Mandibular Angle Fracture
Conditions
Keywords
three dimensional plates, mandibular angle fracture, patient specific plate
Brief summary
To compare the effectiveness of custom-made (3D) titanium plates to standard two titanium mini plates in fixation of mandibular angle fracture.
Detailed description
Eighteen patients with mandibular angle fractures will be selected. In nine fractures, custom-made three dimensional titanium plates will be used for fracture fixation (study group); while in the other nine, conventional two mini plates will be used (control group),via intra oral approach (combined with transbuccal approach) for both groups. Patients will be evaluated clinically, and radiographically (immediate and four months post operative) to evaluate the bone density at the fracture line.
Interventions
custom-made 3D titanium plates through intaoral and transbuccal approach .
internal fixation with standared two mini plates through intaoral and transbuccal approach.
Sponsors
Study design
Masking description
Participants complying with the inclusion criteria will be randomly assigned using a computer-generated list of random numbers to one of the two arms. Allocation will be performed by a trial independent individual and the allocation ratio is intended to be equal. Allocation will be in equal blocks to ensure that the study groups have equal number of participants.
Intervention model description
Randomized controlled clinical trial
Eligibility
Inclusion criteria
1. Patients suffering from mandibular angle fracture indicated for open reduction and fixation. 2. Non infected mandibular angle fractures present less than two weeks. 3. Good oral hygiene.
Exclusion criteria
1. Medically compromised patients contradicting operation (ASA III, IV \& V). 2. Patients receiving radiotherapy or chemotherapy. 3- Bone diseases (Osteoporosis, Osteopetrosis, Osteomalacia…etc.) 4- Pathological fracture. 5- Old untreated fracture.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Radiographic evaluation for the assessment of mean bone density at the fracture line | 4 months | Mean bone density at the fracture line was assessed using Computed Tomography (CT) scan in Hounsfield Units (HU) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Post operative pain | 3 months | \- Post operative pain This will be subjectively evaluated with a visual analogue scale (VAS) with values from 0 (no pain) to 10 (strongest pain). |
Countries
Egypt