Skip to main content

Advertisement

SpringerLink
Log in

Stability and Clinical Outcomes of Angle Fracture Fixation Using Sagittal Split Plate (SSOP) Versus Two Miniplates: Randomized Clinical Trial

  • Original Article
  • Published:
Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

The aim of this study was to compare the stability and clinical outcomes between the two miniplates and sagittal split plate (SSOP) in angle fracture fixation. Thirty-eight patients with a mandibular angle fracture were selected and divided randomly into two groups. Intervention was treated with SSOP, and the control group was treated with conventional two miniplates. Clinical evaluation included occlusion, edema, nerve affection, wound dehiscence and mouth opening. Radiographic parameters included the measurement of inter-ramus distance, inter-mental distance and bone density. All clinical parameters were evaluated at one week, one month and three months intervals. Radiographic parameters were evaluated immediately postoperative, and after three months. Results showed that SSOP had less postoperative complications (10.50%) than the two miniplates (31.60%). It can be concluded that both methods offered high performance in management of mandibular angle fractures. However, SSOP group had a significantly shorter operating time, increased bone density and less edema.

Clinical trial registration number: NCT03839368.

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

Similar content being viewed by others

References

  1. Darwich A, Darwich K, Al-Shurbaji MHD (2016) 3D finite element analysis of miniplate fixation techniques in mandibular angle fractures. J Indian Dent Assoc 9:10

    Google Scholar 

  2. Srinivasan B, Balakrishna R, Sudarshan H, Veena GC, Prabhakar S (2019) Retrospective analysis of 162 mandibular fractures: an institutional experience. Ann Maxillofac Surg 9(1):124–128. https://doi.org/10.4103/ams.ams_36_18

    Article  PubMed  PubMed Central  Google Scholar 

  3. 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 

  4. Jaffe DM, Terry RD, Spiro AJ (1978) Disuse atrophy of skeletal muscle. A morphometric study using image analysis. J Neurol Sci 35(2–3):189–200. https://doi.org/10.1016/0022-510x(78)90002-3

    Article  CAS  PubMed  Google Scholar 

  5. Menon S et al (2019) Maxillofacial fracture patterns in road traffic accidents. Ann Maxillofac Surg 9(2):345–348. https://doi.org/10.4103/ams.ams_136_19

    Article  PubMed  PubMed Central  Google Scholar 

  6. Weber WD (1997) Treatment of mandibular angle fractures. Atlas Oral Maxillofac Surg Clin North Am 5(1):77–125. https://doi.org/10.7181/acfs.2017.18.2.73

    Article  CAS  PubMed  Google Scholar 

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

    Article  Google Scholar 

  8. Alkan A, Celebi N, Ozden B, Baş B, Inal S (2007) Biomechanical comparison of different plating techniques in repair of mandibular angle fractures. Oral Surg Oral Med Oral Pathol Oral Radial Endod 104(6):752–756. https://doi.org/10.1016/j.tripleo.2007.03.014

    Article  Google Scholar 

  9. Al-Moraissi EA and 3rd Ellis E (2014) What method for management of unilateral mandibular angle fractures has the lowest rate of postoperative complications? A systematic review and meta-analysis. J Oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg. 72(11): 2197–2211. https://doi.org/10.1016/j.joms.2014.05.023

  10. Champy M, Loddé JP, Schmitt R, Jaeger JH, Muster D (1978) Mandibular osteosynthesis by miniature screwed plates via a buccal approach. J Maxillofac Surg 6(C):14–21. https://doi.org/10.1016/S0301-0503(78)80062-9

    Article  CAS  PubMed  Google Scholar 

  11. Singh R, Agrawal A, Pal U, Singh G (2011) Single miniplate osteosynthesis in angle fracture. Natl J Maxillofac Surg 2(1):47. https://doi.org/10.4103/0975-5950.85853

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Al-Moraissi E (2015) One miniplate compared with two in the fixation of isolated fractures of the mandibular angle. Br J Oral Maxillofac Surg. https://doi.org/10.1016/j.bjoms.2015.05.006

    Article  PubMed  Google Scholar 

  13. Brucoli M et al (2019) The ‘European Mandibular Angle’ research project: the epidemiologic results from a multicenter European collaboration. J Oral Maxillofac Surg 77(4):791.e1-791.e7. https://doi.org/10.1016/j.joms.2018.12.013

    Article  PubMed  Google Scholar 

  14. Ferrari R, Lanzer M, Wiedemeier D, Rücker M, Bredell M (2018) Complication rate in mandibular angle fractures-one vs. two plates: a 12-year retrospective analysis. Oral Maxillofac Surg 22(4):435–441. https://doi.org/10.1007/s10006-018-0728-4

