Comparative Evaluation of Clinical Outcomes Using Delta Plates and Conventional Miniplates for Internal Fixation of Mandibular Condylar Fractures In Adults

Publication date: Available online 30 December 2017
Source:Journal of Oral and Maxillofacial Surgery
Author(s): Suraj Arjun Ahuja, Jyotsna Galinde, Usha Asnani, Yusuf A. Mistry
PurposeIn recent years numerous osteosynthesis devices are available for management of condylar fracture, the aim of this study was to compare and evaluate the clinical outcomes of delta plates and conventional miniplates for internal fixation of mandibular condylar fractures in adults.Material and MethodsA prospective study was performed on 20 patients with subcondylar fracture requiring open reduction and internal fixation for their management. Patients were randomly divided into two groups using computer software, patients under Group A [N=10] were treatment using delta plate while under Group B [N=10] using conventional miniplates via extraoral retromandibular transparotid approach.ResultsThere was no statically difference between delta plates and conventional miniplates for internal fixation of mandibular condylar fractures in adults. However, the time taken for adaptation of the delta plates & ease of adaptation was significantly lower than that required for the two miniplates [p=0.000].ConclusionsThe study results indicated that delta plate and miniplate are equally effective in terms of long-term clinical success in the management of mandibular subcondylar fractures in adults. The delta plates are superior in terms of handling characteristics, such as ease of adaptation and time required for adaptation as only one plate and four screws are required as compared to two plates and eight screws.



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