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