TY - JOUR
T1 - A prospective study of 3 treatment methods for isolated fractures of the mandibular angle
AU - Ellis, Edward
N1 - Funding Information:
Supported by a grant from AO North America .
PY - 2010/11
Y1 - 2010/11
N2 - Purpose: The purpose of this investigation was to evaluate treatment outcomes prospectively when isolated fractures of the mandibular angle are treated by 1) nonrigid fixation that includes 5 to 6 weeks of maxillomandibular fixation, 2) nonrigid but functionally stable fixation using a single miniplate, and 3) rigid fixation using 2 miniplates. Patients and Methods: All patients treated for isolated fractures of the mandibular angle at Parkland Hospital over a 12-year period were treated by 1 of the 3 methods sequentially assigned. Demographic, fracture characteristic, and treatment and outcome data were prospectively collected and statistically analyzed to determine whether the 3 treatments produced different outcomes. Results: One hundred eighty-five patients had sufficient follow-up for inclusion in this study. There were no significant differences in demographic data for the 3 groups. There were significant differences in treatment outcomes for several variables, including the amount of time it took to perform the surgery and postoperative wound problems. Conclusion: The use of single miniplate was the easiest to perform and was associated with the lowest number of complications.
AB - Purpose: The purpose of this investigation was to evaluate treatment outcomes prospectively when isolated fractures of the mandibular angle are treated by 1) nonrigid fixation that includes 5 to 6 weeks of maxillomandibular fixation, 2) nonrigid but functionally stable fixation using a single miniplate, and 3) rigid fixation using 2 miniplates. Patients and Methods: All patients treated for isolated fractures of the mandibular angle at Parkland Hospital over a 12-year period were treated by 1 of the 3 methods sequentially assigned. Demographic, fracture characteristic, and treatment and outcome data were prospectively collected and statistically analyzed to determine whether the 3 treatments produced different outcomes. Results: One hundred eighty-five patients had sufficient follow-up for inclusion in this study. There were no significant differences in demographic data for the 3 groups. There were significant differences in treatment outcomes for several variables, including the amount of time it took to perform the surgery and postoperative wound problems. Conclusion: The use of single miniplate was the easiest to perform and was associated with the lowest number of complications.
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U2 - 10.1016/j.joms.2010.05.080
DO - 10.1016/j.joms.2010.05.080
M3 - Article
C2 - 20869149
AN - SCOPUS:78049287591
SN - 0278-2391
VL - 68
SP - 2743
EP - 2754
JO - Journal of Oral and Maxillofacial Surgery
JF - Journal of Oral and Maxillofacial Surgery
IS - 11
ER -