Sample Solution

fractures, can potentially disrupt adequate fracture healing. Works of literature looking at the relationship between the timing of surgery and subsequent outcomes have demonstrated no difference in infectious nonunion complications between treatment within or after three days status postinjury but did find that complication because of technical errors increased after this time. As a result, the authors commented that if surgery was to commence or more days after the injury, a technically accurate surgery by the surgeon is necessitated to overcome factors such as tissue oedema and inflammation. In cases where a delay in treatment is necessary, consideration should be given for temporarily closed fixation to reduce fracture mobility and patient pain.
Treating mandibular fractures involves providing the optimal environment for bony healing to occur: adequate blood supply, immobilisation, and proper alignment of fracture segments. Plate length is generally determined to allow for the placement of more than one screw on either side of the fracture to nullify the dynamic forces that act on the mandible. In ideal conditions, three screws are placed on either side of the fracture segments to allow for assurance against inadequate stabilisation, with screws placed at least several millimetres from the fracture site. Proper plate thickness determined by the forces required to stabilise fractured bone segments. Options for stabilisation can be divided into either load-sharing fixation or load-bearing fixation. Mandible that would only require monocortical plates to allow for stable fixation along the symphysis, parasymphysis, and angle of the mandible. These regions have subsequently been called Champy’s lines of tension, with the superior portion of lines also referred to as the tension band of the mandible.