Treatment of mandible fractures using resorbable plates with a mean of 3 weeks maxillomandibular fixation: a prospective study.

Abstract

PURPOSE:

In this study, a 2.5-mm resorbable plating system (Inion CPS, Tampere Finland) was assessed for the fixation of mandibular fractures with 3 weeks of maxillomandibular fixation.

PATIENTS AND METHODS:

Fifty mandibular fractures in 34 patients (32 males, 2 females) with a mean of 20.8 days of maxillomandibular fixation (MMF) were included in this study. The 2.5-mm resorbable plates were adapted along Champy's line of ideal osteosynthesis and secured with four 8 × 2.5 mm monocortical resorbable screws. All patients were followed for a minimum of 6 weeks with an average long-term follow-up of 10 months. The incidence of soft tissue infection, nonunion, malunion, malocclusion, osteomyelitis, nerve injury, and tooth damage was prospectively assessed.

RESULTS:

Primary bone healing was achieved in 100% of cases. Ten minor complications (20%) were observed: 5 soft tissue infections (10%), 4 plate dehiscences (8%), and 1 malocclusion (2%). No evidence of malunion, nonunion, osteomyelitis, plate fracture, or iatrogenic dental or nerve injury was noted; no readmission or reoperation was necessary.

CONCLUSION:

The Inion 2.5-mm resorbable plating system along Champy's line of ideal osteosynthesis plus 3 weeks of MMF is a viable option for the treatment of mandible fractures.

• Authors: David E Vázquez-Morales, Donita Dyalram-Silverberg, Stewart K Lazow, Julius R Berger
• Journal: Oral surgery, oral medicine, oral pathology and oral radiology (Oral Surg Oral Med Oral Pathol Oral Radiol) Vol. 115 Issue 1 Pg. 25-8 (Jan 2013) ISSN: 2212-4411 [Electronic] United States
• PMID: 22921447 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: Copyright © 2013 Elsevier Inc. All rights reserved.

Topics

• Absorbable Implants
• Adult
• Bone Plates
• Female
• Fracture Fixation, Internal (instrumentation)
• Fracture Healing
• Humans
• Jaw Fixation Techniques
• Male
• Mandibular Fractures (surgery)
• Postoperative Complications
• Prospective Studies
• Radiography, Panoramic
• Treatment Outcome