Skip to main content

Advertisement

SpringerLink
Log in

Management of Mandibular Angle Fractures: Single Stainless Steel Linear Miniplate Versus Rectangular Grid Plate—A Prospective Randomised Study

  • Comparative Study
  • Published:
Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

Purpose

This prospective study was conducted to evaluate the efficacy of stainless steel single linear miniplate with rectangular grid plate in the treatment of mandibular angle fractures.

Methods

This study included 30 patients who were allocated randomly into two groups of each. Group 1 patients were treated with single 2 mm × 4 hole linear stainless steel miniplate and group 2 patients with 2 mm × 4 hole rectangular grid plate. Patients were evaluated for fracture stability, occlusion, mouth opening, and complications at 1st week, 1 and 3 months post operatively.

Results

There were no significant differences between the two groups with respective variables statistically. In group 1 20 % (n = 3) had mild occlussal derangement 6.66 % (n = 1) patient had deranged occlusion at 1 week post operatively and 13.3 % (n = 2) had mild derangement at 1 month post operatively. In group 2 6.66 % (n = 1) had mild derangement at 1 week postoperatively. 20 % (n = 3) had limited mouth opening at 1 week in group 1 and 13.3 % (n = 2) in group 2. All patients in both groups achieved adequate mouth opening by the end of 3 month. None of the patients in both groups had plate fracture, screw loosening, non union or mal-union.

Conclusion

Within the limits of the study, use of rectangular grid plates for fixation of mandibular angle fractures was reliable with low complication rates, easy adaptation and an effective alternative to conventional miniplates. Further clinical studies with larger sample size can derive a more comprehensive conclusion.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9

Similar content being viewed by others

Abbreviations

3-D:

Three dimensional

RTA:

Road traffic accident

OPG:

Orthopantomograph

PA:

Posterioanterior view

MMF:

Maxillomandibular fixation

SPSS:

Statistical package for the social sciences

References

  1. Wittenberg J, Mukherjee D, Smith B, Kruse R (1997) Biomechanical evaluation of new fixation devices for mandibular angle fractures. Int J Oral Maxillofac Surg 26(1):68–73

    Article  CAS  PubMed  Google Scholar 

  2. Braasch D, Abubaker A (2013) Management of mandibular angle fracture. Oral Maxillofac Surg Clin N Am 25(4):591–600

    Article  Google Scholar 

  3. Singh V, Khatana S, Bhagol A (2014) Superior border versus inferior border fixation in displaced mandibular angle fractures: prospective randomized comparative study. Int J Oral Maxillofac Surg 43(7):834–840

    Article  CAS  PubMed  Google Scholar 

  4. Hochuli-Vieira E, Ha T, Pereira-Filho V, Landes C (2011) Use of rectangular grid miniplates for fracture fixation at the mandibular angle. J Oral Maxillofac Surg 69(5):1436–1441

    Article  PubMed  Google Scholar 

  5. Siddiqui A, Markose G, Moos KF, McMahon J, Ayoub AF (2007) One plate versus two in the management of mandibular angle fracture: a prospective randomized study. Br J Oral Maxillofac Surg 45(3):223–225

    Article  PubMed  Google Scholar 

  6. Farmand M, Dupoirieux L (1991) The value of 3-dimensional plates in maxillofacial surgery. Rev Stomatol Chir Maxillofac 93(6):353–357

    Google Scholar 

  7. Guimond C, Johnson J, Marchena J (2005) Fixation of mandibular angle fractures with a 2.0-mm 3-dimensional curved angle strut plate. J Oral Maxillofac Surg 63(2):209–214

    Article  PubMed  Google Scholar 

  8. Potter J, Ellis E (1999) Treatment of mandibular angle fractures with a malleable non-compression miniplate. J Oral Maxillofac Surg 57(3):288–292

    Article  CAS  PubMed  Google Scholar 

  9. Iizuka T, Lindqvist C, Hallikainen D, Paukku P (1991) Infection after rigid internal fixation of mandibular fractures: a clinical and radiologic study. J Oral Maxillofac Surg 49(6):585–593

    Article  CAS  PubMed  Google Scholar 

  10. Choi B, Yoo J, Kim K, Kang H (1995) Stability testing of a two miniplate fixation technique for mandibular angle fractures. An in vitro study. J Craniomaxillofac Surg 23(2):123–125

    Article  CAS  PubMed  Google Scholar 

  11. Feledy J, Caterson E, Steger S, Stal S, Hollier L (2004) Treatment of mandibular angle fractures with a matrix miniplate. Plast Reconstr Surg 114(7):1711–1716

