Three-Dimensional Osteosynthesis Plates for the Surgical Treatment of Mandibular Fractures

Khalil, Sherin; Khamis, Hamza; Kauke, Martin; Iizuka, Tetsuya; Safi, Ali-Farid

doi:10.1097/scs.0000000000007709

Cited by 1 publication

(1 citation statement)

References 58 publications

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“…Since 2010, various clinical investigations have emerged comparing outcomes of ladder plates with those of rigid and semirigid fixation techniques [11,48–53]. Although these studies are too numerous to individually detail, several recent literature reviews, systematic reviews, and meta-analyses have coalesced the data from these studies, offering more summative evaluations of ladder plates in the management of angle injuries [43,54–57,58 ▪▪ ]. Of these, the three meta-analyses of greatest quality are discussed here [52,54,57].…”

Section: Appraisal Of Ladder Plates For Treatment Of Mandibular Angle...mentioning

confidence: 99%

Update on ladder plates for mandibular angle fractures

Soliman

King

Yeoh

et al. 2023

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of review Fractures of the mandibular angle are surgically challenging with high rates of postoperative complications. Among established fixation techniques for these injuries, Champy's tension band approach with miniplate fixation has held prominence. Rigid fixation, using two plates, also remains commonly used. More recently, geometric ladder plates, which confer greater three-dimensional stability have been developed to overcome the shortcomings of conventional fixation approaches. Herein, we aim to summarize the recent evidence surrounding the use of ladder plates and offer our own opinion for optimal treatment of these fractures. Recent findings In high-powered studies, the rates of hardware failure, malocclusion, and malunion are lower among cohorts managed with ladder plates relative to miniplate groups. Rates of infection and paresthesia remain similar. Ladder plates have also been shown to decrease operative time in preliminary study. Summary Ladder plates show superiority to miniplate approaches across several outcomes. However, the relatively larger strut plate constructs may not be necessary for minor, uncomplicated fractures. It is our belief that reasonable outcomes may be achieved with either approach depending on surgeon experience and comfort with the given fixation technique.

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Section: Appraisal Of Ladder Plates For Treatment Of Mandibular Angle...mentioning

confidence: 99%