Complications of the use of trans-osseous wire osteosynthesis in the managementof compound, unfavorable and non-comminuted mandibular angle fractures
Identifieur interne : 006B52 ( Ncbi/Merge ); précédent : 006B51; suivant : 006B53Complications of the use of trans-osseous wire osteosynthesis in the managementof compound, unfavorable and non-comminuted mandibular angle fractures
Auteurs : Charles E. Anyanechi [Nigeria] ; Otasowie D. Osunde [Nigeria] ; Birch D. Saheeb [Nigeria]Source :
- Ghana Medical Journal [ 0016-9560 ] ; 2016.
Abstract
To analyze cases of compound, unfavorable and non-comminuted mandibular angle fractures treated by trans-osseous wiring, presenting postoperative complications, in a low resource center.
This was a 13-year retrospective study of 1,324 fractures in 1,317 subjects. The predictor variables were age, gender, aetiology, time lag between injury and treatment, and concomitant mandibular and mid-facial fractures. The outcome variable was the development of complication(s) after treatment. Descriptive and bivariate statistics were computed with EPI INFO 7 version software, and the P value was set at 0.05.
The sample size was composed of 63/1317 (4.8%) of patients with complications. There were 48 males and 15 females with male: female ratio of 3.2:1. The age of the patients ranged from 21 to 62 years (mean 37.4± 5.6 years). The test of significance showed statistically significant association between complications of mandibular angle fractures and increasing age (P<0.002), male gender (P<0.001), road traffic accident (P<0.001), longer time lag between injury and treatment of fractures (P<0.000), and concomitant mandibular fractures (P<0.000). Deranged occlusion (n=19, 28.8%) and limited mouth opening <35mm (n=16, 24.2%) were the common complications. The complications were successfully treated during follow-up.
The use of trans-osseous wire osteosynthesis gave good results, and can still be useful in centres that are less well equipped and where access to rigid internal fixation with mini plates is either limited or unavailable.
Self-funded
Url:
PubMed: 27752192
PubMed Central: 5044794
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<author><name sortKey="Osunde, Otasowie D" sort="Osunde, Otasowie D" uniqKey="Osunde O" first="Otasowie D" last="Osunde">Otasowie D. Osunde</name>
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<author><name sortKey="Saheeb, Birch D" sort="Saheeb, Birch D" uniqKey="Saheeb B" first="Birch D" last="Saheeb">Birch D. Saheeb</name>
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<author><name sortKey="Osunde, Otasowie D" sort="Osunde, Otasowie D" uniqKey="Osunde O" first="Otasowie D" last="Osunde">Otasowie D. Osunde</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Oral and maxillofacial Unit, Department of Dental Surgery, University of Calabar Teaching Hospital, Calabar, Nigeria</nlm:aff>
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<author><name sortKey="Saheeb, Birch D" sort="Saheeb, Birch D" uniqKey="Saheeb B" first="Birch D" last="Saheeb">Birch D. Saheeb</name>
<affiliation wicri:level="1"><nlm:aff id="A2">Department of Oral and Maxillofacial Surgery, University of Benin Teaching Hospital, Benin-City, Nigeria</nlm:aff>
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<series><title level="j">Ghana Medical Journal</title>
<idno type="ISSN">0016-9560</idno>
<imprint><date when="2016">2016</date>
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<front><div type="abstract" xml:lang="en"><title>Summary</title>
<sec><title>Objective</title>
<p>To analyze cases of compound, unfavorable and non-comminuted mandibular angle fractures treated by trans-osseous wiring, presenting postoperative complications, in a low resource center.</p>
</sec>
<sec sec-type="materials|methods"><title>Materials and methods</title>
<p>This was a 13-year retrospective study of 1,324 fractures in 1,317 subjects. The predictor variables were age, gender, aetiology, time lag between injury and treatment, and concomitant mandibular and mid-facial fractures. The outcome variable was the development of complication(s) after treatment. Descriptive and bivariate statistics were computed with EPI INFO 7 version software, and the P value was set at 0.05.</p>
</sec>
<sec sec-type="results"><title>Results</title>
<p>The sample size was composed of 63/1317 (4.8%) of patients with complications. There were 48 males and 15 females with male: female ratio of 3.2:1. The age of the patients ranged from 21 to 62 years (mean 37.4± 5.6 years). The test of significance showed statistically significant association between complications of mandibular angle fractures and increasing age (P<0.002), male gender (P<0.001), road traffic accident (P<0.001), longer time lag between injury and treatment of fractures (P<0.000), and concomitant mandibular fractures (P<0.000). Deranged occlusion (n=19, 28.8%) and limited mouth opening <35mm (n=16, 24.2%) were the common complications. The complications were successfully treated during follow-up.</p>
