Removal of Titanium Miniplates In Isolated, Unilateral, Non Comminuted , Displaced , Zygomatic Complex Fracture Cases
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 7
Abstract
Purpose: We sought to conduct prospective study on patients who had titanium miniplates inserted during treatment of ZMC fracture and to study the incidence and factors associated with plate removal. Patients and Methods: During a period of 2 years, 64, 2mm titanium miniplates plates were inserted in zygomaticofrontal suture (ZF) and zygomaticomaxillary (ZB) buttress region for isolated unilateral displaced non comminuted ZMC fracture into 32 patients over follow up period of 4 years. Data concerning indications of plating, age and sex distribution, site of plating, time between injury and plate insertion, time between plate insertion and removal, antibiotic prophylaxis, general medical factors and clinical conditions for plate removal were evaluated for all patients. Results: During follow up period, one plate was removed from female patient, within eight weeks after insertion, from ZB region purely due to plate related symptoms with dehiscence and infection being cause for its removal, accounting for 1.56% of the plates removed. Conclusion: Longitudinal follow up at 4 years indicates that number of miniplates removed was small but not insignificant and are likely tobe removed in the first year after insertion. The low rate would seem to imply that routine removal of miniplates is not clinically indicated.
Authors and Affiliations
Dr. Sneha Ginimav, Dr. Manjunath Rai
Keywords
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- EP ID EP377400
- DOI 10.9790/0853-1707085155.
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