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Abstract
Fractures of the mandibular angle are plagued with the highest rate of complication
of all mandibular fractures. Over the past 10 years, various forms of treatment for
these fractures were performed on an indigent inner city population. Treatment included:
1) closed reduction or intraoral open reduction and non-rigid fixation; 2) extraoral
open reduction and internal fixation with an AO/ASIF reconstruction bone plate; 3)
intraoral open reduction and internal fixation using a solitary lag screw; 4) intraoral
open reduction and internal fixation using two 2.0 mm mini-dynamic compression plates;
5) intraoral open reduction and internal fixation using two 2.4 mm mandibular dynamic
compression plates; 6) intraoral open reduction and internal fixation using two non-compression
miniplates; 7) intraoral open reduction and internal fixation using a single non-compression
miniplate; and 8) intraoral open reduction and internal fixation using a single malleable
non-compression miniplate. This paper reviews the results of those modes of treatment
when used for the same patient population at one hospital. Results of treatment show
that, in this patient population, the use of either an extraoral open reduction and
internal fixation with the AO/ASIF reconstruction plate or intraoral open reduction
and internal fixation, using a single miniplate, are associated with the fewest complications.