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 |
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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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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.</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1097/00005537-199808000-00022</identifier><identifier>PMID: 9707247</identifier><identifier>CODEN: LARYA8</identifier><language>eng</language><publisher>Hoboken, NJ: John Wiley & Sons, Inc</publisher><subject>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. 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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.</description><subject>Biological and medical sciences</subject><subject>Biomechanical Phenomena</subject><subject>Bone Plates</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Humans</subject><subject>In Vitro Techniques</subject><subject>Mandibular Fractures - physiopathology</subject><subject>Mandibular Fractures - surgery</subject><subject>Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Medical sciences</subject><subject>Models, Structural</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Humans</topic><topic>In Vitro Techniques</topic><topic>Mandibular Fractures - physiopathology</topic><topic>Mandibular Fractures - surgery</topic><topic>Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Medical sciences</topic><topic>Models, Structural</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fedok, Fred G.</creatorcontrib><creatorcontrib>Van Kooten, David W.</creatorcontrib><creatorcontrib>Dejoseph, Louis M.</creatorcontrib><creatorcontrib>Mcginn, Johnathan D.</creatorcontrib><creatorcontrib>Sobota, Bret</creatorcontrib><creatorcontrib>Levin, Roger J.</creatorcontrib><creatorcontrib>Jacobs, Christopher R.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fedok, Fred G.</au><au>Van Kooten, David W.</au><au>Dejoseph, Louis M.</au><au>Mcginn, Johnathan D.</au><au>Sobota, Bret</au><au>Levin, Roger J.</au><au>Jacobs, Christopher R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Plating techniques and plate orientation in repair of mandibular angle fractures: An in vitro study</atitle><jtitle>The Laryngoscope</jtitle><addtitle>The Laryngoscope</addtitle><date>1998-08</date><risdate>1998</risdate><volume>108</volume><issue>8</issue><spage>1218</spage><epage>1224</epage><pages>1218-1224</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><coden>LARYA8</coden><abstract>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.</abstract><cop>Hoboken, NJ</cop><pub>John Wiley & Sons, Inc</pub><pmid>9707247</pmid><doi>10.1097/00005537-199808000-00022</doi><tpages>7</tpages></addata></record> |
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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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