Locking Miniplate Osteosynthesis of Anterior Mandibular Fractures—Quo Vadis?

2019 ◽  
Vol 77 (5) ◽  
pp. 1041.e1-1041.e9
Author(s):  
Vyoma Desai ◽  
Manoj Kumar Jain
2021 ◽  
Vol 102 (2) ◽  
pp. 243-248
Author(s):  
D K Gasimzade ◽  
F V Takhavieva ◽  
S S Ksembaev ◽  
O A Ivanov

Aim. To assess the effect of Kinesio taping on edema reduction among the patients with fractures of the mandible (lower jaw) in the early postsurgical period of osteosynthesis. Methods. Patients with unilateral mandibular angle fractures with displacement of fragments (49 men at the age of 1850 years), divided into 2 groups: the main group 26 patients (with the inclusion of Kinesio taping in the complex of treatment) and the control group 23 patients (the traditional complex of treatment). All patients underwent splinting of the jaw and miniplate osteosynthesis. Kinesio tapes were applied the next day after surgery to the skin above and below the surgical wound. Three out of five standard landmarks were used to measure edema on the 1st and 5th days after osteosynthesis. Data were analyzed by using descriptive statistics and Student's test. In all cases, the level of statistical significance was 5% (p 0.05). Results. On the day after osteosynthesis, the patients of the main group showed a statistically significant (р 0.003) increase in the measured length for all three landmarks compared with the intact side due to pronounced postoperative edema. On the 5th day after the inclusion of Kinesio taping in the complex of treatment, there was a reduction in edema the indicators of the fractured and intact sides did not differ significantly from each other (р 0.05). In patients of the comparison group, the decrease in the parameters of postoperative edema on the 5th day of observation was negligible and insignificant in all measurements (р 0.05). Conclusion. The results indicate the effectiveness of using Kinesio taping for mandibular fractures in the early postoperative period of osteosynthesis, which makes it possible to achieve a significant reduction in postoperative edema; Kinesio taping is a promising, easy-to-perform method that can be used to reduce inflammatory edema in fractures of the mandible.


Author(s):  
EM Okoturo ◽  
GT Arotiba ◽  
JA Akinwande ◽  
MO Ogunlewe ◽  
OM Gbotolorun ◽  
...  

1994 ◽  
Vol 52 (3) ◽  
pp. 233-238 ◽  
Author(s):  
Seiji Nakamura ◽  
Yasuharu Takenoshita ◽  
Masuichiro Oka

2011 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Jeong-Keun Lee

Working and balancing sides are subject to torsional and the tensile stresses, respectively. Tension banding principle denotes the principle of plating along the tension line for stable internal fixation on the balancing side of the mandibular fracture, which is the theoretical basis for the miniplate osteosynthesis. On the contrary, Arbeitsgemeinschaft fϋr Osteo - synthesefragen/Association for the Study of Internal Fixation (AO/ASIF) introduced the idea of stable fixation which confirms the stability of the fracture segment across the fracture line of the working side. Merging the principles of the miniplate osteosynthesis and compression osteosynthesis, the author suggests a new technique of angled eccentric osteosynthesis in case of simple mandibular fractures. The drilling holes are eccentrically positioned away from the fracture gap and intentionally angled to each other. The advancement of the miniscrews through these eccentrically angled drill holes will exert an axial load toward the fracture gap providing an interfragmental compressive force.


2020 ◽  
Vol 9 (2) ◽  
pp. 134-139
Author(s):  
Mehreen Razziq ◽  
Muhammad Jamal ◽  
Irum Mushtaq

Background: Mandibular fractures are the most common type of facial fractures in the adult population, accounting for 36%-59% of all maxillofacial injuries and their treatment is one of the most frequent forms of therapy provided by maxillofacial surgeons. The objective of the study was to compare the outcome of transosseous wiring and miniplates in the management of mandibular parasymphyseal fractures in terms of infection and malocclusion. Material and Methods: This randomized control trial was carried out at Oral and Maxillofacial Department, Ayub Medical College/ Ayub Teaching Hospital Abbottabad. A total of 124 patients were randomly allocated into two groups by lottery method. Patients in group A were subjected to transosseous wiring with maxilla-mandibular fixation. Patients in group B underwent miniplate fixation method. Post-operative wound in­fection and malocclusion findings at 6 weeks were recorded. Results: Frequency of post-operative infection and malocclusion at 6 weeks of surgery was slightly more but statistically non-significant in patients of group A undergoing Transosseous wiring method as compared to group B patients experiencing Miniplate technique. Conclusions: Miniplate osteosynthesis causes slightly less post-operative morbidity in terms of infection and malocclusion as compared to transosseous wiring for the management of mandibular parasymphyseal fractures.


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