibular fractures. Ó 2010 European Association for Cranio-Maxillo-facial Surgery

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Section: Discussionmentioning

confidence: 99%

Clinical aspects of a 2.0-mm locking plate system for mandibular fracture surgery

Sauerbier

Kuenz

Hauptmann

et al. 2010

Journal of Cranio-Maxillofacial Surgery

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“…HERFORD & ELLIS 15 reported low complication rates (7%) with the use of the locking system for the treatment of mandibular fractures and cases of mandibular reconstruction, which were attributed to the system employed. KIRKPATRICK et al 18 reported that the use of locking reconstruction plates leads to lower complication rates and can facilitate the management of complicated fractures, but it does not eliminate postoperative complications.…”

Section: [ ( F I G _ 3 ) T D $ F I G ]mentioning

confidence: 99%

In vitro evaluation of conventional and locking miniplate/screw systems for the treatment of mandibular angle fractures

Júnior

Magro‐Filho

Shastri

et al. 2010

International Journal of Oral and Maxillofacial Surgery

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“…Though clinically more efficient than a conventional plate, the locking plate still has the same complication rates [22,23].…”

Section: Discussionmentioning

confidence: 99%

Bite Force Evaluation of Conventional Plating System Versus Locking Plating System for Mandibular Fracture

Giri¹,

Sahu²,

Rastogi³

et al. 2015

J. Maxillofac. Oral Surg.

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Aims and Objectives To compare and evaluate the variation in recorded bite forces in patients with mandibular fractures undergoing open reduction and rigid internal fixation using standard 2.0 versus 2.0 mm locking miniplates. Materials and Methods A prospective randomized study was conducted for the treatment of mandibular fractures. Twenty adult patients with 31 mandibular fractures requiring an open reduction and internal fixation were included in the study. The sample was divided into two groups depending upon whether the patients received 2.0 mm non-locking (standard) or 2.0 mm locking miniplates for rigid fixation respectively. Bite force was evaluated at 1st, 3rd and 6th week after the open reduction and rigid fixation using miniplates. Results A statistically significant difference was not found in the clinical parameters such as pain, swelling, infection, paresthesia, hardware failure, and mobility between the fracture segments. The results showed that amongst locking vs non-locking miniplates, the former showed a greater bite force enhancement when compared to baseline values(post-trauma).A comparison between 2nd day post-operative vs 6th week post-operative values showed a significant increase in bite force in Group 1 (nonlocking) (p \ 0.05) whereas the values Were highly significant (p \ 0.001) in Group 2 (locking Plate). Conclusion The findings were suggestive that the efficacy of locking miniplates plate in mandibular fracture was superior in terms of bearing the masticatory loads during osteosynthesis of the fracture. However, the clinical results were almost similar to those seen with non-locking miniplate osteosynthesis.

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Infections associated with locking reconstruction plates: A retrospective review

Cited by 45 publications

References 16 publications

Clinical aspects of a 2.0-mm locking plate system for mandibular fracture surgery

Clinical aspects of a 2.0-mm locking plate system for mandibular fracture surgery

In vitro evaluation of conventional and locking miniplate/screw systems for the treatment of mandibular angle fractures

Bite Force Evaluation of Conventional Plating System Versus Locking Plating System for Mandibular Fracture

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