Inter Flex Three Dimensional Plate in Management of Mandibular Fracture RCT

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-50
SponsorSuez Canal University

About this trial

The goal of this clinical trial is to learn if The use of a 3D-designed Inter-flex plate will achieve safe and desirable anatomical \& functional restoration with reduced operative time in mandibular fracture,

* Improvement of occlusal and inter-cuspal relation in addition to stabilized intra-fragmentary mobility, * Offer greatest resistance to displacement * shows most favorable biomechanical behavior

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients who are suffering from recent, uninfected, and minimally displaced or unfavorable mandibular fractures

Adult patients with no gender predilection that agreed to present for follow-up visits for minimum postoperative period of immediate,3 months,6 months.

A fracture that demands open reduction and internal fixation

Patients under ASA-1 category

Disqualifiers

Comminuted, infected mandibular fracture.

Pediatric patients below 4 years old and geriatric patients with completely edentulous mouth.

Patient with osteoporosis

Medical compromised patient (Poorly controlled DM or HTN, COPD, morbid obesity (BMI ≥40), Recent (<3 months) MI, ongoing cardiac ischemia or severe valve dysfunction, severe reduction of ejection fraction, shock, sepsis, undergoing regularly scheduled dialysis, history (>3 months)

Trial design

Design model

Parallel

Treatments tested in this trial

  • Group I :site with mandibular fracture will be treated with custom made Inter-flex three dimensional plate in site of mandibular fracture

    Procedure/Surgery

    site with mandibular fracture will be reduced and fixation will be done .visibility using custom made Inter-flex three dimensional plate plates in Group I and fixation using custom made Inter-flex three dimensional according to champ's lines of osteo-synthesis in Group I. closure of the surgical field with vicryl suture material (90% glycolide and 10% L-lactide: Ethicon part of Johnson \& Johnson Int, US.).

Treatment groups

20 Participants
are divided into 2 treatment groups
Group A: Group I: site with mandibular fracture will be treated with custom made Inter-flex three dimensionalExperimental treatment 1 intervention
Group B: Group II: site with mandibular fracture will be treated with a ready-made Titanium plates in site ofNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Radiographic evaluation

* The linear inter-fragmentary gap between the fractured segments in mm * Intergonial distance was measured between the most inferior, lateral, and posterior points of the mandible bilaterally as determined on CT in mm.

Time frame
24 hour after surgery and after 3 months
2

Mobility of fracture segments

assessed through bimanual digital manipulation * Stable \>\> no movement of fragments. * Nonstable \>\> presence of movement.

Time frame
24 hour after surgery
3

State of occlusion

will be assessed by asking the patient to bite in maximum intercuspation at each follow-up (intact/deranged) also by recording molar relation as (satisfactory or deranged).

Time frame
after 24 hours and after 3 months of surgery

Secondary outcomes

Other outcomes

Sponsors and contacts

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