“A Study On Comparison Of Fixation Of Mandibular Angle Fractures Using Single Miniplate Versus Curved Angle Rectangular Strut Plate”. A Prospective Randomised Clinical Study

Research Article
Shajah Hussain Sheikh., Ajaz Ahmad Shah., Sanjay Bhagat and Shaista Rehman
DOI: 
http://dx.doi.org/10.24327/ijrsr.2017.0812.1204
Subject: 
science
KeyWords: 
Rectangular straut miniplates, conventional 2.0-mm miniplates, mandible angle fracture.
Abstract: 

Aim: To compare and evaluate the treatment outcome and postoperative complications in mandibular angle fractures using single miniplate versus curved angle straut plates. Materials and Methods: This study consisted of a sample of 20 patients divided randomly but equally (single-blind control trial study) into two groups. Each group contains 10 patients. Group 1 was treated with open reduction and internal fixation using curved angle rectangular straut plate. Group II was treated using single 2-mm miniplates. Statistical Analysis: Chi-square test. Results: The results of this study suggested that there is no statistically significant difference in terms of infection, occlusal discrepency, and union, The mean duration of rectangular plating in our study was 83.9± SD 27.299 minutes whileas in single miniplate It was 47.6± SD 6.552 minutes with p value less than 0.001 which is statistically highly significant. It proves that single miniplate can be accomplished quicker than rectangular plating plating. Swelling increased after 2nd day of procedure and then after decreased upto 7th day of the procedure in each group. With statistically insignificant difference in both the groups. Visual analogue score increased after 2nd day of procedure and then after decreased upto 7th day of the procedure in each group with statistically insignificant difference in both the groups. Occlusion at first week, 6 weeks, 3rd month and at 6 months were compared and it is found statistically insignificant with p value of 1. Paresthesia at first week, 6 weeks, 3rd month and at 6 months were compared and it is found statistically insignificant with p value of 1. Post-operative infection at first week, 6 weeks, 3rd month and at 6 months were compared and it is found statistically insignificant with p value of 1. In both the groups none of the patient developed wound dehiscence. Radiographic evaluations for reductions and fixation was confirmed at ist week which was satisfactory in all patients in both the groups. Radiographic evaluation for union or non-union was confirmed at 20th week after the procedure in both the groups and it was found that there is statistically insignificant difference. In both the groups all patients return to their normal activity like speech, Mastication, social interaction in 10 – 14 days with no statistically difference. Conclusion: Till now no phillosphy of treatment of mandibular fractures has proved superior over schampys except in cases of communition defect or attrophic mandible.