Categories

Volume 7 Issue 7 (July, 2019)

Original Articles

Study of complications in compound mandibular fracture reduction and stable internal fixation
Sidharth Goudar, Sidhartha S P Behera

Background: The introduction of new plating systems has facilitated in achieving a stable and rigid fixation of mandibular fractures and its reduction in the required period of postsurgical immobilization. Fractures of the mandible and their treatment are associated with a significant number of complications like Infection, malocclusion, malunion and neurosensory dysfunction. Objectives: Assessment of the post-surgical complications of compound mandibular fractures after treatment with open reduction and stable internal fixation. Methodology: This study was conducted on 60 patients who were treated for isolated mandibular fractures and were assessed for any complications after the treatment. The patients ranging in the age group between 20-50 years were included in the study. The study was done during the period from October 2017 to October 2018 at KIM’S Dental college Amalapuram, Andhra Pradesh. The patients were selected randomly and were grouped into two. One group comprising of 30 patients were treated with rigid fixation and the other group comprising of another 30 patients were treated with semi rigid fixation. Results: The study population consists of 22 (36 .7%) male and 38 (63.3%) female. The  mean age of Patients was 36.3 ± 5.93 years. The most common site of fracture was the angle of the mandible (48%) and the least was symphysis (12%). Maximum number of infections (20%) was seen in semi rigid fixation.16.6% of malocclusion was seen in rigid fixation, malunion was seen in 16.6% rigid fixation whereas in 16% of rigid fixation cases sensory disturbances was observed. Conclusion: The intraoral approach exposes bone to a higher bacterial count and could contribute to the development of infection. No significant differences were observed in the incidence of infection between the two plating systems.

Received: 17 March, 2019                                         Revised:  25 April, 2019                            Accepted: 27 April, 2019

Corresponding Author: Dr. Sidhartha S P Behera, Associate Professor, Kim’s Dental College, Amalapuram, Andhra Pradesh, India

This article may be cited as: Goudar S, Behera SSP. Study of complications in compound mandibular fracture reduction and stable internal fixation. J Adv Med Dent Scie Res 2019;7(7): 123-126.

 
Abstract View | Download PDF | Current Issue