Rigid Internal Fixation vs. Traditional Techniques for the Treatment of Mandible Fractures
Treatment results were compared between mandibular fractures repaired with vitallium miniplates versus intermaxillary fixation (IMF) and wire osteosynthesis in 79 patients treated over a 4-year period. The postoperative courses of 35 patients treated with 46 plates were compared to those of 44 indiv...
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| Veröffentlicht in: | The journal of trauma 1990-08, Vol.30 (8), p.1032-1036 |
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| container_issue | 8 |
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| container_title | The journal of trauma |
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| creator | HOFFMAN, WILLIAM Y. BARTON, RONALD M. PRICE, MARK MATHES, STEPHEN J. |
| description | Treatment results were compared between mandibular fractures repaired with vitallium miniplates versus intermaxillary fixation (IMF) and wire osteosynthesis in 79 patients treated over a 4-year period. The postoperative courses of 35 patients treated with 46 plates were compared to those of 44 individuals treated with traditional reduction techniques. The plated group contained nine complications (26%) versus ten (23%) in the non-plated group. This difference was not statistically significant, despite the presence of more severe fractures in the plated group. Major complications (nonunions, malocclusions) were noted in only three (8%) of the plated group; there were six complications (14%) in the non-plated group. We conclude that the plating of mandibular fractures incurs no greater overall risk of complications than traditional methods of fixation, and a lower risk of major complications, and that the advantages of plate fixation, including decreased time of intermaxillary fixation and cost effectiveness, make this the method of choice in complex mandibular fractures, even in a high-risk population. |
| doi_str_mv | 10.1097/00005373-199008000-00014 |
| format | Article |
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The postoperative courses of 35 patients treated with 46 plates were compared to those of 44 individuals treated with traditional reduction techniques. The plated group contained nine complications (26%) versus ten (23%) in the non-plated group. This difference was not statistically significant, despite the presence of more severe fractures in the plated group. Major complications (nonunions, malocclusions) were noted in only three (8%) of the plated group; there were six complications (14%) in the non-plated group. We conclude that the plating of mandibular fractures incurs no greater overall risk of complications than traditional methods of fixation, and a lower risk of major complications, and that the advantages of plate fixation, including decreased time of intermaxillary fixation and cost effectiveness, make this the method of choice in complex mandibular fractures, even in a high-risk population.</description><identifier>ISSN: 0022-5282</identifier><identifier>EISSN: 1529-8809</identifier><identifier>DOI: 10.1097/00005373-199008000-00014</identifier><identifier>PMID: 2388304</identifier><identifier>CODEN: JOTRA5</identifier><language>eng</language><publisher>Baltimore, MD: Williams & Wilkins</publisher><subject>Adult ; Biological and medical sciences ; Bone Plates ; Bone Wires ; Ent, stomatology, face, injuries. Foreign bodies. Diseases due to physical agents: otorhinolaryngology ; Female ; Fracture Fixation, Internal - methods ; Humans ; Male ; Mandibular Fractures - complications ; Mandibular Fractures - surgery ; Medical sciences ; Orthopedic Fixation Devices ; Traumas. Diseases due to physical agents</subject><ispartof>The journal of trauma, 1990-08, Vol.30 (8), p.1032-1036</ispartof><rights>Williams & Wilkins 1990. 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The postoperative courses of 35 patients treated with 46 plates were compared to those of 44 individuals treated with traditional reduction techniques. The plated group contained nine complications (26%) versus ten (23%) in the non-plated group. This difference was not statistically significant, despite the presence of more severe fractures in the plated group. Major complications (nonunions, malocclusions) were noted in only three (8%) of the plated group; there were six complications (14%) in the non-plated group. We conclude that the plating of mandibular fractures incurs no greater overall risk of complications than traditional methods of fixation, and a lower risk of major complications, and that the advantages of plate fixation, including decreased time of intermaxillary fixation and cost effectiveness, make this the method of choice in complex mandibular fractures, even in a high-risk population.