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Tytuł:
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Evaluation of a novel osteosynthesis plate system for mandibular defects.
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Autorzy:
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Peters F; Department of Oral, Maxillofacial and Facial Plastic Surgery, School of Medicine, University Hospital RWTH Aachen, Pauwelsstraße 30, 52074 Aachen Germany. Electronic address: .
Kniha K; Department of Oral, Maxillofacial and Facial Plastic Surgery, School of Medicine, University Hospital RWTH Aachen, Pauwelsstraße 30, 52074 Aachen Germany.
Möhlhenrich SC; Department of Orthodontics, University Witten/Herdecke, Private Universität Witten/Herdecke GmbH, Alfred-Herrhausen-Straße 45, 58448 Witten, Germany.
Bock A; Department of Oral, Maxillofacial and Facial Plastic Surgery, School of Medicine, University Hospital RWTH Aachen, Pauwelsstraße 30, 52074 Aachen Germany.
Hölzle F; Department of Oral, Maxillofacial and Facial Plastic Surgery, School of Medicine, University Hospital RWTH Aachen, Pauwelsstraße 30, 52074 Aachen Germany.
Modabber A; Department of Oral, Maxillofacial and Facial Plastic Surgery, School of Medicine, University Hospital RWTH Aachen, Pauwelsstraße 30, 52074 Aachen Germany.
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Źródło:
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The British journal of oral & maxillofacial surgery [Br J Oral Maxillofac Surg] 2020 Nov; Vol. 58 (9), pp. e109-e114. Date of Electronic Publication: 2020 Jul 25.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: Edinburgh, U.K. : Churchill Livingstone, c1984-
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MeSH Terms:
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Mandibular Neoplasms*/surgery
Mandibular Reconstruction*
Bone Plates ; Fracture Fixation, Internal ; Humans ; Mandible ; Retrospective Studies
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Contributed Indexing:
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Keywords: ALT; Bridging plate; DCIA; Fibula; Osteosynthesis; Reconstruction plate
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Entry Date(s):
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Date Created: 20200818 Date Completed: 20201221 Latest Revision: 20201221
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Update Code:
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20240105
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DOI:
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10.1016/j.bjoms.2020.07.018
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PMID:
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32800607
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Continuity defects of the jaw can be reconstructed with titanium plates or microvascular bone flaps; osteosynthesis plates are necessary for both. In this study we performed a retrospective review of patients treated with Medartis MODUS® Mandible Trauma/Reco 2.0-2.5, TriLock bridging plates, mandibulectomy and soft tissue free flap or reconstruction with a bony free flap and TriLock mandibular plates from the same system from January 2015 to August 2019. The variables recorded were sex, age, diagnosis, radiotherapy, date of implantation, date of explantation or death of patient, size of mandibular defect, Jewer classification of defect, number of screws used, segments of bony reconstruction, screws per segment, plate exposure, plate breakage, and pseudarthrosis. The bridging plate group consisted of 41 patients, while the mandibular plate group consisted of 24 patients. The percentage of plate exposure was 17.07% for the bridging plate group and 4.17% for the mandibular plate group. Plate breakage was 0 in both groups. Pseudarthrosis was 4.17% in the mandibular plate group. In the bridging plate group, an anterolateral thigh flap covered all exposures. Of 7 plate exposures, 4 were found in a C defect. The complication rate of the investigated plates was lower than the complication rates of other plate systems.
(Copyright © 2020 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.)