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The use of Synthes MatrixWAVE bone anchored arch bars for closed treatment of multiple concurrent mandibular fractures

Identifieur interne : 000026 ( Main/Exploration ); précédent : 000025; suivant : 000027

The use of Synthes MatrixWAVE bone anchored arch bars for closed treatment of multiple concurrent mandibular fractures

Auteurs : Elizabeth Kiwanuka ; Rajiv Iyengar ; Charles Christopher Jehle ; Raman Mehrzad ; Daniel Kwan

Source :

Journal of Oral Biology and Craniofacial Research [ 2212-4268 ] ; 2017.

RBID : PMC:5670305

Abstract

Background

Maxillomandibular fixation (MMF) is an important tool in the treatment of facial fractures and bone-anchored arch bar systems have emerged as treatment options. This study illustrates our experience with the Synthes MatrixWAVE MMF system and the novel application in closed treatment of patients with multiple concurrent mandibular fractures.

Methods

We enrolled eight patients with concurrent mandibular fractures and treated them with the MatrixWAVE MMF system. The malleable arch bars were fitted and then secured using 6–8 mm screws. The arch bar was and either stretched or compressed to ensure optimal positioning. 24-gauge interdental fixation wiring was placed using the fish loop technique on either side of the fracture to achieve stabilization of the mandible fractures.

Results

All eight patients were retained in MMF until stable occlusion was achieved with clinical evidence of healing, approximately 4–6 weeks. Post-operative Panorex scans did not reveal any evidence of damage to tooth roots. None of the screws became overly embedded in the mucosa secondary to overgrowth; the arch bars were successfully removed in an outpatient setting without local anesthesia.

Conclusions

The Synthes MatrixWAVE MMF system has unique features such as prominent screw anchor heads and horizontal malleability unique from other bone anchored arch bars. These features allow for completely closed treatment of patients with multiple concurrent mandible fractures.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5670305

DOI: 10.1016/j.jobcr.2017.08.006
PubMed: 29123991
PubMed Central: 5670305

Affiliations:

Le document en format XML

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<author><name sortKey="Jehle, Charles Christopher" sort="Jehle, Charles Christopher" uniqKey="Jehle C" first="Charles Christopher" last="Jehle">Charles Christopher Jehle</name>
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<author><name sortKey="Kwan, Daniel" sort="Kwan, Daniel" uniqKey="Kwan D" first="Daniel" last="Kwan">Daniel Kwan</name>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Maxillomandibular fixation (MMF) is an important tool in the treatment of facial fractures and bone-anchored arch bar systems have emerged as treatment options. This study illustrates our experience with the Synthes MatrixWAVE MMF system and the novel application in closed treatment of patients with multiple concurrent mandibular fractures.</p>
</sec>
<sec><title>Methods</title>
<p>We enrolled eight patients with concurrent mandibular fractures and treated them with the MatrixWAVE MMF system. The malleable arch bars were fitted and then secured using 6–8 mm screws. The arch bar was and either stretched or compressed to ensure optimal positioning. 24-gauge interdental fixation wiring was placed using the fish loop technique on either side of the fracture to achieve stabilization of the mandible fractures.</p>
</sec>
<sec><title>Results</title>
<p>All eight patients were retained in MMF until stable occlusion was achieved with clinical evidence of healing, approximately 4–6 weeks. Post-operative Panorex scans did not reveal any evidence of damage to tooth roots. None of the screws became overly embedded in the mucosa secondary to overgrowth; the arch bars were successfully removed in an outpatient setting without local anesthesia.</p>
</sec>
<sec><title>Conclusions</title>
<p>The Synthes MatrixWAVE MMF system has unique features such as prominent screw anchor heads and horizontal malleability unique from other bone anchored arch bars. These features allow for completely closed treatment of patients with multiple concurrent mandible fractures.</p>
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<name sortKey="Kiwanuka, Elizabeth" sort="Kiwanuka, Elizabeth" uniqKey="Kiwanuka E" first="Elizabeth" last="Kiwanuka">Elizabeth Kiwanuka</name>
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<name sortKey="Mehrzad, Raman" sort="Mehrzad, Raman" uniqKey="Mehrzad R" first="Raman" last="Mehrzad">Raman Mehrzad</name>
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The use of Synthes MatrixWAVE bone anchored arch bars for closed treatment of multiple concurrent mandibular fractures

The use of Synthes MatrixWAVE bone anchored arch bars for closed treatment of multiple concurrent mandibular fractures

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