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Comparison of two L shaped Plate on Plate Versus Single Conventional L Miniplate in Fixation of Subcondylar Mandibular Fractures

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Abstract

Aim

To compare and evaluate treatment outcome and postoperative complications in subcondylar fractures of mandible–single L shape plate versus two L shape plate–using plate on plate technique.

Materials and Methods

The clinical trial had a total of ten patients (ten unilateral subcondylar fracture sites), which were divided randomly into two groups of five each. Group I patients underwent open reduction and internal fixation with single L shaped miniplate and Group II ORIF was done with two L shaped miniplates by plate on plate technique.

Results

Both the groups showed comparable results in terms of postoperative complications. Few cases in Group I presented with minor occlusal discrepancy which was easily corrected with transitional inter-maxillary fixation(IMF) for 1 week, and none of the Group II cases required postoperative IMF, but stability in Group II was better than Group I.

Conclusion

The results of this trial suggested that the treatment of mandibular condylar fractures with 2 (2-D) plates placed one over the other is better suited than conventionally practiced single-plate fixation. Increased 3-dimensional stability, low morbidity and infection rates are the advantages offered by 2-plate technique of ours.

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Authors and Affiliations

  1. GDC Raipur, Lane-6, New Shanti Nagar, Raipur, Chhattisgarh, India

    Biju Pappachan

  2. GMC Rajnandgaon, Shri Ram Kripa, H.No. 82-83, Janta Bhawan Lane, Choubey Colony, Raipur, Chhattisgarh, 492001, India

    Raghav Agrawal

Authors
  1. Biju Pappachan
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  2. Raghav Agrawal
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Correspondence to Biju Pappachan.

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Conflict of interest

Authors have no conflict of interest.

Research Involving Human Participants

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standard.

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Informed consent from patient taken for study.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

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Pappachan, B., Agrawal, R. Comparison of two L shaped Plate on Plate Versus Single Conventional L Miniplate in Fixation of Subcondylar Mandibular Fractures. J. Maxillofac. Oral Surg. 18, 440–446 (2019). https://doi.org/10.1007/s12663-018-1154-8

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  • DOI: https://doi.org/10.1007/s12663-018-1154-8

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