Comparative Evaluation of Clinical Outcomes Using Delta Plates and Conventional Miniplates for Internal Fixation of Mandibular Condylar Fractures in Adults. 2018

Suraj Arjun Ahuja, and Jyotsna Galinde, and Usha Asnani, and Yusuf A Mistry
Third-Year Postgraduate Student, Department of Oral & Maxillofacial Surgery, MGM Dental College & Hospital, Navi Mumbai, India. Electronic address: drahujasuraj@gmail.com.

OBJECTIVE In recent years numerous osteosynthesis devices have become available for the management of condylar fractures. The aim of this study was to compare and evaluate the clinical outcomes of delta plates and conventional miniplates for internal fixation of mandibular condylar fractures in adults. METHODS We performed a prospective study of 20 patients with subcondylar fractures requiring open reduction and internal fixation for their management. Patients were randomly divided into 2 groups using computer software: Group A patients (n = 10) were treated using delta plates whereas group B patients (n = 10) were treated using conventional miniplates via an extraoral retromandibular transparotid approach. RESULTS There was no statistically significant difference between delta plates and conventional miniplates for internal fixation of mandibular condylar fractures in adults. However, the time taken for adaptation of the delta plates was significantly lower than that required for the 2 miniplates (P < .001), and the ease of adaptation was significantly better for the delta plates (P < .001). CONCLUSIONS The study results indicated that the delta plate and miniplate are equally effective in terms of long-term clinical success in the management of mandibular subcondylar fractures in adults. The delta plate is superior in terms of handling characteristics, such as ease of adaptation and time required for adaptation, as only 1 plate and 4 screws are required as compared with 2 plates and 8 screws.

UI MeSH Term Description Entries
D008297 Male Males
D008335 Mandibular Condyle The posterior process on the ramus of the mandible composed of two parts: a superior part, the articular portion, and an inferior part, the condylar neck. Condyle, Mandibular,Condyles, Mandibular,Mandibular Condyles
D008337 Mandibular Fractures Fractures of the lower jaw. Fracture, Mandibular,Fractures, Mandibular,Mandibular Fracture
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D011474 Prosthesis Design The plan and delineation of prostheses in general or a specific prosthesis. Design, Prosthesis,Designs, Prosthesis,Prosthesis Designs
D011862 Radiography, Panoramic Extraoral body-section radiography depicting an entire maxilla, or both maxilla and mandible, on a single film. Orthopantomography,Panoramic Radiography,Pantomography,Orthopantomographies,Panoramic Radiographies,Pantomographies,Radiographies, Panoramic
D001860 Bone Plates Implantable fracture fixation devices attached to bone fragments with screws to bridge the fracture gap and shield the fracture site from stress as bone heals. (UMDNS, 1999) Bone Plate,Plate, Bone,Plates, Bone
D005260 Female Females
D005593 Fracture Fixation, Internal The use of internal devices (metal plates, nails, rods, etc.) to hold the position of a fracture in proper alignment. Osteosynthesis, Fracture,Fixation, Internal Fracture,Fixations, Internal Fracture,Fracture Fixations, Internal,Fracture Osteosyntheses,Fracture Osteosynthesis,Internal Fracture Fixation,Internal Fracture Fixations,Osteosyntheses, Fracture

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