Vol. 4, Issue 9 (2018)
Retrospective evaluation of clinical efficacy of low-profile locking mandibular reconstruction plate system in surgical management of mandibular fractures: A 9 months follow up study
Author(s): Dr. Mohd Aslam Khan, Moinuddin Ahmad, Mukesh Kumar, Ashish Kushwaha
Abstract: Background & Aim: As we all are aware that open reduction and internal fixation is the frequently performed in the surgical management of comminuted fractures where the jaw bone is broken into more than two pieces. Rational usages of reconstruction plate have also been shown as a reliable modality for managing such clinical situations. They usually exhibit excellent clinical result with least complications. This follow up study aimed to evaluate the clinical efficacy of low-profile locking mandibular reconstruction plate system in the surgical management of comminuted mandibular fractures. The study was completed on a follow up model of 9 months. Materials & Methods: The present retrospective study was conducted in the department of general surgery of the hospital. It included 10 patients for whom open reduction internal fixations was done for managing mandibular fractures using a low-profile locking mandibular reconstruction plate system. Out of 10 patients, 5 were male and 5 were female patients of age range 31-50 years. On the basis of related post-operative signs, symptoms and other associated parameters, the clinical efficacy of the above mentioned methodology was evaluated in 9 month follow up period. Results: Total 7 patients were reported after Road Traffic Accidents, 2 were injured following Sports activities and last patients injured due to falls. Symphysis Region fracture was reported as the most common site of fracture wherein 7 patients total were observed. Patients were not complaining about extra-oral sensibility and discomfort of low-profile plating systems. Conclusion: The responses were very imperative as they reflected the overall effectiveness of low-profile locking mandibular reconstruction plate system in surgical management of comminuted mandibular fractures. Results clearly showed that open reduction with internal fixation using low-profile locking mandibular reconstruction plate system yielded outstanding results with fast recovery and minimum complications. Therefore, low-profile locking mandibular reconstruction plate system can be reliably and judiciously used for surgical management of such clinical condition.