Failed Fixation in Atrophic Mandibular Fractures: The Case against Miniplates

Craniomaxillofacial Trauma and Reconstruction

George M. Kushner¹  Brian Alpert¹  Matthew J. Madsen¹ 

[1] Department of Oral and Maxillofacial Surgery, University of Louisville, Louisville, Kentucky

关键词: Mandibular fracture;    atrophic mandible;    bone grafting;   

DOI  :  10.1055/s-0031-1286114

学科分类：口腔科学

来源: Thieme Medical Publishers, Inc.

【 摘 要 】

Despite advances in the treatment of the fractured atrophic edentulous mandible, treatment continues to be difficult. Patient management is more complicated due to patients often being elderly with more complex medical problems. Rigid internal fixation has greatly improved outcomes with shorter treatment times, yet a consensus has yet to be reached regarding which method yields the most predictable results. Options include using small miniplates to larger reconstruction plates. Although each method has advantages, we present our experience with retreatment of failed miniplate fixation using load-bearing reconstruction plates of fractured atrophic edentulous mandibles.

【 授权许可】

Unknown