Treatment of mandibular angle fractures using two noncompression miniplates

Edward Ellis, Lee Walker

Research output: Contribution to journalArticlepeer-review

105 Scopus citations

Abstract

Purpose: To evaluate treatment with two 2.0-mm noncompression miniplates for patients with angle fractures. Patients and Methods: Sixty-seven consecutive patients with 69 fractures of the mandibular angle were treated by open reduction and internal fixation using two noncompression miniplates and 2.0-mm self-threading screws placed through a transoral incision with transbuccal trochar instrumentation. No patient was placed into postsurgical maxillomandibular fixation or elastics. Results: Overall, 19 fractures (28%) experienced complications requiring secondary surgical intervention. Most of the complications were postoperative infections requiring surgical drainage (n = 17) and subsequent hardware removal (n = 16). Of the 17 infected fractures, 11 were healed at the time of hardware removal and required no further treatment. Five were still mobile and required a period of maxillomandibular fixation for healing. One of the fractures did not heal and required bone grafting. Conclusion: The use of two noncompression miniplates was found to be relatively easy, but resulted in an unacceptable rate of infection in our patient population when used for treatment of fractures of the mandibular angle.

Original languageEnglish (US)
Pages (from-to)1032-1036
Number of pages5
JournalJournal of Oral and Maxillofacial Surgery
Volume52
Issue number10
DOIs
StatePublished - Oct 1994
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology

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