Efficacy of the load-bearing system in the treatment of bilateral atrophic mandible fracture - case report
Abstract Atrophic mandible fractures represent a clinical challenge due to both the peculiarities of the population involved and the management of a limited bone remnant. The choice of the type of osteosynthesis is guided by some criteria, including the degree of fracture comminution and the heigh...
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Facultad de Odontología
2022
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/RevFacOdonto/article/view/38414 |
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I10-R335-article-384142025-10-08T15:51:04Z Efficacy of the load-bearing system in the treatment of bilateral atrophic mandible fracture - case report Eficacia del sistema portante en el tratamiento de la fractura atrófica mandibular bilateral - Reporte de caso Sol, Izabella Meneses-Santos, Daniela Jordão Silva, Cláudia Dias Moreira de Assis Costa, Marcelo mandibular fractures mandibular injuries fracture fixation internal fracturas mandibulares traumatismos mandibulares fijación interna de fracturas Abstract Atrophic mandible fractures represent a clinical challenge due to both the peculiarities of the population involved and the management of a limited bone remnant. The choice of the type of osteosynthesis is guided by some criteria, including the degree of fracture comminution and the height of the bone remnant, where residual mandibular bone height <10 mm represents an important clinical challenge and is related to major postoperative complications. The aim of this study is to report the efficacy of the load-bearing osteosynthesis in a bilateral atrophic mandible fracture. An 86-year-old male patient, victim of a fall from his own height, evolving with a bilateral body fracture in the atrophic lower jaw. This fracture occurred adjacent to the end of a reconstruction locking plate installed 18 months ago to treat a fracture in the mandibular parasymphysis, requiring a surgical approach to removal the previous fixation and installation of two locking reconstruction plates in each fractured segment. In the six months of follow-up, no complication was observed. The uniqueness of this case reinforces the therapy with load-bearing plates and its clinical efficiency. Keywords: Mandibular fractures; Mandibular Injuries; Fracture Fixation, Internal Resumen Las fracturas atróficas de la mandíbula representan un desafío clínico debido tanto a las peculiaridades de la población involucrada como al manejo de un remanente óseo limitado. La elección del tipo de osteosíntesis está guiada por algunos criterios, incluido el grado de conminución de la fractura y la altura del remanente óseo, donde la altura del hueso mandibular residual <10 mm representa un desafío clínico importante y se relaciona con complicaciones posoperatorias importantes. El objetivo de este estudio es informar sobre la eficacia de la osteosíntesis de carga en una fractura atrófica mandibular bilateral. Paciente masculino de 86 años, víctima de una caída desde su propia altura, que evoluciona con una fractura corporal bilateral en la mandíbula inferior atrófica. Esta fractura ocurrió adyacente al extremo de una placa de reconstrucción con bloqueo instalada hace 18 meses para tratar una fractura en la parainfisis mandibular, requiriendo un abordaje quirúrgico para retirar la fijación previa e instalación de dos placas de reconstrucción con bloqueo en cada segmento fracturado. En los seis meses de seguimiento no se observó ninguna complicación. La singularidad de este caso refuerza la terapia con placas portantes y su eficacia clínica. Palabras Clave: Fracturas Mandibulares, Traumatismos Mandibulares; Fijación Interna de Fracturas. Facultad de Odontología 2022-08-01 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/RevFacOdonto/article/view/38414 Revista de la Facultad de Odontología; Vol. 32 Núm. 2 (2022): Rev Fac Odont 32(2)-2022-Agosto; 27-31 2545-7594 0325-1071 eng https://revistas.unc.edu.ar/index.php/RevFacOdonto/article/view/38414/38442 10.25014/ Derechos de autor 2022 Izabella Sol, Daniela Meneses-Santos, Cláudia Jordão Silva, Marcelo Dias Moreira de Assis Costa https://creativecommons.org/licenses/by/4.0 |
| institution |
Universidad Nacional de Córdoba |
| institution_str |
I-10 |
| repository_str |
R-335 |
| container_title_str |
Revista de la Facultad de Odontología |
| language |
Inglés |
| format |
Artículo revista |
| topic |
mandibular fractures mandibular injuries fracture fixation internal fracturas mandibulares traumatismos mandibulares fijación interna de fracturas |
| spellingShingle |
mandibular fractures mandibular injuries fracture fixation internal fracturas mandibulares traumatismos mandibulares fijación interna de fracturas Sol, Izabella Meneses-Santos, Daniela Jordão Silva, Cláudia Dias Moreira de Assis Costa, Marcelo Efficacy of the load-bearing system in the treatment of bilateral atrophic mandible fracture - case report |
| topic_facet |
mandibular fractures mandibular injuries fracture fixation internal fracturas mandibulares traumatismos mandibulares fijación interna de fracturas |
| author |
Sol, Izabella Meneses-Santos, Daniela Jordão Silva, Cláudia Dias Moreira de Assis Costa, Marcelo |
| author_facet |
Sol, Izabella Meneses-Santos, Daniela Jordão Silva, Cláudia Dias Moreira de Assis Costa, Marcelo |
| author_sort |
Sol, Izabella |
| title |
Efficacy of the load-bearing system in the treatment of bilateral atrophic mandible fracture - case report |
| title_short |
Efficacy of the load-bearing system in the treatment of bilateral atrophic mandible fracture - case report |
| title_full |
Efficacy of the load-bearing system in the treatment of bilateral atrophic mandible fracture - case report |
| title_fullStr |
Efficacy of the load-bearing system in the treatment of bilateral atrophic mandible fracture - case report |
| title_full_unstemmed |
Efficacy of the load-bearing system in the treatment of bilateral atrophic mandible fracture - case report |
| title_sort |
efficacy of the load-bearing system in the treatment of bilateral atrophic mandible fracture - case report |
| description |
Abstract
Atrophic mandible fractures represent a clinical challenge due to both the peculiarities of the population involved and the management of a limited bone remnant. The choice of the type of osteosynthesis is guided by some criteria, including the degree of fracture comminution and the height of the bone remnant, where residual mandibular bone height <10 mm represents an important clinical challenge and is related to major postoperative complications. The aim of this study is to report the efficacy of the load-bearing osteosynthesis in a bilateral atrophic mandible fracture. An 86-year-old male patient, victim of a fall from his own height, evolving with a bilateral body fracture in the atrophic lower jaw. This fracture occurred adjacent to the end of a reconstruction locking plate installed 18 months ago to treat a fracture in the mandibular parasymphysis, requiring a surgical approach to removal the previous fixation and installation of two locking reconstruction plates in each fractured segment. In the six months of follow-up, no complication was observed. The uniqueness of this case reinforces the therapy with load-bearing plates and its clinical efficiency.
Keywords: Mandibular fractures; Mandibular Injuries; Fracture Fixation, Internal
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| publisher |
Facultad de Odontología |
| publishDate |
2022 |
| url |
https://revistas.unc.edu.ar/index.php/RevFacOdonto/article/view/38414 |
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