USE OF MINIPLATES WITH BICORTICAL SCREWS FOR INITIAL STABILIZATION AND LATER BRIDGING BY BONE GRAFT FOR CONTINUITY DEFECTS OF MANDIBLE DUE TO BLAST INJURIES
DOI:
https://doi.org/10.33279/jkcd.v4i2.261Keywords:
Mandibular Fractures, Miniplates, surgical site infection, bone graft, blast injuries.Abstract
Objective: Mandibular continuity defects reconstruction using miniplates is advantageous in many respects viz-a-viz convenience, contour & free from many of the donor site morbidities. This study evaluated the role of miniplates in continuity defect reconstruction of mandible due to blast injuries followed by bone graft.
Methodology: The study was conducted in the Department of Oral and Maxillofacial Surgery at Sardar Begum Dental College, Gandhara University, Peshawar from Jan 2011 to Jan 2014. Through a descriptive case series a total of 44 patients of blast injuries having mandibular continuity defects were recruited in the study. Miniplates with bicortical screws were used for functionally stable fixation of continuity defect fracture. One week and one month follow up was done. The decision to graft the site was taken at one month and grafting was done. Patients were put on follow up for upto 3 months post- surgery after grafting.
Results: Mean age of the sample was 27.02 + 5.2 years. 95.5% of patients presented were below the age of 35 years. There were 86.4% males and 13.6% females. 68.2% patients presented with fracture of the body of mandible. 13.6% of patients developed surgical site infections that were further put on antibiotics after culture and sensitivity test for recovery for another three weeks. Bone graft was applied on all patients and another follow up was done for 3 months out of which 13.6% patients developed surgical site infection.
Conclusions: Functionally stable fixation of mandibular continuity defects using miniplates with bicortical screws and MMF not only provides good stability but is also safe method for initial management of mandibular continuity defects. This can safely be followed up by bone grafting without the need for removal of hardware used in the initial surgery.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2014 Jawad Ahmad Kundi, Muhammad Shahid Khattak, Amber Munir, Shariq Ahmad Awan, Syed Murad Ali Shah, Asif Ullah Qureshi
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes .
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
