Plating techniques and plate orientation in repair of mandibular angle fractures: An in vitro study

A biomechanical model utilizing polystyrene mandibles was devised to evaluate the fixation efficacy of various plating techniques for repair of mandibular angle fractures. A simple angle fracture was created in the mandible models at a standardized location and was repaired using five different plat...

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Veröffentlicht in:The Laryngoscope 1998-08, Vol.108 (8), p.1218-1224
Hauptverfasser: Fedok, Fred G., Van Kooten, David W., Dejoseph, Louis M., Mcginn, Johnathan D., Sobota, Bret, Levin, Roger J., Jacobs, Christopher R.
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container_end_page 1224
container_issue 8
container_start_page 1218
container_title The Laryngoscope
container_volume 108
creator Fedok, Fred G.
Van Kooten, David W.
Dejoseph, Louis M.
Mcginn, Johnathan D.
Sobota, Bret
Levin, Roger J.
Jacobs, Christopher R.
description A biomechanical model utilizing polystyrene mandibles was devised to evaluate the fixation efficacy of various plating techniques for repair of mandibular angle fractures. A simple angle fracture was created in the mandible models at a standardized location and was repaired using five different plating techniques. Each experimental group consisted of 15 mandibles, with fracture site, plate placement, load application, and fracture displacement measurement standardized to ensure consistency among experimental groups. Measurement of fracture distraction under load application generated a load deformation curve and corresponding slope for each technique. Comparison of load deformation slopes allowed assessment of fixation stability. When applied with a subapical, medially placed monocortical tension band, bicortical compression plating demonstrated the most stable fracture fixation. The data show that biplanar plate placement in both monocortical noncompression and bicortical compression techniques yields a stronger fixation than monoplanar placement.
doi_str_mv 10.1097/00005537-199808000-00022
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source MEDLINE; Wiley Online Library; Journals@Ovid Complete
subjects Biological and medical sciences
Biomechanical Phenomena
Bone Plates
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
In Vitro Techniques
Mandibular Fractures - physiopathology
Mandibular Fractures - surgery
Maxillofacial surgery. Dental surgery. Orthodontics
Medical sciences
Models, Structural
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
title Plating techniques and plate orientation in repair of mandibular angle fractures: An in vitro study
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