Comparison of Fixation of Mandibular Angle Fractures Using Single Miniplate versus Curved Angle Rectangular Strut Plate - A Prospective Randomized Clinical Study
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 7
Abstract
Aim: To compare and evaluate the treatment outcome and post-operative complications in mandibular angle fractures using single miniplate versus curved angle strut plates. Materials and Methods: This study consisted of a sample of 20 patients divided randomly but equally (single-blind control trial study) into two groups. Each group contains 10 patients. Group I was treated with open reduction and internal fixation using curved angle rectangular strut plate. Group II was treated using single 2-mm miniplates. Results: The results of this study suggested that there is no statistically significant difference in terms of infection, occlusal discrepancy, and union. The mean duration of rectangular plating in our study was 83.9 ± standard deviation (SD) 27.299 min while as in single miniplate, it was 47.6 ± SD 6.552 min with P < 0.001 which is statistically highly significant. It proves that single miniplate can be accomplished quicker than rectangular plating. Swelling increased after the 2nd day of procedure and then after decreased up to the 7th day of the procedure in each group with statistically insignificant difference in both the groups. Visual analog score increased after the 2nd day of the procedure and then after decreased up to 7th day of the procedure in each group with statistically insignificant difference in both the groups. Occlusion at 1st week, 6 weeks, 3rd month, and at 6 months were compared and it is found statistically insignificant with P value of 1. Paresthesia at 1st week, 6 weeks, 3rd month, and at 6 months were compared, and it is found statistically insignificant with P value of 1. Post-operative infection at 1st week, 6 weeks, 3rd month and at 6 months were compared, and it is found statistically insignificant with P = 1. In both the groups, none of the patient developed wound dehiscence. Radiographic evaluations for reductions and fixation were confirmed at 1st week which was satisfactory in all patients in both the groups. Radiographic evaluation for union or non-union was confirmed at 20th week after the procedure in both the groups, and it was found that there is the statistically insignificant difference. In both the groups all patients return to their normal activity such as speech, mastication, and social interaction in 10-14 days with no statistical difference. Conclusion: Till now no philosophy of treatment of mandibular fractures has proved superior over Champys except in cases of comminution defect or atrophic mandible.
Authors and Affiliations
Nahida Dar, Parveen Akhter Lone, Shajah Hussain, Wasim Salman, Shakeelur Rehman
Keywords
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