Mechanical and Clinical Rationale of Prototype Bone Reduction Forceps

Kluszynski, Brendan A.; Wineland, Andre; Kokoska, Mimi S.

doi:10.1001/archfaci.9.2.106

Cited by 4 publications

(6 citation statements)

References 5 publications

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“…The results of this study show that the additional use of a repositioning forceps in the treatment of mandibular fractures, even when they are more complex, result in a better alignment of the fragments and less complications compared to manual repositioning and/or IMF only. These results are in accordance with those of previous studies [ 2 , 10 ], indicating that using repositioning forceps for the mandibular fracture decreases the postoperative complication rate and provides adequate reduction.…”

Section: Discussionsupporting

confidence: 93%

Accuracy and outcome of mandibular fracture reduction without and with an aid of a repositioning forceps

Batbayar

Malwand

Dijkstra

et al. 2019

Oral Maxillofac Surg

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Purpose It is presumed that adequate reduction of a fracture of the mandible favors bone healing and diminishes the risk of complications. In this retrospective study, we compared the accuracy of fracture alignment and complication rate of mandibular fractures reduced without or with aid of a repositioning forceps. Methods Retrospective analysis of consecutive 252 patients with mandibular fractures treated between January 2010 and December 2016. Eligible for this study were patients with isolated mandibular fractures needing open reduction and internal fixation in whom pre- and postoperative radiographs and patient records were available. In total, 131 (252 fractures) patients fulfilled the inclusion criteria. Results Seventy-one (54%) patients were men. Mean age of the patients was 33 ± 16.5 years, and the median and interquartile range of age was 25 (20;41). In 54 patients, mandibular fractures were reduced without the aid of repositioning forceps, and in the remaining 77 patients, the fractures were reduced with the aid of the repositioning forceps. Anatomical alignment of the fractures was poor in the non-forceps-aided group (48%) compared to the forceps-aided group (58%) ( P = .067). Overall complication rate was higher in the group of fractures reduced without the aid of forceps (17%) than in the forceps-aided group (7%) ( P = .045; OR, 2.7; 95% CI, 1.0–7.4). Conclusions Mandibular fractures reduced with the aid of repositioning forceps are accompanied by a lower complication rate and better alignment. This is an important observation as better alignment of the fracture fragments favors bone healing and reduces complications.

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Section: Discussionsupporting

confidence: 93%

Accuracy and outcome of mandibular fracture reduction without and with an aid of a repositioning forceps

Batbayar

Malwand

Dijkstra

et al. 2019

Oral Maxillofac Surg

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“…Regarding the assessment of surgical wound, healing went uneventful for all cases in surgical sides and no infection nor wound dehiscence were detected. Also, this result goes along with Kluszynski et al, (2015) (22). All of the patients were given prophylactic preoperative antibiotics and were put on a postoperative antibiotic regime for five days.…”

Section: Discussionsupporting

confidence: 70%

Evaluation of Bone Reduction Forceps in Treatment of Mandibular Fractures (A Prospective Clinical and Radiographic Study)

Zeina

Khalil

Halawani

2022

Alexandria Dental Journal

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INTRODUCTION:Mandibular fracture treatment aims to achieve adequate reduction of the fracture fragments and immobilize these fragments firmly to restore premorbid occlusion. With a repositioning forceps, an accurate anatomical reduction and better alignment of the fragments occurs that favors bone healing and diminish risks of complications. OBJECTIVES: Evaluation of the effect of using bone reduction forceps in treatment of mandibular fractures clinically and radiographically. MATERIALS AND METHODS:A prospective study was done on ten patients complaining of displaced isolated mandibular fractures. Fracture reduction was done using bone reduction forceps then fixation by miniplates and screws. The patients were followed up clinically for 3 months postoperatively evaluating pain, facial edema, occlusal disturbances, maximal mouth opening and wound healing. Radiographic evaluation was performed by computed tomography preoperatively, and cone beam computed tomography was done after 3 and 6 months postoperatively. The results were calculated and statistically analysed to indicate the efficacy of using the forceps in treatment of displaced mandibular fracture. RESULTS: Clinically, all parameters evaluated were statistically significant along the follow up period (p value ≤0.05) except for pain that was only significant at 6 th and 12 th week in comparison to that of the first week. Radiographically, postoperative CBCT showed an increase in bone density in fracture site, the results were statistically significant at 3 and 6 months postoperatively as p value <0.0001. CONCLUSION: Using bone reduction forceps followed by semi-rigid fixation by miniplates was easy and safe for the treatment of isolated mandibular fractures with small number of major complications.

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“…One study describes that two monocortical holes were drilled, each 10 mm from the fracture line ( Zerdoner and Zajdela, 1998). A second study describes monocortical holes at approximately 12 mm (Kluszynski et al, 2007) from the fracture line at midway down the vertical height of the mandible. The third study describes either monocortical or bicortical holes depending on difficulties.…”

Section: Accuracy Of Fracture Reductionmentioning

confidence: 99%

“…Several authors ( Zerdoner and Zajdela, 1998;Rogers and Sargent, 2000;Shinohara et al, 2006) did not mention postoperative complications, whereas Kluszynski et al (2007) and Scolozzi and Jaques (2008) did not experience any complications when they used reduction forceps. Kallela et al (1996) described some cases with infection and non-stable fixation.…”

Section: Intraoperative and Postoperative Complicationsmentioning

confidence: 99%