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Bone Plates</subject><subject>Bone Wires</subject><subject>Ent, stomatology, face, injuries. Foreign bodies. Diseases due to physical agents: otorhinolaryngology</subject><subject>Female</subject><subject>Fracture Fixation, Internal - methods</subject><subject>Humans</subject><subject>Male</subject><subject>Mandibular Fractures - complications</subject><subject>Mandibular Fractures - surgery</subject><subject>Medical sciences</subject><subject>Orthopedic Fixation Devices</subject><subject>Traumas. Diseases due to physical agents</subject><issn>0022-5282</issn><issn>1529-8809</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1vFDEMhiNEVZaWn4CUC9ymOF9MckQVC5WKkND20kuUSRw2kJ0pyUwL_54su5QTkSPLel870WNCKIMLBqZ_A-0o0YuOGQOgW9W1y-QTsmKKm05rME_JCoDzTnHNn5HntX5rFimFPiWnXGgtQK7I7Zf0NQV6Nc5YRpfpOv10c5pGel8v6Ka4kPZVEzbot2P6sWClcSp03mKT0c07HGc6RfrJjSENGem6OD8vBes5OYkuV3xxzGfkZv1-c_mxu_784ery3XXnhVayMyEyBSAiolcSeg-DML0PUYPsh7eeMVDKhzC0kJIJ5NIxh8CDjxBDL87I68PcuzLt_zfbXaoec3YjTku1vTGKg4Jm1AejL1OtBaO9K2nnyi_LwO6x2r9Y7SNW-wdra315fGMZdhgeG48cm_7qqLvqXY7FjT7Vf_MN77VWovnkwfcw5Ua8fs_LAxa7RZfnrf3fVsVv5maPww</recordid><startdate>199008</startdate><enddate>199008</enddate><creator>HOFFMAN, WILLIAM Y.</creator><creator>BARTON, RONALD M.</creator><creator>PRICE, MARK</creator><creator>MATHES, STEPHEN J.</creator><general>Williams & Wilkins</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199008</creationdate><title>Rigid Internal Fixation vs. Traditional Techniques for the Treatment of Mandible Fractures</title><author>HOFFMAN, WILLIAM Y. ; BARTON, RONALD M. ; PRICE, MARK ; MATHES, STEPHEN J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3854-9df15003feec5407c0b397cdf8047b6c11055cddbddb4413e24a1ae02dcf0fd73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Bone Plates</topic><topic>Bone Wires</topic><topic>Ent, stomatology, face, injuries. Foreign bodies. Diseases due to physical agents: otorhinolaryngology</topic><topic>Female</topic><topic>Fracture Fixation, Internal - methods</topic><topic>Humans</topic><topic>Male</topic><topic>Mandibular Fractures - complications</topic><topic>Mandibular Fractures - surgery</topic><topic>Medical sciences</topic><topic>Orthopedic Fixation Devices</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>online_resources</toplevel><creatorcontrib>HOFFMAN, WILLIAM Y.</creatorcontrib><creatorcontrib>BARTON, RONALD M.</creatorcontrib><creatorcontrib>PRICE, MARK</creatorcontrib><creatorcontrib>MATHES, STEPHEN J.</creatorcontrib><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><jtitle>The journal of trauma</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HOFFMAN, WILLIAM Y.</au><au>BARTON, RONALD M.</au><au>PRICE, MARK</au><au>MATHES, STEPHEN J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Rigid Internal Fixation vs. Traditional Techniques for the Treatment of Mandible Fractures</atitle><jtitle>The journal of trauma</jtitle><addtitle>J Trauma</addtitle><date>1990-08</date><risdate>1990</risdate><volume>30</volume><issue>8</issue><spage>1032</spage><epage>1036</epage><pages>1032-1036</pages><issn>0022-5282</issn><eissn>1529-8809</eissn><coden>JOTRA5</coden><abstract>Treatment results were compared between mandibular fractures repaired with vitallium miniplates versus intermaxillary fixation (IMF) and wire osteosynthesis in 79 patients treated over a 4-year period. The postoperative courses of 35 patients treated with 46 plates were compared to those of 44 individuals treated with traditional reduction techniques. The plated group contained nine complications (26%) versus ten (23%) in the non-plated group. This difference was not statistically significant, despite the presence of more severe fractures in the plated group. Major complications (nonunions, malocclusions) were noted in only three (8%) of the plated group; there were six complications (14%) in the non-plated group. We conclude that the plating of mandibular fractures incurs no greater overall risk of complications than traditional methods of fixation, and a lower risk of major complications, and that the advantages of plate fixation, including decreased time of intermaxillary fixation and cost effectiveness, make this the method of choice in complex mandibular fractures, even in a high-risk population.</abstract><cop>Baltimore, MD</cop><pub>Williams & Wilkins</pub><pmid>2388304</pmid><doi>10.1097/00005373-199008000-00014</doi><tpages>5</tpages></addata></record> |
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| identifier | ISSN: 0022-5282 |
| ispartof | The journal of trauma, 1990-08, Vol.30 (8), p.1032-1036 |
| issn | 0022-5282 1529-8809 |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Biological and medical sciences Bone Plates Bone Wires Ent, stomatology, face, injuries. Foreign bodies. Diseases due to physical agents: otorhinolaryngology Female Fracture Fixation, Internal - methods Humans Male Mandibular Fractures - complications Mandibular Fractures - surgery Medical sciences Orthopedic Fixation Devices Traumas. Diseases due to physical agents |
| title | Rigid Internal Fixation vs. Traditional Techniques for the Treatment of Mandible Fractures |
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