Is Open Reduction Internal Fixation Using Titanium Plates in the Mandible as Successful as We Think?
| Autor: | Ragda Abdalla-Aslan, Dekel Shilo, Ori Blanc, Tal Capucha, Omri Emodi, Gabriel Semel, Jiriys George Ginini, Adi Rachmiel |
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| Rok vydání: | 2021 |
| Předmět: |
Symphysis
medicine.medical_treatment Dentistry chemistry.chemical_element Mandible Fracture Fixation Internal Mandibular Fractures Fracture fixation medicine Humans Internal fixation Reduction (orthopedic surgery) Aged Retrospective Studies Titanium business.industry General Medicine Biocompatible material medicine.anatomical_structure Otorhinolaryngology chemistry Surgery business Complication Bone Plates |
| Zdroj: | Journal of Craniofacial Surgery. 33:1032-1036 |
| ISSN: | 1536-3732 1049-2275 |
| Popis: | Titanium plats are the gold-standard for fracture fixation. Titanium is considered biocompatible, corrosion resistant with an elasticity-modulus closest to bone. Nonetheless, titanium plates are not always as inherent as hoped. The authors investigated morbidity associated with titanium plates in mandibular fractures. A retrospective study of mandibular fractures treated between 2000 and 2018 using internal-fixation was conducted. Data included age, gender, complications, and location. Predictor-variable was location. Outcome-variable was plate removal. A total of 571 patients were included, 107 resulted in plate removal (18.7%). Body was the most prevalent location of fracture (29.3%). Symphysis/para-symphysis showed the highest removal rate (24.1%), followed by body and angle (21.3/19.8%). A total of 23.4% of double-plating cases resulted in plate removal, upper-border in 15% and lower-border in 8.8%, all reconstruction-plates. Exposure was the most frequent complication leading to removal. Although titanium plates are the gold standard, almost every fifth patient returns for plate removal. Age-distribution emphasizing 41 to 50 with decrease towards extremities may imply better healing in the young and soft-tissue elasticity and less complaints in the elderly. Significantly more complications in double-plating compared to lower border suggests proximity to the oral-cavity as a risk-factor for removal. Complication rates and patterns are not negligible and perhaps should encourage clinicians to consider using biodegradable-systems for upper-border plates. |
| Databáze: | OpenAIRE |
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