The success rate of osteosynthesis plating without postoperative maxillomandibular fixation in management of mandibular fractures: a randomised clinical trial
Date
2022
Authors
Chokoe, Nare Hemelton
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Abstract
Background
Techniques for repair of mandible fracture have evolved exponentially in the past years. Controversies have erupted with regards to the placement of maxillomandibular fixation (MMF)
post open reduction and internal fixation (ORIF).
Aim
To determine whether MMF is indicated post ORIF for fractured mandible.
Methods
A one-year prospective comparative randomised controlled clinical trial of 80 patients treated for mandibular fractures with or without MMF post ORIF. Frequencies and percentages were used to summarize the categorical variables. Fischers exact test was suitable for determining the association between the categorical variables.
Results
Of the 80 treated cases, 5 (6,3%) presented with complications; four cases had infections while one presented with hardware failure. Of the 5 complications, three were only treated with ORIF and two with ORIF and supplementary MMF.
Conclusion
There was no statistical difference between the two groups. There was no significant factor associated with the complications.
Description
A research report submitted in partial fulfilment of the requirements for the degree of Master of Dentistry to the Faculty of Health Sciences, School of Oral Health Sciences, University of the Witwatersrand, Johannesburg,2022