Evaluation of Screw and Wire Traction in Anatomic Reduction of Mandibular Fracture | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Articles in Press, Accepted Manuscript, Available Online from 11 March 2024 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2024.271761.1342 | ||
| Authors | ||
| khaled ahmed reyad* 1; Nada A Mahmoud2; Mohamed Hussein2; Lina Salah2 | ||
| 1plastic and maxillofacial surgery department, Ain Shams University | ||
| 2plastic and maxillo-facial department Ain shams university | ||
| Abstract | ||
| Abstract: Background: Displaced mandibular fractures have numerous ways of being reduced, the aim of proper fracture reduction is to achieve good bone contact to allow for adequate healing. Reduction techniques include, bone holding forceps, manual reduction and reduction using maxilla-mandibular fixation techniques, which restore occlusion and then secondarily reduce the fracture site. Fracture immobilization using rigid fixation following reduction, maintains adequate bone contact allowing fracture line healing. The use of screw and wire traction provides stable fracture reduction anatomically without the need for IMF. Patients and Methods: This is a single arm interventional clinical trial including twenty adult individuals with mandibular fractures. Patients who are fulfilling the inclusion criteria of our study were sampled randomly. Aim of this study is to evaluate the efficacy of screw and wire traction in anatomical reduction of mandibular fracture on the accuracy of reduction, operative time and post-operative pain and edema. Results: Twenty cases were included in our study. Adequate fracture reduction was done in all patients confirmed by good clinical bone contact, good occlusion and post-operative CT results. Post-operative pain and edema were minimal due to decreased manipulation of the fracture and the simplicity of the technique. The occlusion of the patients was followed up 2 and 6 weeks post operatively with cases showing no occlusal disturbance and return to normal function within 3 months. Conclusion: Screw and wire traction for reduction of mandibular fractures anatomically showed success as regards to fracture reduction and showed no occlusal complication, we recommend this technique specially in symphyseal, para-symphsyeal and angle fracture. The fracture line taking a strictly vertical axis shows the best outcome, however multiplanar fracture lines or L-shaped fractures are not good specimens for this method of reduction. Keywords: Mandibular, Fracture, Screw, Wire, Traction. | ||
| Keywords | ||
| reduction of mandibular fracture; wire and traction; ATOM technique | ||
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