</sec>
<sec sec-type="conclusion"><title>Conclusion</title>
<p>The use of trans-osseous wire osteosynthesis gave good results, and can still be useful in centres that are less well equipped and where access to rigid internal fixation with mini plates is either limited or unavailable.</p>
</sec>
<sec><title>Funding</title>
<p>Self-funded</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Ghana Med J</journal-id>
<journal-title-group><journal-title>Ghana Medical Journal</journal-title>
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<issn pub-type="ppub">0016-9560</issn>
<publisher><publisher-name>Ghana Medical Association</publisher-name>
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<article-meta><article-id pub-id-type="pmid">27752192</article-id>
<article-id pub-id-type="pmc">5044794</article-id>
<article-id pub-id-type="publisher-id">jGMJ.v50.i3.pg172</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Complications of the use of trans-osseous wire osteosynthesis in the managementof compound, unfavorable and non-comminuted mandibular angle fractures</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Anyanechi</surname>
<given-names>Charles E</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Osunde</surname>
<given-names>Otasowie D</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Saheeb</surname>
<given-names>Birch D</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Oral and maxillofacial Unit, Department of Dental Surgery, University of Calabar Teaching Hospital, Calabar, Nigeria</aff>
<aff id="A2"><label>2</label>
Department of Oral and Maxillofacial Surgery, University of Benin Teaching Hospital, Benin-City, Nigeria</aff>
<author-notes><corresp>Corresponding author: Dr Charles E. Anyanechi <email>ceanyanechi@gmail.com</email>
</corresp>
<fn fn-type="COI-statement"><p><bold>Conflict of interest:</bold>
None declared</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><month>9</month>
<year>2016</year>
</pub-date>
<volume>50</volume>
<issue>3</issue>
<fpage>172</fpage>
<lpage>179</lpage>
<permissions><copyright-statement>Copyright © Ghana Medical Association 2016</copyright-statement>
<copyright-year>2016</copyright-year>
</permissions>
<abstract abstract-type="executive-summary"><title>Summary</title>
<sec><title>Objective</title>
<p>To analyze cases of compound, unfavorable and non-comminuted mandibular angle fractures treated by trans-osseous wiring, presenting postoperative complications, in a low resource center.</p>
</sec>
<sec sec-type="materials|methods"><title>Materials and methods</title>
<p>This was a 13-year retrospective study of 1,324 fractures in 1,317 subjects. The predictor variables were age, gender, aetiology, time lag between injury and treatment, and concomitant mandibular and mid-facial fractures. The outcome variable was the development of complication(s) after treatment. Descriptive and bivariate statistics were computed with EPI INFO 7 version software, and the P value was set at 0.05.</p>
</sec>
<sec sec-type="results"><title>Results</title>
<p>The sample size was composed of 63/1317 (4.8%) of patients with complications. There were 48 males and 15 females with male: female ratio of 3.2:1. The age of the patients ranged from 21 to 62 years (mean 37.4± 5.6 years). The test of significance showed statistically significant association between complications of mandibular angle fractures and increasing age (P<0.002), male gender (P<0.001), road traffic accident (P<0.001), longer time lag between injury and treatment of fractures (P<0.000), and concomitant mandibular fractures (P<0.000). Deranged occlusion (n=19, 28.8%) and limited mouth opening <35mm (n=16, 24.2%) were the common complications. The complications were successfully treated during follow-up.</p>
</sec>
<sec sec-type="conclusion"><title>Conclusion</title>
<p>The use of trans-osseous wire osteosynthesis gave good results, and can still be useful in centres that are less well equipped and where access to rigid internal fixation with mini plates is either limited or unavailable.</p>
</sec>
<sec><title>Funding</title>
<p>Self-funded</p>
</sec>
</abstract>
<kwd-group><kwd>Mandible</kwd>
<kwd>angle</kwd>
<kwd>fracture</kwd>
<kwd>trans-osseous wiring</kwd>
<kwd>complications</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Nigeria</li>
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<name sortKey="Osunde, Otasowie D" sort="Osunde, Otasowie D" uniqKey="Osunde O" first="Otasowie D" last="Osunde">Otasowie D. Osunde</name>
<name sortKey="Saheeb, Birch D" sort="Saheeb, Birch D" uniqKey="Saheeb B" first="Birch D" last="Saheeb">Birch D. Saheeb</name>
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