Complication rate in mandibular angle fractures-one vs. two plates: a 12-year retrospective analysis
| Autor: | Martin Lanzer, Daniel B. Wiedemeier, Marius Bredell, Raphael Ferrari, Martin Rücker |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment 03 medical and health sciences Fixation (surgical) Fracture Fixation Internal Young Adult 0302 clinical medicine Mandibular Fractures medicine Internal fixation Humans Aged Retrospective Studies Osteosynthesis business.industry Postoperative complication Retrospective cohort study 030206 dentistry Hypoesthesia Middle Aged Surgery Open Fracture Reduction Otorhinolaryngology 030220 oncology & carcinogenesis Oral and maxillofacial surgery Female Oral Surgery medicine.symptom business Complication Bone Plates |
| Zdroj: | Oral and maxillofacial surgery. 22(4) |
| ISSN: | 1865-1569 |
| Popis: | Treatment of mandibular angle fractures using one or two osteosynthesis plates is still a controversial topic. Fracture, treatment, and patient-dependent influencing factors could affect the overall outcome. In the present retrospective study, complication rates of mandibular angle fractures treated by open reduction were assessed according to type of treatment. We analyzed retrospective medical records using the search terms “mandibular angle fracture.” We included all patients presenting with a mandibular angle fracture treated by open reduction and internal fixation at our department between 2002 and 2012. We included 186 patients treated with open reduction and miniplate fixation (84 one plate; 102 two plates). The early complication rate was significantly higher for the double-plate group (72.5% vs. 47.6%, respectively; p = 0.001). Most common findings in the postoperative period were transient hypoesthesia and tissue swelling. In the two-plate group, a significantly increased operation time of 183 min versus 150 min in the one-plate group was found (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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