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Year : 2014  |  Volume : 5  |  Issue : 3  |  Page : 180-185

Solitary lag-screw fixation for mandibular angle fractures: Prospective study

1 Department of Oral and Maxillofacial Surgery, SRM Dental College and Hospital, Ramapuram, India
2 Department of Oral and Maxillofacial Surgery, Tamil Nadu Government Dental College and Hospital, Chennai, Tamil Nadu, India

Correspondence Address:
Sasikala Balasubramanian
Department of OMFS, SRM Dental College and Hospital, Ramapuram, Chennai - 600 087, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0976-433X.138736

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Aim: The aim of the prospective clinical study was to evaluate the efficacy of "solitary lag-screw fixation" in treating mandibular angle fractures. Materials and Methods: Five cases of mandibular angle fracture were taken up for the study. All cases were treated with solitary lag-screw technique according to principles outlined by this technique using 2.7 mm stainless steel screws. Postoperative complications such as wound dehiscence, infection, neurosensory disturbance, mal-occlusion, nonunion, and postoperative mouth opening were recorded for follow-up of 6 months. Observation and Results: The patients were evaluated postoperatively for 6 months. All the cases achieved long-term occlusal stability, interincisal opening of 35-45 mm, and showed no signs of infection or neurosensory disturbance. Conclusion: Solitary lag-screw fixation is an effective and simple procedure in producing good treatment results for angle fractures of mandible, but is technique sensitive and requires surgical expertise.

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