Online ISSN: 2515-8260

Keywords : fixation


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
job.
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
rehabilitation.