Clinical aspects of a 2.0-mm locking plate system for mandibular fracture surgery

Sauerbier, Sebastian; Kuenz, Jana; Hauptmann, Silke; Hoogendijk, Christiaan Frederik; Liebehenschel, Niels; Schön, Ralf; Schmelzeisen, Rainer; Gutwald, Ralf

doi:10.1016/j.jcms.2010.01.001

« Previous Next »Journal of Cranio-Maxillo-Facial Surgery
Volume 38, Issue 7 , Pages 501-504, October 2010

Clinical aspects of a 2.0-mm locking plate system for mandibular fracture surgery

Sebastian Sauerbier, MD, DDS
- Department of Oral and Maxillofacial Surgery, University Hospital Freiburg, Freiburg, Germany
- Dr. Sebastian SAUERBIER, MD, DDS, Department of Oral and Maxillofacial Surgery, University Hospital Freiburg, Hugstetter Str. 55, D-79106 Freiburg, Germany. Tel.: +49 761 270 4701; Fax: +49 761 270 4800.
Jana Kuenz, DSS
- Department of Oral and Maxillofacial Surgery, University Hospital Freiburg, Freiburg, Germany
Silke Hauptmann, DMD
- Department of Oral and Maxillofacial Surgery, University Hospital Freiburg, Freiburg, Germany
Christiaan Frederik Hoogendijk, MBChB, BChD, MChD, FCMFOS(SA) Dipodont(in Oral Surg)
- Department of Maxillofacial and Oral Surgery, Oral and Dental Hospital, University of Pretoria, Pretoria, South Africa
Niels Liebehenschel, MD, DDS
- Department of Oral and Maxillofacial Surgery, University Hospital Freiburg, Freiburg, Germany
Ralf Schön, MD, DDS
- Department of Oral and Maxillofacial Surgery, University Hospital Freiburg, Freiburg, Germany
Rainer Schmelzeisen, MD, DDS (Head, Professor)
- Department of Oral and Maxillofacial Surgery, University Hospital Freiburg, Freiburg, Germany
Ralf Gutwald, MD, DDS (Vice Head, Professor)
- Department of Oral and Maxillofacial Surgery, University Hospital Freiburg, Freiburg, Germany

Received 12 November 2008; accepted 5 January 2010. published online 16 February 2010.

Summary

Purpose

The use of a 2.0-mm locking plate system was evaluated in mandibular surgery.

Patients and methods

53 patients (42 male, 11 female) with a total of 56 mandibular fractures were treated with a 2.0-mm mini-locking-plate system and retrospectively examined. Gender, age, cause of fracture, surgical access, classification of fractures, osteosynthesis, postsurgical findings and complications were evaluated.

Results

Assault in male patients (mean age 31) was the most common aetiological factor. Fractures in women (mean age 43 years) mostly occurred due to falls. Mandibular angle fractures were the most common and this anatomical site also presented the highest complication rate. Only 6% of patients had minor occlusal disturbance postoperatively, and minor complications (infections and dehiscence) occurred in 14% of patients in this study. Major complications only occurred in one patient included in the study (1.9%). Risk factors for the development of complications in this series were a history of alcohol or tobacco use, mandibular angle fractures, associated facial fractures, presurgical occlusal disturbance and concomitant dental infections. Surgical access to the fracture and the interval from injury to surgery was not associated with the development of complications.

Conclusions

The use of a 2.0-mm locking plate system with its advantages of improved handling characteristics, increased stability, shorter surgical time and the preservation of bony perfusion is a viable alternative to conventional miniplates in the management of mandibular fractures.

Keywords: clinical study, locking plate system, mandibular fracture, plate osteosynthesis