Solitary lag-screw fixation for mandibular angle fractures: Prospective study

Balasubramanian, Sasikala; Kumaravelu, C.; Panneerselvam, Elavenil; Raja, VB Krishnakumar

doi:10.4103/0976-433x.138736

Cited by 6 publications

(5 citation statements)

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“…They were treated in Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University. In the current study, we were in agreement with most studies about the age distribution (13)(14)(15). It is thought that this result is due to the fact that in our country the young adults present a large mass and are the main active segment of population who participate in out-side activities.…”

Section: Discussionsupporting

confidence: 92%

A Comparative Study of Cortical Lag Screws and Miniplates for Internal Fixation of Mandibular Symphyseal Region Fractures

Elhussein¹,

Sharara

Ragab

2017

Alexandria Dental Journal

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INTRODUCTION: The management of facial trauma is one of the most rewarding and demanding aspects of oral and maxillofacial surgery. Being the most prominent mobile bone of the facial skeleton, mandible fracture occurs more frequently than any other fracture. OBJECTIVES: The aim of this study was to compare the outcomes of treatment by the use of cortical lag screws versus miniplates, in patients who have a fracture in the mandibular symphyseal region. MATERIALS AND METHODS: The present study was conducted on fourteen patients with age ranged from 19-48 years. The patients had mandibular symphyseal region fractures requiring open reduction and internal fixation. The patients were clinically examined postoperatively by assessment of pain, edema, surgical wound, occlusion, teeth vitality and nerve injury. They also were assessed radiographically using orthopantomogram and cone beam computerized tomography (CBCT) to evaluate the adequacy of reduction, healing progression and bone density of the fractured segments. CONCLUSIONS: Cortical screw fixation using the lag screw principle offers the advantages of fixation, using minimal hardware, and achieving inter-fragmentary compression, and associated with minimal pain and edema when considering the treatment of linear symphyseal region fractures.

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Section: Discussionsupporting

confidence: 92%

A Comparative Study of Cortical Lag Screws and Miniplates for Internal Fixation of Mandibular Symphyseal Region Fractures

Elhussein¹,

Sharara

Ragab

2017

Alexandria Dental Journal

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“…2 Similar study was done by Kallela et al 13 and Balasubramanian et al 14 ; one patient showed instability of fixation. Slight occlusal derangement was observed in two patients on the first postoperative day.…”

Section: Discussionsupporting

confidence: 66%

Evaluation of Titanium Lag Screw Osteosynthesis in the Management of Mandibular Fractures

Bansal¹,

Mishra²,

Jaiswal³

et al. 2017

World Journal of Dentistry

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Introduction:The management of facial trauma is one of the most important and demanding aspects of maxillofacial surgery. Mandible is the most movable and prominent bone of facial skeleton. The management of the injuries to the maxillofacial complex remains a challenge for oral and maxillofacial surgeons. The aim of mandibular fracture treatment is the restoration of anatomical form and function with particular care to establish occlusion. The lag screw technique was fi rst introduced to maxillo facial surgery by Brons and Boering in 1970, who cautioned that at least two lag screws are necessary to prevent rotational movement of the fragments in oblique fractures of mandible.

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“…They concluded that solitary lag screw fixation is an effective and simple procedure in achieving good treatment results for angle fractures of the mandible. [15]…”

Section: Discussionmentioning

confidence: 99%

Principle of Lag-Screw fixation in mandibular trauma

Rao¹,

Naveen²,

Rao³

et al. 2019

J Int Soc Prevent Communit Dent

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Aims and Objectives: The aim of the study is to assess the effectiveness of lag screw fixation in mandibular fractures with respect to parameters such as stability of the occlusion, functional stability, infection rates, neurosensory deficit, ease of technique, and maximum interincisal opening. Materials and Methods: Our study was carried out on 13 patients with mandibular fractures. Selected cases were treated with lag screw technique and 2.7 mm titanium screws were used. Postoperative complications such as wound dehiscence, infection, neurosensory disturbance, nonunion, malocclusion, postoperative mouth opening, and occlusal discrepancies were assessed. Results: All the patients were male, aged between 17 and 50 years. The cause of the injury was road traffic accidents in all, except for two assaults. Our study of 13 cases of fractured mandible included five symphyses, five parasymphyses, two angle, and one body fracture cases. Our observation with open reduction and rigid internal fixation with 1–2 lag screws revealed close approximation of fractured fragments in all the cases, except in three patients who had mild discrepancy of occlusion. Conclusion: Lag screw technique provides good interfragmentary compression and restoration of premorbid anatomic alignment of fracture fragments. In displaced mandibular fractures, especially in oblique fractures, the use of lag screw has proven to be ideal. The complications were found to be low. It was concluded that the lag screw provided excellent stability and occlusion.

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Solitary lag-screw fixation for mandibular angle fractures: Prospective study

Cited by 6 publications

References 0 publications

A Comparative Study of Cortical Lag Screws and Miniplates for Internal Fixation of Mandibular Symphyseal Region Fractures

A Comparative Study of Cortical Lag Screws and Miniplates for Internal Fixation of Mandibular Symphyseal Region Fractures

Evaluation of Titanium Lag Screw Osteosynthesis in the Management of Mandibular Fractures

Principle of Lag-Screw fixation in mandibular trauma

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