Use of a 2.0-mm locking plate/screw system for mandibular fracture surgery

Abstract

Purpose: In this study, we examined the use of a 2.0-mm locking bone plate/screw system in mandibular surgery. Patients and Methods: All patients who were treated with a 2.0-mm locking bone plate/screw system during an 8-month period for fractures of the mandible or other defects of the mandible were prospectively studied. Ease of use of locking plate/screw system, characteristics of the fractures and defects, and complications were tabulated. Results: A total of 80 fractures in 59 patients were treated with the 2.0-mm locking plate/screw system. One hundred two 2.0-mm locking plates were applied to the 80 fractures; 58 fractures received 1 plate and 22 fractures received 2 plates. There were no intraoperative difficulties associated with their application. Fracture reductions were considered to be excellent in all cases. At the latest follow-up, all fractures had healed, but 2 patients had slight malocclusions. Six patients developed postsurgical infections. Only 1 patient required hospitalization for treatment of the infection; all others were managed in the outpatient clinic. Four patients required removal of their plates for varying reasons. Conclusions: The use of a 2.0-mm locking plate/screw system was found to be simple and to provide sound fixation in all cases. © 2002 American Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg 60:642-645, 2002