title: Failure of miniplate osteosynthesis for the management of atrophic mandibular fracture.
abstract: Fractures of the severely atrophic (<10 mm) edentulous mandible are not common, and these fractures with a vertical height of 10 mm or less have long been recognized as being particularly problematic. Although there are advances in the treatment of the atrophic mandibular fracture, the treatment remains controversial. There are some options for treatment planning because of using small miniplates to large reconstruction plates. However, when the fixation method fails, it causes malunion, nonunion, and/or infection, and sometimes it has been associated with large bone defects. The authors describe a clinical report of a failed miniplate fixation for atrophic mandibular fracture management. The authors used a load-bearing reconstruction plate combined with autogenous bone graft from iliac crest for this retreatment. The authors show a follow-up of 6 months, with union of the fracture line and no complication postoperatively.
authors.affiliation: Oral & Maxillofacial Surgery Division, Antônio Dias Regional Hospital-FHEMIG/SUS, Patos de Minas, Minas Gerais, Brazil.
authors.forename: George Soares
authors.initials: GS
authors.lastname: Santos
authors.forename: Marcelo Dias Moreira
authors.initials: MD
authors.lastname: de Assis Costa
authors.forename: Cecília
authors.initials: C
authors.lastname: de Oliveira Costa
authors.forename: Francisley Avila
authors.initials: FA
authors.lastname: Souza
authors.forename: Idelmo Rangel Garcia
authors.initials: IR
authors.lastname: Júnior
authors.forename: Willian Morais
authors.initials: WM
authors.lastname: de Melo
mesh_terms: D001284:Atrophy; D001860:Bone Plates / Q000009:adverse effects*; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007085:Ilium / Q000637:transplantation*; D008337:Mandibular Fractures / Q000601:surgery*; D063175:Mandibular Reconstruction / Q000295:instrumentation / Q000379:methods*; D008875:Middle Aged; D011475:Prosthesis Failure; D012086:Reoperation