    Article  PubMed  Google Scholar 

  15. Feller KU, Schneider M, Hlawitschka M, Pfeifer G, Lauer G, Eckelt U (2003) Analysis of complications in fractures of the mandibular angle - a study with finite element computation and evaluation of data of 277 patients. J Cranio-Maxillofac Surg 31(5):290–295. https://doi.org/10.1016/S1010-5182(03)00015-5

    Article  Google Scholar 

  16. Suer BT, Kocyigit ID, Kaman S, Tuz HH, Tekin U, Atil F (2014) Biomechanical evaluation of a new design titanium miniplate for the treatment of mandibular angle fractures. Int J Oral Maxillofac Surg 43(7):841–845. https://doi.org/10.1016/j.ijom.2014.01.011

    Article  CAS  PubMed  Google Scholar 

  17. Suojanen J, Järvinen S, Hodzic Z, Reunanen J, Leikola J, Stoor P (2019) No differences in infections between patient-specific implants and conventional mini-plates in mandibular bilateral sagittal split osteotomy - Up to 3-year follow-up. J Cranio-Maxillo-Fac Surg Off Publ Eur Assoc Cranio-Maxillo-Fac Surg 47(8):1181–1184. https://doi.org/10.1016/j.jcms.2018.10.009

    Article  Google Scholar 

  18. Bouchard C, Mansouri M (2017) Open reduction with internal fixation of mandibular angle fractures: a retrospective study. J Can Dent Assoc 82:h3

    PubMed  Google Scholar 

  19. 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. https://doi.org/10.1016/j.joms.2010.05.080

    Article  PubMed  Google Scholar 

  20. Melek LN, El Mahallawy AS, Sharara AA (2015) Evaluation of the 3-dimensional threadlock plate in the management of mandibular angle fractures: a clinical and radiographic study. Tanta Dent J 12(2):140–148

    Article  Google Scholar 

  21. Jain MK, Manjunath KS, Bhagwan BK, Shah DK (2010) Comparison of 3-dimensional and standard miniplate fixation in the management of mandibular fractures. J Oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg 68(7):1568–1572. https://doi.org/10.1016/j.joms.2009.07.083

    Article  Google Scholar 

  22. Singh R, Singh A, Singh DK, Nazeer J, Singh S (2020) Comparative evaluation of 2D miniplates and 3D miniplates fixation in mandibular angle fracture-A clinical study. Indian J Dent Res 31(1):134

    Article  PubMed  Google Scholar 

  23. Ferreira e Costa R, Oliveira MR, Gabrielli MAC, Pereira-Filho VA, Vieira EH (2018) Postoperative complications associated with different fixation methods of isolated mandibular angle fractures. J Craniofac Surg 29(6):1569–1573. https://doi.org/10.1097/SCS.0000000000004484

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

The authors did not receive support from any organization for the submitted work.

Author information

Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Cairo University, Cairo, Egypt

    Hagar M. El-Sherif, Sherif Ali, Mostafa Talaat & Fahmy Mubarak

  2. Nasser Institute Hospital for Research and Treatment, Cairo, Egypt

    Hagar M. El-Sherif, Sherif Ali, Mostafa Talaat & Fahmy Mubarak

  3. Maxillofacial Surgery Department of Craniomaxillofacial Surgery at Nasser Institute Hospital for Research and Treatment, Shubra, Cairo, 11672, Egypt

    Hagar M. El-Sherif

  4. Department of Craniomaxillofacial Surgery at Nasser Institute Hospital for Research and Treatment, Cairo, Egypt

    Fahmy Mubarak

Authors
  1. Hagar M. El-Sherif
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Sherif Ali
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Mostafa Talaat
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Fahmy Mubarak
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

All authors contributed to the study conception and design, participated in material preparation, data collection and analysis were performed by all authors. All authors participated in the creation of this manuscript and have read and approved the final manuscript.

Corresponding author

Correspondence to Hagar M. El-Sherif.

Ethics declarations

Conflict of interest

The authors have no conflicts of interest to declare that are relevant to the content of this article.

Consent to Participate

Eligible patients signed an informed consent before their participation in the study.

Consent to Publish

Patients signed informed consent regarding publishing their data and photographs.

Ethical Approval

The study followed the Declaration of Helsinki on medical research and the study was approved by the research ethics committee of Cairo University.

Human Participants and Animals

The study followed the Declaration of Helsinki on medical research & the study was approved by the research ethics committee of Cairo University.

Informed Consent

Eligible patients signed an informed consent before their participation in the study.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

El-Sherif, H.M., Ali, S., Talaat, M. et al. Stability and Clinical Outcomes of Angle Fracture Fixation Using Sagittal Split Plate (SSOP) Versus Two Miniplates: Randomized Clinical Trial. J. Maxillofac. Oral Surg. 23, 107–113 (2024). https://doi.org/10.1007/s12663-022-01817-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12663-022-01817-z

Keywords

Search

Navigation