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THE PROGNOSIS OF FIXATION OF MANDIBULAR FRACTURES WITH BIODEGRADABLE PLATES AND SCREWS  

Choi, Jin-Ho (Dept. of Dentistry, College of Medicine, Inha University)
Kim, Ju-Rok (Dept. of Dentistry, College of Medicine, Inha University)
Ha, Tae-Jin (Dept. of Dentistry, College of Medicine, Inha University)
Yu, Jang-Bae (Dept. of Dentistry, College of Medicine, Inha University)
Kim, Il-Kyu (Dept. of Dentistry, College of Medicine, Inha University)
Publication Information
Maxillofacial Plastic and Reconstructive Surgery / v.27, no.1, 2005 , pp. 32-38 More about this Journal
Abstract
The efficacy of bioresorbable fixation has recently been described in the osseosynthesis of the oral & maxillofacial region. However, a liitle data exist regarding the use of biodegradable plates and screws for the internal fixation of human mandible fractures. The purpose of this study is to analyze and compare the treatment of mandibular fractures by using a bioresorbable fixation system with conventional titanium system in human mandible fractures. eighteen patients constituted the bioresorbable fixation group and twenty-five patients constituted the titanium fixation group. Both groups underwent open reduction and internal fixation by use of a bioresorbable system or a titanium fixation system. Panoramic radiograph were obtained preoperatively, immediately postoperatively after reduction, at 6 months and at 12 months postoperatively. In the bioresorbable fixation group, complication(infection) occurred in 1 patient(5.6%) and was resolved by incision & drainage, plate removal and antibiotics without untoward sequelae. 2 patients(8.0%) experienced complications in the titanium fixation group and were treated using conservative treatment. There was no statistical difference in complication rates between two groups. Our data supported the use of bioresorbale plate fixation in mandibular fractures as a means of avoiding the potential and well documented problems with rigid titanium fixation systems. In conclusion, the bioresorbable fixation system provide a reliable and sufficient alternative to conventional titanium plate system.
Keywords
Bioresorbable plate; Mandible fracture;
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1 Suuronen R : Biodegradable fracture fixation devices in maxillofacial surgery. Int J Oral Maxillofac Surg 22 : 50, 1993   DOI   PUBMED   ScienceOn
2 Kim YK, Yeo HH, Lim SC : Tissue response to titanium plates. A transmitted electron microscopic study. J Oral Maxillofac Surg 55 : 522, 1997
3 Rokkanen P, Bostman O, Vaiionpaa S et al : Biodegradable implants in fracture fixation: early results of treatment of fractures of the ankle. Lancet 1 : 1422, 1985   PUBMED
4 Suuronen R : Comparison of absorbable self-reinforced poly-L-lactide screws and metallic screws in the fixation of mandibular condyle osteotomies. Experimental study in sheep. J Oral Maxillofac Surg 49 : 989, 1991   DOI   ScienceOn
5 Bos RR, Boering G, Rozema FR, Leenslag JW : Resorbable poly(L-lactide) plates and screws for the fixation of zygomatic fractures. J oral Maxillofac Surg 45 : 751, 1987   DOI   ScienceOn
6 Yerit KC, Enislidis G, Schopper C et al : Fixation of mandibular fractures with biodgradable plates and screws. Oral Surg Oral Med Oral Pathol Oral Radiol Endo 94 : 294, 2002   DOI   ScienceOn
7 Bergsma EJ, Rozema FR, Bos RR, et al : Foreign body reactions to resorbable poly(L-lactide) bone plates and screws used for the fixation of unstable zygomatic fractures. J Oral Maxillofac Surg 51 : 666, 1993   DOI   PUBMED   ScienceOn
8 Islamoglu K, Coskunfirat OK, Tetik G et al : Complications and removal rates and screws used for maxillofacial fractures. Ann Plast Surg 48 : 265, 2002   DOI   ScienceOn
9 Peled M, Ardekian L, Abu-el-Naaj I et al : Complications of miniplate osteosynthesis in the treatment of mandibular fractures. J Craniomaxillofac Trauma 3 : 14, 1997   PUBMED
10 Bos RPM, Boering G, Rozema FR, et al : Bone-plates and screws of bioabsorbable poly(L-lactide). An animal pilot study. Br J Oral Maxillofac Surg 27 : 467, 1989   DOI   ScienceOn
11 Yerit KC, Enislidis G, Schopper C et al : Fixation of mandibular fractures with biodgradable plates and screws. Oral Surg Oral Med Oral Pathol Oral Radiol Endo 94 : 294, 2002   DOI   ScienceOn
12 Bos RPM, Rozema FR, Boering G et al : Bio-absorbable plates and screws for internal fixation of mandibular fractures. A study in six dogs. Int J Oral Maxillofac Surg 18 : 365, 1989   DOI   ScienceOn
13 Gerlach KL, Krause HR, Eitenmuller J : Use of absorbable osteosynthesis material for mandibular fracture treatment of dogs. In: Pizzoferrato A, Marchetti PG, Ravaglioli A, Lee ACJ, eds.: Biomaterials and clinical applications. Amsterdam: Elsevier, 1987 : P459
14 Meningaud JP, Poupon J, Bertrand J et al : Dynamic study about metal release from titanium miniplates in maxillofacial surgery. Int J Oral Maxillofac Surg 30 : 185, 2001   DOI   ScienceOn
15 Cutright DE, Hunsuck EE, Beasley JD : Fracture reduction using a biogradable material, polylactic acid. J Oral Surg 29 : 393, 1971   PUBMED
16 Lamphier J, Ziccardi V, Ruvo A et al : Complications of mandibular fractures in an urban teaching center. J Oral Maxillofac Surg 61 : 745, 2003   DOI   ScienceOn
17 Champy M, Lodde JP, Schmitt R et al : Mandibular osteosynthesis by miniature screwed plate via a buccal approach. J Maxillofac Surg 6 : 14, 1978   DOI   ScienceOn
18 Roed-Peterson B : Absorbable synthetic suture material for internal fixation of fracture of the mandible. Int J Oral Maxillofac Surg 3 : 133, 1974
19 Spiessl B : Internal fixation of the mandible: A manual of AO/ASIF Principles. Berlin, Germany, Springer-Verlag, 1989, P371
20 Suuronen R, Pohjonen T, Vasenius J et al : Comparison of absorbable self reinforced multi-layer poly-L-lactide and metaalic plates in the fixation of mandibular body osteotomies: an experimental study in sheep. J Oral Maxillofac Surg 50 : 255, 1992   DOI   ScienceOn
21 Kulkarni RK, Pani KC, Neumann C et al : Polylactic acid for surgical implants. Arch Surg 93 : 839, 1966   DOI   PUBMED   ScienceOn
22 Gerlach KL : Treatment of zygomatic fractures with biodegradable poly(L-lactide) plates and screws. Clinical implant materials. In Heimke G, Soltesz U, Lee ACJ, eds.: Advances in biomaterials. Amsterdam: Elsevier, 1990; P573
23 Kim YK, Kim SG : Treatment of mandible fractures using bioabsorbable plates: preliminary study. J Kor Oral Maxillofac Surg 27 : 570, 2001
24 Bessho K, Izuka T, Murakami K : A bioabsorbable poly-Llactide miniplate and screw system for osteosynthesis in oral and maxillofacial surgery. J Oral Maxillofac Surg 55 : 941, 1997   DOI   ScienceOn
25 Kim YS, Lew DH, Lee HK et al : Osteosynthesis using bioabsorbable skeletal fixation system in facial bone fracture. J Kor Plast Surg 25 : 1053, 1998