Abstract

Recent studies have shown promising results concerning the effectiveness of 3D plates in terms of stabilization of condylar fractures. Despite the use of new techniques and new materials, we can still observe certain side effects, including the immune reaction of the body, which may lead to the excessive inflammation. The aim of this paper was to determine how the production of prostaglandin E2 (PGE2) and thromboxane B2 (TXB2) in THP-1 monocytes/macrophages is influenced by the titanium 3D plates and dedicated screws. The experiments were conducted on THP-1 monocytic cell line and macrophages derived from a THP-1cells. The concentrations of PGE2 and TXB2 released were measured by using immunoassay kit. Verification of plate-induced activation of THP-1 monocytes and macrophages and initiation of inflammatory reaction was conducted by flow cytometry. Despite some differences in the content of the implant devices our results showed that these plates did not statistically significantly increase the production of these prostanoids. Osteosynthesis of condylar fractures using 3D titanium mini-plates seems to be a good alternative to traditional plates due to their lack of stimulating the cyclooxygenase-dependent production of prostanoids; limiting the development of inflammatory reactions.

Highlights

  • Stable osteosynthesis carried out with screwed miniplates is currently the most popular surgical method for treating condylar fractures [1,2]

  • Before deciding which 3D plate is best suited for the osteosynthesis of condylar fractures, it seems necessary to determine their effect on the human body, including cellular, humoral and vascular mechanisms that constitute the inflammatory reaction [12]

  • The aim of this paper was to determine how the production of prostaglandin E2 (PGE2) and thromboxane B2 (TXB2) in THP-1 monocytes/macrophages is influenced by the titanium 3D plates and dedicated screws used in the surgical treatment of condylar fractions

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Summary

Introduction

Stable osteosynthesis carried out with screwed miniplates is currently the most popular surgical method for treating condylar fractures [1,2]. Its two major techniques, the single- and double-plate, are associated with major technical problems [3,4,5]. The recently introduced 3D plates seem to be the solution to the aforementioned problems [7]. Their shape and the locations of the screws make it possible to use a single plate only, and their small size enables fixation on a very small area [8]. Before deciding which 3D plate is best suited for the osteosynthesis of condylar fractures, it seems necessary to determine their effect on the human body, including cellular, humoral and vascular mechanisms that constitute the inflammatory reaction [12]

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