Reporting of Postoperative Pain Management Protocols in Randomized Clinical Trials of Mandibular Fracture Repair

Butts, Sydney C.; Floyd, Elizabeth; Lai, Erica; Rosenfeld, Richard M.; Doerr, Timothy D.

doi:10.1001/jamafacial.2015.1011

Cited by 11 publications

(8 citation statements)

References 66 publications

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“…56,57 Excessive and continuous pain would obviously affect mental behavior, food intake, and joint function. 58,59 In the current study, the rabbits did not show abnormal mental behavior or loss of appetite in both groups. This indirectly indicates that the n-CDHA/PAA screws did not cause additional and excessive pain compared with the metal screws, and this would contribute to the recovery of postoperative function.…”

Section: Figuresupporting

confidence: 43%

Evaluation of the internal fixation effect of nano-calcium-deficient hydroxyapatite/poly-amino acid composite screws for intraarticular fractures in rabbits

Dai¹,

Li²,

Yan³

et al. 2018

IJN

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ObjectiveTo evaluate the internal fixation effect of nano-calcium-deficient hydroxyapatite/poly-amino acid (n-CDHA/PAA) composite screws in the intraarticular fracture model.Materials and methodsA total of 35 New Zealand White rabbits were used in a bilateral femoral intercondylar fracture model and randomly divided into two groups. n-CDHA/PAA screws were used in the experimental group, and medical metal screws were used in the control group. The fracture condition, range of motion, and the screw push-out strength were assessed, and an arthroscopic examination of knee joint was performed at 4, 8, and 12 weeks after surgery. The biodegradation of the n-CDHA/PAA screws in vivo was tested through weighing, and changes in screw structure were assessed by X-ray diffraction at 12 weeks after surgery.ResultsThe general situation of all animals was good and showed no incision infection and dehiscence after surgery. X-ray scanning showed that significant callus growth was present in both groups at 4 weeks after surgery, and there was no significant difference (P>0.05) in the Lane-Sandhu score between the experimental and control groups at all time points after surgery. There were no statistically significant differences (P>0.05) in the range of motion and Oswestry Arthroscopy Score of arthroscopic examination of the knee joints between the two groups. The screw push-out strength of the control group was stronger than that of the experimental group at 4 weeks after surgery (P<0.05), but after that, there was no significant difference between the groups (P>0.05). The degradation tests showed that the n-CDHA/PAA screws degraded gradually after implantation, and the weight loss rate was approximately 16% at 12 weeks after surgery. The X-ray diffraction results showed that the crystal structure of the outer surface of the n-CDHA/PAA screw has changed at 12 weeks after surgery.ConclusionThe n-CDHA/PAA screw is an effective and safe implant as a potential internal fixation device for an intercondylar fracture of the femur, and its internal fixation effect was similar to that of medical metal screw.

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Section: Figuresupporting

confidence: 43%

Evaluation of the internal fixation effect of nano-calcium-deficient hydroxyapatite/poly-amino acid composite screws for intraarticular fractures in rabbits

Dai¹,

Li²,

Yan³

et al. 2018

IJN

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“…(8,9) Associated musculoskeletal disorders are a major cause of morbidity, with estimated hospitalization costs in the US of >$5 billion (10) and further loss of quality of life and time off work during recovery. (11) Treatment of mandible fractures aims to eliminate pain, promote bone healing, restore dental occlusion and jaw function, and improve facial aesthetics. (2,3,12) The most common mandible fracture site in adults is the angle region, extending from the corpus below the third molar (M 3 ) to the angle at the back of the mandible (Fig.…”

Section: Introductionmentioning

confidence: 99%

“…( 8 , 9 ) Associated musculoskeletal disorders are a major cause of morbidity, with estimated hospitalization costs in the US of >$5 billion ( 10 ) and further loss of quality of life and time off work during recovery. ( 11 ) Treatment of mandible fractures aims to eliminate pain, promote bone healing, restore dental occlusion and jaw function, and improve facial aesthetics. ( 2 , 3 , 12 )…”

Section: Introductionmentioning

confidence: 99%

Fracture Fixation Technique and Chewing Side Impact Jaw Mechanics in Mandible Fracture Repair

et al. 2021

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Lower jaw (mandible) fractures significantly impact patient health and well-being due to pain and difficulty eating, but the best technique for repairing the most common subtype-angle fractures-and rehabilitating mastication is unknown. Our study is the first to use realistic in silico simulation of chewing to quantify the effects of Champy and biplanar techniques of angle fracture fixation. We show that more rigid, biplanar fixation results in lower strain magnitudes in the miniplates, the bone around the screws, and in the fracture zone, and that the mandibular strain regime approximates the unfractured condition. Importantly, the strain regime in the fracture zone is affected by chewing laterality, suggesting that both fixation type and the patient's post-fixation masticatory pattern-ipsi-or contralateral to the fracture-impact the bone healing environment. Our study calls for further investigation of the impact of fixation technique on chewing behavior. Research that combines in vivo and in silico approaches can link jaw mechanics to bone healing and yield more definitive recommendations for fixation, hardware, and postoperative rehabilitation to improve outcomes.

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“…In a literature review of postoperative pain management protocols in patients with mandibular fracture, all studies that reported the type of analgesic administered used paracetamol, some of them (3 out of 5 studies) used it in combination with ibuprofen. None of the studies reported the use of opioids [8]. In our department, we usually use paracetamol in combination with corticosteroids with good results.…”

Section: Discussionmentioning

confidence: 92%

“…Unlike other dentoskeletal procedures, specifically orthognathic surgery [6,7] or third molar extraction [4,5] few focused studies have reviewed protocols for postoperative pain management in patients with mandibular trauma [8].…”

mentioning

confidence: 99%

Management-of-Postoperative-Pain-in-Patients-Undergoing-Surgery-for-Mandibular-Fracture

Zineb¹,

Slimani²

2017

Journal of Surgery and Operative Care

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The mandible is one of the most frequently fractured bones in the facial skeleton. Postoperative pain control is an important outcome in assessing overall treatment success and patient satisfaction. However, few focused studies have reviewed protocols for postoperative pain management in patients with mandibular trauma. The aim of this study is to evaluate the protocol for the management of postoperative pain in patients undergoing surgery for mandibular fracture in our department.

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Reporting of Postoperative Pain Management Protocols in Randomized Clinical Trials of Mandibular Fracture Repair

Cited by 11 publications

References 66 publications

Evaluation of the internal fixation effect of nano-calcium-deficient hydroxyapatite/poly-amino acid composite screws for intraarticular fractures in rabbits

Evaluation of the internal fixation effect of nano-calcium-deficient hydroxyapatite/poly-amino acid composite screws for intraarticular fractures in rabbits

Fracture Fixation Technique and Chewing Side Impact Jaw Mechanics in Mandible Fracture Repair

Management-of-Postoperative-Pain-in-Patients-Undergoing-Surgery-for-Mandibular-Fracture

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