V. Naik, Gouthami G, N. Donepudi, K. Rai, Shiva Kumar H R
{"title":"钛合金双 \"Y \"形微型钢板与传统微型钢板在下颌骨前方骨折固定中的疗效比较:前瞻性临床研究","authors":"V. Naik, Gouthami G, N. Donepudi, K. Rai, Shiva Kumar H R","doi":"10.18231/j.jooo.2023.044","DOIUrl":null,"url":null,"abstract":": Anterior mandibular fracture management is commonly dealt in oral and maxillofacial surgery and most accepted treatment modality is open reduction and internal fixation with miniplates. With ongoing research, various shapes of miniplates were tried for osteosynthesis and biomechanical properties tested in invitro studies, but they lack testing in clinical scenarios. The present study was conducted to compare clinically and radio graphically, the efficacy of double Y-shaped mini plate with two conventional 4 hole mini plates in management of anterior mandibular fractures. : Study consisted of 20 patients, 10 in each group with anterior mandibular fractures. 10 patients (group 1) were treated with double ‘Y’ shaped miniplate with bar and 10 patients (group 2) with conventional 4 hole two miniplates. Clinically post-operative Pain, edema, occlusion, neurosensory deficit and wound healing were assessed. Clinical evaluation was done at 1st postop day, 1st week, and 1st and 3rd month postoperatively. Radiographic evaluation was done to record fracture gap in both the groups and timing for plate adaptation and fixation was recorded intra-operatively. The data was recorded and statistical analysis was done.: Clinical and radiographic evaluation done for each group did not show any statistical difference at 3 months postoperatively. However significant difference was noted in time taken for adaptation and fixation of plates and screws. Double ‘Y’ shaped miniplate was found to be easier to place and required less time to adapt and fix to bone compared to 4-hole miniplates. The study concluded that the double ‘Y’ miniplate and conventional 4-hole miniplates are found to be equally effective for clinical use in treatment of anterior mandibular fractures. The double ‘Y’ miniplate were found to be superior in terms of handling characteristics, less hardware and better radiographic outcome when compared to conventional 4-hole miniplates.","PeriodicalId":509247,"journal":{"name":"Journal of Oral Medicine, Oral Surgery, Oral Pathology and Oral Radiology","volume":"176 2","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Efficacy of the titanium double ‘Y’- shaped mini plate compared with conventional mini plates in fixation of anterior mandibular fractures: A prospective clinical study\",\"authors\":\"V. Naik, Gouthami G, N. Donepudi, K. 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Clinically post-operative Pain, edema, occlusion, neurosensory deficit and wound healing were assessed. Clinical evaluation was done at 1st postop day, 1st week, and 1st and 3rd month postoperatively. Radiographic evaluation was done to record fracture gap in both the groups and timing for plate adaptation and fixation was recorded intra-operatively. The data was recorded and statistical analysis was done.: Clinical and radiographic evaluation done for each group did not show any statistical difference at 3 months postoperatively. However significant difference was noted in time taken for adaptation and fixation of plates and screws. Double ‘Y’ shaped miniplate was found to be easier to place and required less time to adapt and fix to bone compared to 4-hole miniplates. The study concluded that the double ‘Y’ miniplate and conventional 4-hole miniplates are found to be equally effective for clinical use in treatment of anterior mandibular fractures. 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引用次数: 0
摘要
:下颌骨前方骨折的治疗是口腔颌面外科的常见病,最常见的治疗方法是切开复位和使用小钢板内固定。随着研究的不断深入,人们尝试使用各种形状的小钢板进行骨合成,并在体外研究中对其生物力学特性进行了测试,但这些小钢板缺乏临床应用测试。本研究旨在比较双 Y 型微型钢板与两块传统的 4 孔微型钢板在治疗下颌骨前方骨折方面的临床疗效,并通过无线电图谱进行比较。 研究包括 20 名下颌骨前方骨折患者,每组 10 人。10 名患者(第 1 组)使用带横杆的双 "Y "形微型钢板治疗,10 名患者(第 2 组)使用传统的 4 孔双微型钢板治疗。临床上对术后疼痛、水肿、闭塞、神经感觉缺失和伤口愈合情况进行评估。临床评估在术后第 1 天、第 1 周、第 1 个月和第 3 个月进行。对两组患者的骨折间隙进行影像学评估,并在术中记录钢板适应和固定的时间。记录数据并进行统计分析:术后 3 个月时,各组的临床和放射学评估均未显示出任何统计学差异。然而,在钢板和螺钉的适应和固定时间上却有明显差异。与四孔小钢板相比,双 "Y "形小钢板更容易放置,适应和固定到骨头上所需的时间也更短。研究得出结论,双 "Y "型小钢板和传统的四孔小钢板在治疗下颌骨前方骨折的临床应用中同样有效。与传统的 4 孔微型钢板相比,双 "Y "型微型钢板在操作特性、硬件数量和放射成像效果方面更胜一筹。
Efficacy of the titanium double ‘Y’- shaped mini plate compared with conventional mini plates in fixation of anterior mandibular fractures: A prospective clinical study
: Anterior mandibular fracture management is commonly dealt in oral and maxillofacial surgery and most accepted treatment modality is open reduction and internal fixation with miniplates. With ongoing research, various shapes of miniplates were tried for osteosynthesis and biomechanical properties tested in invitro studies, but they lack testing in clinical scenarios. The present study was conducted to compare clinically and radio graphically, the efficacy of double Y-shaped mini plate with two conventional 4 hole mini plates in management of anterior mandibular fractures. : Study consisted of 20 patients, 10 in each group with anterior mandibular fractures. 10 patients (group 1) were treated with double ‘Y’ shaped miniplate with bar and 10 patients (group 2) with conventional 4 hole two miniplates. Clinically post-operative Pain, edema, occlusion, neurosensory deficit and wound healing were assessed. Clinical evaluation was done at 1st postop day, 1st week, and 1st and 3rd month postoperatively. Radiographic evaluation was done to record fracture gap in both the groups and timing for plate adaptation and fixation was recorded intra-operatively. The data was recorded and statistical analysis was done.: Clinical and radiographic evaluation done for each group did not show any statistical difference at 3 months postoperatively. However significant difference was noted in time taken for adaptation and fixation of plates and screws. Double ‘Y’ shaped miniplate was found to be easier to place and required less time to adapt and fix to bone compared to 4-hole miniplates. The study concluded that the double ‘Y’ miniplate and conventional 4-hole miniplates are found to be equally effective for clinical use in treatment of anterior mandibular fractures. The double ‘Y’ miniplate were found to be superior in terms of handling characteristics, less hardware and better radiographic outcome when compared to conventional 4-hole miniplates.