Basic and patient-oriented researchA Prospective Study of 3 Treatment Methods for Isolated Fractures of the Mandibular Angle
Section snippets
Patients and Methods
All dentate patients 13 years or older with isolated (ie, no other mandibular or maxillary), noncomminuted fractures through the mandibular angle who presented for treatment at Parkland Hospital between April 1997 and July 2009 were included in this institutional review board–approved study. To be included, they must have had sufficient dentition to determine proper occlusion. Exclusion criteria included 1) the fracture was infected at the time of treatment, 2) medical conditions that could
Results
Two hundred twenty-eight patients were enrolled in the study, but 43 were not operated on with the author available, were lost during the follow-up period, or never returned for an evaluation at the 6-week period or later. The final study sample included 185 patients with 60 in group 1, 62 in group 2, and 63 in group 3. The demographics of the population are presented in Table 2. Not surprisingly, males greatly outnumbered females (161 vs 24), and the mean age was in the 20- to 30-year-old
Discussion
Over the course of several years, we performed various treatment schemes for fractures of the mandibular angle on a consecutive series of patients.5, 10, 11, 12, 13, 14, 31, 32, 33, 34, 35 In one of those studies, we showed that treatment of angle fractures even using traditional methods—closed reduction and/or open reduction and internal wire fixation—produced a high rate of complication (17%) in our patient population.5 The most useful techniques in our population were either an extraoral
References (52)
- et al.
A retrospective analysis of 327 mandibular fractures
J Oral Maxillofac Surg
(1983) - et al.
Infection after rigid internal fixation of mandibular fracturesA clinical and radiologic study
J Oral Maxillofac Surg
(1991) - et al.
Complications of non-rigid fixation of mandibular angle fractures
J Oral Maxillofac Surg
(1993) - et al.
Mandibular osteosynthesis by miniature screwed plates via a buccal approach
Max-Fac Surg J
(1978) - et al.
Treatment of mandibular angle fractures using two mini-dynamic compression plates
J Oral Maxillofac Surg
(1992) Treatment of mandibular angle fractures using the AO reconstruction plate
J Oral Maxillofac Surg
(1993)- et al.
Treatment of mandibular angle fractures using two 2.4 mm dynamic compression plates
J Oral Maxillofac Surg
(1993) - et al.
Treatment of mandibular angle fractures using two noncompression miniplates
J Oral Maxillofac Surg
(1994) - et al.
Treatment of mandibular angle fractures using one noncompression miniplate
J Oral Maxillofac Surg
(1996) - et al.
Clinical and in vitro evaluation of mandibular angle fracture fixation with two-miniplate system
J Oral Surg
(1995)
Stability testing of a two-miniplate fixation technique for mandibular angle fracturesAn in vitro study
J Craniomaxillofac Surg
Osteosynthesis with miniaturized screwed plates in maxillofacial surgery
J Max-Fac Surg
Small plate osteosynthesis of mandibular fractures
Br J Oral Maxillofac Surg
Analysis of complications in fractures of the mandibular angle—A study with finite element computation and evaluation of data of 277 patients
J Cranio-Maxillofac Surg
Superior border plating technique in the management of isolated mandibular angle fractures: A Retrospective Study of 50 consecutive patients
J Oral Maxillofac Surg
Lag screw fixation of mandibular angle fractures
J Oral Maxillofac Surg
Treatment of mandibular angle fractures with a malleable non-compression miniplate
J Oral Maxillofac Surg
Treatment methods for fractures of the mandibular angle
Int J Oral Maxillofac Surg
One- or two-plate fixation of mandibular angle fractures?
J Craniomaxillofac Surg
One miniplate versus two in the management of mandibular angle fractures: A prospective randomised study
Br J Oral Maxillofac Surg
Evalutaion of rigid internal fixation of mandible fractures performed in the teaching laboratory
J Oral Maxillofac Surg
Rigid fixation of mandibular fractures: Does operator experience reduce complications?
J Oral Maxillofac Surg
The use of miniplates in mandibular fractures
J Craniomaxillofac Surg
One- or two-plate fixation of mandibular angle fractures?
J Craniomaxillofac Surg
Fracture line stability as a function of the internal fixation system: An in vitro comparison using a mandibular angle fracture model
J Oral Maxillofac Surg
Morbidity associated with extraoral open reduction of mandibular fractures
J Oral Surg
Cited by (0)
Supported by a grant from AO North America.