Year : 2019

Volume : Volume 10

Issue : Issue 3s

Address for correspondence :
Dr. Rohini Kanitkar Kamat.
drheenatiwari@gmail.com

Abstract

Background:  This study is intended to assess and compare the efficiency of three-dimensional (3D) miniplates over single conventional miniplate at the superior border in the management of mandibular angle fracture.  Materials and Methods: This study comprised of 30 patients diagnosed clinically and radiographically to have sustained mandibular angle fracture and subsequently underwent open reduction and internal fixation (ORIF). All participants were divided randomly into two groups. Group A included 15 patients who underwent ORIF for the management of angle fracture with the aid of conventional single miniplate at the superior border by means of 2 mm 4 holes with gap miniplate whereas Group B included 15 patients who underwent ORIF with the aid of a rectangular 3D miniplate placed through an intraoral incision in conjunction with the use of a trocar through percutaneous route for fixation of the plate.  Results: The results of this study show that those patients who underwent surgical intervention with the aid of 3D plates experienced more pain on visual analogue scale score. In addition to this, it was also noticed that these patients had restricted mouth opening in the immediate postoperative phase. Nevertheless, the stability at the fracture site was superior to that of those treated by conventional single miniplate at the superior border.  Conclusion: Based on the results of this study it can be concluded that the 3D plate is typical in configuration, robust however flexible, enabling reduction and stabilization not only at the superior but also at the inferior borders giving 3D stability at the fracture site in addition to facilitating early return to normal function.

Keywords: Angle fracture, 3D plates, fracture stability.