Efficacy of Open Reduction Internal Fixation In Management Of Minimally Displaced Unilateral Mandibular Anterior Fracture By Two Plate And Single Plate With Arch Bar: A Comparative Study

Dr. Shivam Agarwal; Dr. DS Gupta; Dr. Gagan Khare; Dr. Sanjeev Saxena; Dr. Balram Garg; Dr. Pallavi Srivastava

Volume : IX, Issue : IV, April - 2020

Efficacy of Open Reduction Internal Fixation In Management Of Minimally Displaced Unilateral Mandibular Anterior Fracture By Two Plate And Single Plate With Arch Bar: A Comparative Study

Dr. Shivam Agarwal, Dr. Ds Gupta, Dr. Gagan Khare, Dr. Sanjeev Saxena, Dr. Balram Garg, Dr. Pallavi Srivastava

Abstract :

This comparative study was conducted on dentate minimally displaced mandibular anterior fracture patients, treated by open reduction and internal Fixation (ORIF) by mini plates and screws in two Groups. Group–A, patients treated by one plate fixation with tension banding by an arch bar in place of second plate to provide effective stabilization of fracture segments and Group–B patients, treated by two plate fixation. Aim was to evaluate an arch bar as tension band in comparison with tension band plate to reduce implant material and minimize implant related post–operative complications, with provision of an alternative technique for mandibular osteosynthesis. Further, patients were also evaluated for infection, malocclusion, stability, and radiographic evaluation for anatomical reduction post operatively at different intervals (1st week, 1st month, 3rd month). Malocclusion was a more common finding in Group–A patients when compared with Group B patients. Group–A patients were further managed by Intermaxillary fixation for 2 weeks for mobility of segments whereas no such complications were found in patients of Group–B.