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Failure of miniplate osteosynthesis for the management of atrophic mandibular fracture.

Identifieur interne : 001146 ( Main/Merge ); précédent : 001145; suivant : 001147

Failure of miniplate osteosynthesis for the management of atrophic mandibular fracture.

Auteurs : George Soares Santos [Brésil] ; Marcelo Dias Moreira De Assis Costa ; Cecília De Oliveira Costa ; Francisley Avila Souza ; Idelmo Rangel Garcia Júnior ; Willian Morais De Melo

Source :

RBID : pubmed:23851887

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English descriptors

Abstract

Fractures of the severely atrophic (<10 mm) edentulous mandible are not common, and these fractures with a vertical height of 10 mm or less have long been recognized as being particularly problematic. Although there are advances in the treatment of the atrophic mandibular fracture, the treatment remains controversial. There are some options for treatment planning because of using small miniplates to large reconstruction plates. However, when the fixation method fails, it causes malunion, nonunion, and/or infection, and sometimes it has been associated with large bone defects. The authors describe a clinical report of a failed miniplate fixation for atrophic mandibular fracture management. The authors used a load-bearing reconstruction plate combined with autogenous bone graft from iliac crest for this retreatment. The authors show a follow-up of 6 months, with union of the fracture line and no complication postoperatively.

DOI: 10.1097/SCS.0b013e3182942cf9
PubMed: 23851887

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Le document en format XML

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<name sortKey="Junior, Idelmo Rangel Garcia" sort="Junior, Idelmo Rangel Garcia" uniqKey="Junior I" first="Idelmo Rangel Garcia" last="Júnior">Idelmo Rangel Garcia Júnior</name>
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<name sortKey="Junior, Idelmo Rangel Garcia" sort="Junior, Idelmo Rangel Garcia" uniqKey="Junior I" first="Idelmo Rangel Garcia" last="Júnior">Idelmo Rangel Garcia Júnior</name>
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<term>Atrophy</term>
<term>Bone Plates (adverse effects)</term>
<term>Female</term>
<term>Fracture Fixation, Internal (instrumentation)</term>
<term>Fracture Fixation, Internal (methods)</term>
<term>Humans</term>
<term>Ilium (transplantation)</term>
<term>Mandibular Fractures (surgery)</term>
<term>Mandibular Reconstruction (instrumentation)</term>
<term>Mandibular Reconstruction (methods)</term>
<term>Middle Aged</term>
<term>Prosthesis Failure</term>
<term>Reoperation</term>
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<term>Adulte d'âge moyen</term>
<term>Atrophie</term>
<term>Défaillance de prothèse</term>
<term>Femelle</term>
<term>Fractures mandibulaires ()</term>
<term>Humains</term>
<term>Ilium (transplantation)</term>
<term>Ostéosynthèse interne ()</term>
<term>Ostéosynthèse interne (instrumentation)</term>
<term>Plaques orthopédiques (effets indésirables)</term>
<term>Reconstruction mandibulaire ()</term>
<term>Reconstruction mandibulaire (instrumentation)</term>
<term>Réintervention</term>
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<term>Bone Plates</term>
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<term>Plaques orthopédiques</term>
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<term>Fracture Fixation, Internal</term>
<term>Mandibular Reconstruction</term>
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<term>Fracture Fixation, Internal</term>
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<term>Humains</term>
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<div type="abstract" xml:lang="en">Fractures of the severely atrophic (<10 mm) edentulous mandible are not common, and these fractures with a vertical height of 10 mm or less have long been recognized as being particularly problematic. Although there are advances in the treatment of the atrophic mandibular fracture, the treatment remains controversial. There are some options for treatment planning because of using small miniplates to large reconstruction plates. However, when the fixation method fails, it causes malunion, nonunion, and/or infection, and sometimes it has been associated with large bone defects. The authors describe a clinical report of a failed miniplate fixation for atrophic mandibular fracture management. The authors used a load-bearing reconstruction plate combined with autogenous bone graft from iliac crest for this retreatment. The authors show a follow-up of 6 months, with union of the fracture line and no complication postoperatively.</div>
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