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Scientific article
English

Intraoral open reduction and internal fixation of displaced mandibular angle fractures using a specific ad hoc reduction-compression forceps: a preliminary study

Publication date2008
Abstract

OBJECTIVES: To preliminarily evaluate prospectively the accuracy and reliability of a specific ad hoc reduction-compression forceps in intraoral open reduction of transverse and displaced mandibular angle fractures. STUDY DESIGN: We analyzed the clinical and radiologic data of 7 patients with 7 single transverse and displaced angle fractures. An intraoral approach was performed in all of the patients without using perioperative intermaxillary fixation. A single Arbeitsgemeinschaft Osteosynthese (AO) unilock reconstruction plate was fixed to each stable fragment with 3 locking screws (2.0 mm in 5 patients and 2.4 mm in 2 patients) at the basilar border of the mandible, according to AO/American Society of Internal Fixation (ASIF) principles. Follow-up was at 1, 3, 6, and 12 months, and we noted the status of healing and complications, if any. RESULTS: All of the patients had satisfactory fracture reduction as well as a successful treatment outcome without complications. CONCLUSION: This preliminary study demonstrated that the intraoral reduction of transverse and displaced angle fractures using a specific ad hoc reduction-forceps results in a high rate of success.

Keywords
  • Adolescent
  • Adult
  • Bone Plates
  • Bone Screws
  • Compressive Strength
  • Equipment Design
  • Follow-Up Studies
  • Fracture Fixation, Internal/*instrumentation
  • Fracture Healing
  • Humans
  • Jaw Fixation Techniques/instrumentation
  • Male
  • Mandibular Fractures/*surgery
  • Pilot Projects
  • Prospective Studies
  • Surgical Instruments
  • Young Adult
Citation (ISO format)
SCOLOZZI, Paolo, JAQUES, Bertrand. Intraoral open reduction and internal fixation of displaced mandibular angle fractures using a specific ad hoc reduction-compression forceps: a preliminary study. In: Oral surgery, oral medicine, oral pathology, oral radiology and endodontics, 2008, vol. 106, n° 4, p. 497–501. doi: 10.1016/j.tripleo.2008.01.018
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ISSN of the journal1079-2104
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