Abstract
Continuity defects of the jaw can be reconstructed with titanium plates or microvascular
bone flaps; osteosynthesis plates are necessary for both. In this study we performed
a retrospective review of patients treated with Medartis MODUS® Mandible Trauma/Reco
2.0-2.5, TriLock bridging plates, mandibulectomy and soft tissue free flap or reconstruction
with a bony free flap and TriLock mandibular plates from the same system from January
2015 to August 2019. The variables recorded were sex, age, diagnosis, radiotherapy,
date of implantation, date of explantation or death of patient, size of mandibular
defect, Jewer classification of defect, number of screws used, segments of bony reconstruction,
screws per segment, plate exposure, plate breakage, and pseudarthrosis. The bridging
plate group consisted of 41 patients, while the mandibular plate group consisted of
24 patients. The percentage of plate exposure was 17.07% for the bridging plate group
and 4.17% for the mandibular plate group. Plate breakage was 0 in both groups. Pseudarthrosis
was 4.17% in the mandibular plate group. In the bridging plate group, an anterolateral
thigh flap covered all exposures. Of 7 plate exposures, 4 were found in a C defect.
The complication rate of the investigated plates was lower than the complication rates
of other plate systems.
Keywords
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Article info
Publication history
Published online: August 13, 2020
Accepted:
July 16,
2020
Identification
Copyright
© 2020 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
