Three-dimensional versus standard miniplate fixation in the management of mandibular angle fractures: a systematic review and meta-analysis

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Three-dimensional versus standard miniplate fixation in the management of mandibular angle fractures: a systematic review and meta-analysis

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Publication Article, review peer-reviewed scientific
Title Three-dimensional versus standard miniplate fixation in the management of mandibular angle fractures: a systematic review and meta-analysis
Author(s) Al-Moraissi, Essam ; El-Sharkawy, Tarek ; El-Ghareeb, Tarek ; Chrcanovic, Bruno
Date 2014
English abstract
The aim of the present study was to test whether there is a significant difference in the clinical outcomes between standard and three-dimensional (3D) miniplate fixation in the management of mandibular angle fractures (MAFs). An electronic search without date and language restrictions was performed in October 2013. Inclusion criteria were studies in humans including randomized controlled trials, controlled clinical trials, and retrospective studies, with the aim of comparing the two techniques. Six studies were included. The meta-analyses revealed statistically significant differences for the incidence of hardware failure and postoperative trismus. There were no significant differences in the incidence of postoperative infection, malocclusion, wound dehiscence, non-union/malunion, or paresthesia. The cumulative odds ratio was 0.42, meaning that the use of 3D miniplates in the fixation of MAFs decreases the risk of the event (postoperative complication) by 58%. The results of this meta-analysis showed lower postoperative complication rates with the use of 3D miniplate fixation in comparison with the use of standard miniplate fixation in the management of MAFs.
DOI http://dx.doi.org/10.1016/j.ijom.2014.02.002 (link to publisher's fulltext)
Publisher Elsevier
Host/Issue International Journal of Oral and Maxillofacial Surgery;6
Volume 43
ISSN 0901-5027
Pages 708-716
Language eng (iso)
Subject(s) 3D miniplate
Complications
Conventional miniplate
Mandibular angle fracture
Rigid fixation
Surgical treatment
Medicine
Research Subject Categories::ODONTOLOGY
Handle http://hdl.handle.net/2043/18024 (link to this page)

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