A clinical Randomized prospective comparative study on efficacy of Locking plating system versus Standard Mini Plating System for treatment of Mandibular Fracture

Locking Plating System Vs Standard Plating System In Mandibular Fractures

Abstract

Introduction - The mandible, even after being the most important and strongest facial bone, due to its position on the face and its prominence, is usually broken once facial trauma is sustained. Thus, there's a widely accepted agreement relating to the necessity for surgical reduction and fixation of mandibular fractures. A long-standing problem in miniplate osteosynthesis has been the loosening of one or more screws during the convalescent period following miniplate osteosynthesis due to transmission of pressure to the underlying bone leading to loss of fracture stability and fixation failure. Aim of study to evaluate the efficacy of Locking Plating System and to compare between Locking Plating System and Standard Plating System for osteosynthesis in maxillofacial fractures. Material And Method – 40 Clinical And Radiographically confirmed cases Mandibular Fracture were selected who met the inclusive and exclusive criteria. Post Operatively Pain, Occlusion, Masticatory Ability, Facial Symmetry, Need and/or Duration of Inter-Maxillary Fixation (IMF) were noted and compared. Statistically analysis was done and result formulated. Result – statistically significant result was seen in group A (Locking plating system) in terms of immobilization, fixation and stabilization of fractures. Conclusion- Locking Plating shows promising features but  long term follow up with larger sample size study should be done