Online ISSN: 2515-8260

Keywords : fixation

Vyas Narayan Shukla1, Manish Shukla2, Sachin Yadav3, Siddhartha Sagar

Dr.Kamlesh Kumar Dhruv, Dr. Pradeep Kumar Pande, Dr.Mastan Shaik MDS

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 1272-1275

Background: facial injury has led to furtherance in techniques of internal fixation,
improvements in plating system. Trauma to the facial bones and exposure of the site
and internal fixation with micro and mini plates. Evaluating 10 patients with fractures
of maxilla and mandible and open reduction and internal fixation with and comparison
of micro and mini plates with load bearing capacity, stability at the fracture site and
postoperative complications. Objectives: Comparison of micro and mini plates in
maxillofacial trauma cases.
Materials and Methods: Sample consists 10 subjects, 5 each in two groups clinically and
radiographically diagnosed with Group 1 (maxillary fractures) and Group 2
(mandibular fractures) which were subdivided into 5 each treated with miniplate and
microplate respectively. All cases have been evaluated clinically for various parameters
for minimum of 1 months 2 month and 3 months of assessment of any postoperative
complications. Post operative evaluation for pain and fracture site stability and post of
infections, mouth opening, wound healing was observed.
Results: Study resulted as microplates are more and enough stability and have good
adequate capacity of adaptation when compared with mini plates because of flexibity of
plate and less size of the microplates feels less hard than mini plates when used in
Conclusion: Microplates have good adequate adaptation and rigid enough to provide
adequate stability of the fracture segment when compared with mini plates, many
number of fractures evaluation in maxilla and mandible finally concluded microplates
are good at maxilla fixation and mandible.

A prospective functional outcome study of Volar locking plates versus K-wire fixation of dorsally displaced distal radius fractures

Dr. Hem Raj, Dr. Punit Tiwari, Dr. Sandeep Singh Jaura, Dr. Gagan Khanna and Dr. RK Arora

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 11993-12002

Introduction: Fractures of the distal end radius are the most common fractures of the upper extremity, encountered in practice and constitute 17% of all fractures and 75% of all forearm fractures. The fundamental principle of fracture treatment is to obtain accurate fracture reduction and then use an immobilization method that will maintain and hold that reduction. The most common surgical treatment of closed distal radius fractures is by Kirschner-wires (K-wires) or volar locking plates, with the latter gaining popularity these days. In this study, we compared functional outcomes of K-wires with those of volar locking plates.
Methods: A prospective comparative study of 50 patients with dorsally displaced distal radius fractures treated with K-wiring and volar locking plates (25 cases in each group) was performed. An initial clinical evaluation was done pre-operatively followed by fracture fixation and was further evaluated functionally and radiologically post-operatively. Functional results were analyzed by the modified Demerit point system of Gartland and Werley, anatomical results were analyzed by Sarmiento’s modification of Lindstrom criteria, and radiological assessment was done as per criteria given by NANA et al.
Results: Radiologically and anatomically volar plate had better results as compared to k-wire, during the initial follow-up of fractures of the distal radius. The volar plate also dominated over k-wires in terms of functional results but at 6 months there was very little difference seen functionally. Both techniques provide great clinical results, without a clear superiority of either fixation method for the surgical management of distal radius fractures.
Conclusion: We conclude that locking plates offer no functional advantage over the older and economical method of Kirschner wire fixation for patients with displaced fractures of the distal radius.

Assessment Of Subcondylar Fracture Treated Using Two Four-Hole Straight Miniplates Versus The Synthes® Matrixmandible Trapezoidal Plate: Randomized Controlled Trial

Mohamed A. El-Mahdy; Moustafa K. Ezz; Moustafa I. Shindy

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 9, Pages 692-708

Background and objective: The purpose of this research was to evaluate subcondylar fracture treated with two four-hole straight miniplates versus the MatrixMANDIBLE Trapezoidal plate. Patients and Methods: A total of 18 patients having subcondylar fractures indicated for open reduction and plate fixation were chosen from the outpatient clinic of the Department of Oral and Maxillofacial Surgery, Faculty of Oral and Dental Medicine, Cairo University, and randomly divided into two equal groups. Intervention group was treated using MatrixMANDIBLE Trapezoidal plates, and the control group was treated using two four-hole miniplates (2.0): one is parallel to the mandible's posterior border and the other is parallel to the sigmoid notch. The clinical and radiological outcomes of the treatment such as accuracy of reduction and stability of fixation, pain, occlusion, mandibular movements, facial nerve affection and time of operation were assessed and statistically analyzed. Results: There were no statistically significant differences among the two groups in all comparisons except time of operation, as MatrixMANDIBLE Trapezoidal plates were time saving. Conclusion: MatrixMANDIBLE Trapezoidal plate has clinical and radiographic outcomes comparable to two four-hole miniplates, offering less hardware and less operative time.

Displaced Mid Shaft Clavicular Fracture Fixation by Plate and Screws (Functional Outcome)

Ahmed Nama M. Altaei; Mustafa Waleed yahya; Rafiq Qutran Al-Hussain

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 2, Pages 208-213

Background: Displaced mid shaft clavicular fracture can be manage conservatively and
surgically, open reduction and internal fixation with plate and screw, as primary
intervention is valid option.
Method: prospective cohort study was conducted of 18 young patients with displaced mid
shaft clavicle fracture ,these patients underwent open reduction and plate and screw
fixation, after 6 months follow up evaluation done for complication rates functional score
by DASH & ULCA score, patients satisfactions and estimation of time need for resume
Results: 15/18 patients were male; those patients underwent open reduction and internal
fixation by plate and screw in time up to 40 days post injury. 50% have complications
mostly minor complications like prominent hard ware and scar or paresthesia, 2/18
patients have major complication, one infection and other implant failure ,most of patients
14/18 have fully satisfied with result ,61% resumed the job early within 3 weeks. The
mean DASH score was 34.9 ,ULCA score 28.9, factors effecting DASH score was
comorbidity, complication, range of motion, satisfaction and time to return to job, while
ULCA score effected by use of regional anesthesia, complication, range of motion,
satisfaction and time to return to job. There is no statistical relationship between age,
gender, and complications and time to fixation to satisfaction or time to resume job.
Conclusion: open reduction and internal fixation of displaced mid shaft clavicle fracture
should be offered for patient with expectation of good outcome especially with supervised