    Article  PubMed  Google Scholar 

  12. Ellis E III (1999) Treatment methods for fractures of the mandibular angle. Int J Oral Maxillofac Surg 28(4):243–252

    Article  PubMed  Google Scholar 

  13. Ellis E (2010) A prospective study of 3 treatment methods for isolated fractures of the mandibular angle. J Oral Maxillofac Surg 68(11):2743–2754

    Article  PubMed  Google Scholar 

  14. Levy F, Smith R, Odland R, Marentette L (1991) Monocortical miniplate fixation of mandibular angle fractures. Arch Otolaryngol Head Neck Surg 117(2):149–154

    Article  CAS  PubMed  Google Scholar 

  15. Ellis E, Walker L (1996) Treatment of mandibular angle fractures using one non-compression miniplate. J Oral Maxillofac Surg 54(7):864–871

    Article  PubMed  Google Scholar 

  16. Al-Moraissi E, Mounair R, El-Sharkawy T, El-Ghareeb T (2015) Comparison between three-dimensional and standard miniplates in the management of mandibular angle fractures: a prospective, randomized, double-blind, controlled clinical study. Int J Oral Maxillofac Surg 44(3):316–321

    Article  CAS  PubMed  Google Scholar 

  17. Singh R, Chand S, Pal U, Das S, Sinha V (2013) Matrix miniplate versus locking miniplate in the management of displaced mandibular angle fractures. Natl J Maxillofac Surg 4(2):225–228

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Xue A, Koshy J, Wolfswinkel E, Weathers W, Marsack K, Hollier L (2013) A prospective study of strut versus miniplate for fractures of mandibular angle. Craniomaxillofac Trauma Reconstr 6(3):191–196

    Article  PubMed  PubMed Central  Google Scholar 

  19. Vineeth K, Lalitha RM, Prasad K, Ranganath K, Shwetha V, Singh J (2013) A comparative evaluation between single non-compression titanium miniplate and three dimensional titanium miniplate in treatment of mandibular angle fracture—a randomized prospective study. J Craniomaxillofac Surg 41(2):103–109

    Article  CAS  PubMed  Google Scholar 

  20. Höfer S, Ha L, Ballon A, Sader R, Landes C (2012) Treatment of mandibular angle fractures—linea obliqua plate versus grid plate. J Craniomaxillofac Surg 40(8):807–811

    Article  PubMed  Google Scholar 

  21. Moore E, Bayrak S, Moody M, Key JM, Vural E (2013) Hardware removal rates for mandibular angle fractures: comparing the 8-hole strut and champy plates. J Craniofac Surg 24(1):163–165

    Article  PubMed  Google Scholar 

  22. Al-Moraissi E, El-Sharkawy T, El-Ghareeb T, Chrcanovic B (2014) Three-dimensional versus standard miniplate fixation in the management of mandibular angle fractures: a systematic review and meta-analysis. Int J Oral Maxillofac Surg 43(6):708–716

    Article  CAS  PubMed  Google Scholar 

  23. Farmand M (1995) Three-dimensional plate fixation of fractures and osteotomies. Facial Plast Surg Clin N Am 3(1):39–56

    Google Scholar 

  24. Fox A, Kellman R (2003) Mandibular angle fractures. Arch Facial Plast Surg 5(6):464–469

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Oral Maxillofacial Surgery, Narayana Dental College, Chintareddy Palem, Nellore, Andhra Pradesh, 524003, India

    Sridhar Reddy Kanubaddy, Sathya Kumar Devireddy, Kishore Kumar Rayadurgam, Rajsekhar Gali, Mallikarjun Rao Dasari & Sivaganesh Pampana

Authors
  1. Sridhar Reddy Kanubaddy
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Sathya Kumar Devireddy
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Kishore Kumar Rayadurgam
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Rajsekhar Gali
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Mallikarjun Rao Dasari
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Sivaganesh Pampana
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Sridhar Reddy Kanubaddy.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kanubaddy, S.R., Devireddy, S.K., Rayadurgam, K.K. et al. Management of Mandibular Angle Fractures: Single Stainless Steel Linear Miniplate Versus Rectangular Grid Plate—A Prospective Randomised Study. J. Maxillofac. Oral Surg. 15, 535–541 (2016). https://doi.org/10.1007/s12663-016-0892-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12663-016-0892-8

Keywords

Search

Navigation