V Shaped Plate Vs Champy Technique in Mandibular Angle Fractures

NCT ID: NCT06005467

Last Updated: 2023-08-22

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-08-31
• Study Completion Date: 2025-01-31

Brief Summary

assessing fixation of mandibular angle fracture using two different mini plates, the standard champy technique and the new V shaped plate with comparing occlusion and condylar position between the two plates.

Detailed Description

The mandible is one of the most frequent bones of the face that is susceptible to fractures because its prominent position, as it comes in the second place after nasal fractures . Mostly, such fractures are a result of trauma caused by vehicle accidents, physical altercations, industrial accidents, falls, and contact sports, males usually suffer from mandibular fractures more than females.

The angle of the mandible is the most frequent area of the mandible to be fractured after the body, the reasons behind that is the presence of a third molar especially if it was impacted one which weakens the region even more, another reason is the existence of a very thin cross sectional area compared to the anterior parts of the mandible. Most common causes of mandibular angle fractures are motor vehicle collisions and assaults or altercations.

Therefore, the aim of this study is to evaluate a novel method which is using a (v) shaped plate in fixation of mandibular angle fracture, The new (v) shaped plate have provided easy reduction and stabilized fixation along both sides of the fracture, as it has two arms that can be easily adjusted over the angle of the mandible covering both lines of osteosynthesis along the superior border and lateral surface of the external oblique ridge using a single plate.

Although champy technique has been proven to be successful way for treating angle fractures with low complication rates it covers only one line of osteosynthesis which is the superior border of external oblique ridge unlike the (v) shaped plate.

Conditions

Fractures, Bone

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

V shaped plate

its a new plate that have been used in fixation of fractures in various areas of the mandible,V shaped plate was used in the treatment of three angle fracture cases which provided the advantage of including both lines of osteosynthesis which are the superior border and the lateral surface of the external oblique ridge using one plate.

Group Type: EXPERIMENTAL

Open reduction and internal fixation of mandibular angle fracture using V shaped plate

Intervention Type: PROCEDURE

its a new plate that have been used in fixation of fractures in various areas of the mandible,V shaped plate was used in the treatment of three angle fracture cases which provided the advantage of including both lines of osteosynthesis which are the superior border and the lateral surface of the external oblique ridge using one plate.

champy technique

champy technique is one of the standard methods that are used in fixation of mandibular angle fractures by applying a mini-plate in the superior border of the external oblique ridge.

Group Type: ACTIVE_COMPARATOR

Open reduction and internal fixation of mandibular angle fracture using V shaped plate

Intervention Type: PROCEDURE

its a new plate that have been used in fixation of fractures in various areas of the mandible,V shaped plate was used in the treatment of three angle fracture cases which provided the advantage of including both lines of osteosynthesis which are the superior border and the lateral surface of the external oblique ridge using one plate.

Interventions

Open reduction and internal fixation of mandibular angle fracture using V shaped plate

its a new plate that have been used in fixation of fractures in various areas of the mandible,V shaped plate was used in the treatment of three angle fracture cases which provided the advantage of including both lines of osteosynthesis which are the superior border and the lateral surface of the external oblique ridge using one plate.

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

1. Patients with unilateral angle fracture.

2. Patients free from any systemic diseases that affect bone healing.

3. No sex predilection.

4. Age 18-50

Exclusion Criteria

1. Comminuted angle fractures.

2. Infected angle fracture.

3. Bilateral angle fracture.

4. Patients with any systemic diseases that affect bone healing.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Rasha Tohamy Abdelsattar Mohammed

Master's degree candidate

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Faculty of Dentistry , Cairo university

Cairo, , Egypt

Countries

Egypt

Central Contacts

Rasha Tohamy, BSc.

Role: CONTACT

rasha.tohamy@dentistry.cu.edu.eg

01066534079 ext. +2

Alaa Hassan, BSc.

Role: CONTACT

alaa.hassan@dentistry.cu.eg

01090101125 ext. +2

References

Bhagat MJA, Durairaj D, Naganathan V, Nathiya B, Kumar GS, Mariam S. Application of Anatomically Designed 2-Dimensional V Plate in Management of Mandible Fracture: A Pilot Study. J Maxillofac Oral Surg. 2022 Dec;21(4):1363-1368. doi: 10.1007/s12663-021-01558-5. Epub 2021 Apr 23.

Reference Type: BACKGROUND

PMID: 36896057 (View on PubMed)

Lee JH. Treatment of Mandibular Angle Fractures. Arch Craniofac Surg. 2017 Jun;18(2):73-75. doi: 10.7181/acfs.2017.18.2.73. Epub 2017 Jun 26.

Reference Type: BACKGROUND

PMID: 28913310 (View on PubMed)

Other Identifiers

9793

Identifier Type: -

Identifier Source: org_study_id