Debasis Sahu, Khochai Chiang, Shilpa Jain, Arpit Jain

ABSTRACT

INTRODUCTION- Mandibular angle is one of the most common site for the fracture (20-30 %) that may result from sports injury, road traffic accidents, sports injury, pathology or falls. Various techniques have been described in the past like internal fixation or open reduction to treat these conditions but the major disadvantage with these was restricted dietary intake. This prospective study uses 3-D strut plates to overcome these problems. AIMS AND OBJECTIVES- To evaluate the efficacy of 8 holed 3D strut plate in the management of patients with mandibular angle fracture. MATERIALS AND METHOD- This prospective study was conducted on 10 patients sustaining mandibular angle fracture. The transbuccal trocar was inserted through a stab incision in the safe zone. On removing trocar, cheek sleeve was placed. Transbuccal holes were drilled and 8 monocortical screws were inserted to secure the 3D strut plate. Follow up was done on 3rd day, 1st & 3rd week, 1st & 3rd month to evaluate the efficacy of 3-D strut plates. RESULT- adequate anatomical reduction, with no signs of inflammation, swelling or malunion of fractured fragments was seen 3 months post operatively in all patients thus demonstrating the efficacy of 3-D strut plates in treatment of Mandibular angle fracture. CONCLUSION- within the limitations our study suggests that 3-D strut plates can be effectively used for the treatment of Mandibular angle fracture.