Poster 109: Mandibular Angle Fractures, Single Versus Two-Plate Fixation; UAB Experience

A Detailed Analysis of Mandibular Angle Fractures: Epidemiology, Patterns, Treatments, and Outcomes

“…Conversely, some of the literature has reported no relevant difference in rates of infection for 1-versus 2-plate techniques. 1 Mehra and Haitham 29 noted that the use of fewer plates results in less periosteal stripping, which can lead to less blood supply disruption, and decreased operating time, which can decrease the rate of postoperative infections. A recent prospective study on MAFs found that the use of a strut plate at the angle had relatively less or no postoperative complications compared with other techniques.…”

“…Mandibular angle fractures (MAFs) are among the most common maxillofacial injuries; they are associated with the highest complication rates of all mandibular fractures, yielding an incidence as high as 32%. [1][2][3][4] These fractures are frequently associated with facial lacerations (32%), cervical spine injuries (2 to 10%), orthopedic injuries (20%), neurologic injury (24%), and thoracic and abdominal injuries (12%). [5][6][7][8][9] The MAF is defined as a fracture line that begins where the anterior border of the mandibular ramus meets the body of the mandible and extends inferiorly through the inferior border or posteriorly toward the gonial angle.…”

A New Design Titanium Miniplate Versus Conventional 4-Hole Titanium Miniplate for Management of Mandibular Angle Fractures: A Comparative Study.

“…Failure to achieve these conditions of healing results in infection, malocclusion, nonunion, or malunion [6][7][8][9]. Mandibular angle fractures are associated with the highest complication rates of all mandibular fractures, yielding an incidence as high as 32% [12][13][14][15]. Various techniques for treatment of mandibular angle fractures have been described in the literature; open reduction with non-rigid fixation by means of trans-osseous wires, cicum-mandibular wires, or small positional bone plates; AO reconstruction plates; dynamic compression plates; mini-dynamic compression plates; lag screws; and non-compression plates.…”