Stability of single 3-D trapezoidal plate in condylar fracture in comparison to 2 Miniplates: A prospective clinical study

Varun Arya; Sundeep Sharma; Keerat Preet Koour; Aasimah Hameed; Jingade Krishnojirao Dayashankara Rao; Ayushi Gupta

doi:10.53730/ijhs.v6nS1.4783

Authors

Varun Arya Assistant Professor, Department of Oral and Maxillofacial Surgery, Faculty of dental Sciences, SGT University, Gurugam, Address: B-47 A Vijay Nagar Single Storey, Delhi-110009
Sundeep Sharma H-39/2, first floor, Block H, DLF Phase -1, DLF City, Gurugram -122002 Orcid ID: 0000-0003-0240-6090
Keerat Preet Koour
keerat_kour@yahoo.com
Post Graduate Student, Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, SGT University, Budhera. Gurugram- 123505
Aasimah Hameed Post Graduate Student, Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, SGT University, Budhera. Gurugram- 123505
Jingade Krishnojirao Dayashankara Rao Associate Professor, Maxillofacial Surgery and Diagnostic Science, Collage of Dentistry, Qassim University, Address: Postal Box 1162, Qassim Region, Al-Mulida, North of Prince Nayef bin Abdulaziz International Airport, Saudi Arabia
Ayushi Gupta Post Graduate Student, Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, SGT University, Budhera. Gurugram- 123505

Keywords:

condylar fracture, condylar head, fixation methods, internal fixation, open reduction

Abstract

Background: Condylar fractures account for one third of all mandibular fractures being in the range of 17.5–52%^{1, 2} of all mandibular fractures. The main goal in the treatment of condylar fractures is to predictably restore pre-injury anatomical form, with associated aesthetics and function. Aim: The aim of this study is to assess the efficacy and stability of single 3-D trapezoidal condylar plate and compare it with 2.0mm conventional miniplates in the Open Reduction and Internal Fixation of mandibular sub-condylar fractures. Methods: This study was conducted on 20 patients with subcondylar fracture.10 patients were allotted by random sampling in each Group. 3-D trapezoidal condylar plates were used in Group A and 2.0mm conventional minplates were used in Group B. The mini retromandibular surgical approach was common to both the groups. Function and stability was assessed post operatively at 1^st, 3rd and 6^th month respectively. Results: Intergroup analysis showed no statistically significant difference in results with respect to function and the stability of the fractured fragments. Conclusion: 3D trapezoidal condylar plates are more stable and structurally more efficient in reducing the torque forces leading to better osteosynthesis.

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