The use of Synthes MatrixWAVE bone anchored arch bars for closed treatment of multiple concurrent mandibular fractures
Background: Maxillomandibular fixation (MMF) is an important tool in the treatment of facial fractures and bone-anchored arch bar systems have emerged as treatment options. This study illustrates our experience with the Synthes MatrixWAVE MMF system and the novel application in closed treatment of p...
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| Format: | Article |
| Language: | English |
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Elsevier
2017-09-01
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| Series: | Journal of Oral Biology and Craniofacial Research |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212426817301768 |
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| author | Elizabeth Kiwanuka Rajiv Iyengar Charles Christopher Jehle Raman Mehrzad Daniel Kwan |
| author_facet | Elizabeth Kiwanuka Rajiv Iyengar Charles Christopher Jehle Raman Mehrzad Daniel Kwan |
| author_sort | Elizabeth Kiwanuka |
| collection | DOAJ |
| description | Background: Maxillomandibular fixation (MMF) is an important tool in the treatment of facial fractures and bone-anchored arch bar systems have emerged as treatment options. This study illustrates our experience with the Synthes MatrixWAVE MMF system and the novel application in closed treatment of patients with multiple concurrent mandibular fractures. Methods: We enrolled eight patients with concurrent mandibular fractures and treated them with the MatrixWAVE MMF system. The malleable arch bars were fitted and then secured using 6–8 mm screws. The arch bar was and either stretched or compressed to ensure optimal positioning. 24-gauge interdental fixation wiring was placed using the fish loop technique on either side of the fracture to achieve stabilization of the mandible fractures. Results: All eight patients were retained in MMF until stable occlusion was achieved with clinical evidence of healing, approximately 4–6 weeks. Post-operative Panorex scans did not reveal any evidence of damage to tooth roots. None of the screws became overly embedded in the mucosa secondary to overgrowth; the arch bars were successfully removed in an outpatient setting without local anesthesia. Conclusions: The Synthes MatrixWAVE MMF system has unique features such as prominent screw anchor heads and horizontal malleability unique from other bone anchored arch bars. These features allow for completely closed treatment of patients with multiple concurrent mandible fractures. |
| format | Article |
| id | doaj-art-8e7da37622004b1083d0c3d06ca0ba3f |
| institution | DOAJ |
| issn | 2212-4268 |
| language | English |
| publishDate | 2017-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Oral Biology and Craniofacial Research |
| spelling | doaj-art-8e7da37622004b1083d0c3d06ca0ba3f2025-08-20T02:50:29ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682017-09-017315315710.1016/j.jobcr.2017.08.006The use of Synthes MatrixWAVE bone anchored arch bars for closed treatment of multiple concurrent mandibular fracturesElizabeth Kiwanuka0Rajiv Iyengar1Charles Christopher Jehle2Raman Mehrzad3Daniel Kwan4Corresponding author at: Department of Plastic Surgery, Rhode Island Hospital, 2 Dudley Street, Suite 500, Providence, RI 02905, United States.; Department of Plastic Surgery, Rhode Island Hospital, Brown University School of Medicine, Providence, RI, United StatesDepartment of Plastic Surgery, Rhode Island Hospital, Brown University School of Medicine, Providence, RI, United StatesDepartment of Plastic Surgery, Rhode Island Hospital, Brown University School of Medicine, Providence, RI, United StatesDepartment of Plastic Surgery, Rhode Island Hospital, Brown University School of Medicine, Providence, RI, United StatesDepartment of Plastic Surgery, Rhode Island Hospital, Brown University School of Medicine, Providence, RI, United StatesBackground: Maxillomandibular fixation (MMF) is an important tool in the treatment of facial fractures and bone-anchored arch bar systems have emerged as treatment options. This study illustrates our experience with the Synthes MatrixWAVE MMF system and the novel application in closed treatment of patients with multiple concurrent mandibular fractures. Methods: We enrolled eight patients with concurrent mandibular fractures and treated them with the MatrixWAVE MMF system. The malleable arch bars were fitted and then secured using 6–8 mm screws. The arch bar was and either stretched or compressed to ensure optimal positioning. 24-gauge interdental fixation wiring was placed using the fish loop technique on either side of the fracture to achieve stabilization of the mandible fractures. Results: All eight patients were retained in MMF until stable occlusion was achieved with clinical evidence of healing, approximately 4–6 weeks. Post-operative Panorex scans did not reveal any evidence of damage to tooth roots. None of the screws became overly embedded in the mucosa secondary to overgrowth; the arch bars were successfully removed in an outpatient setting without local anesthesia. Conclusions: The Synthes MatrixWAVE MMF system has unique features such as prominent screw anchor heads and horizontal malleability unique from other bone anchored arch bars. These features allow for completely closed treatment of patients with multiple concurrent mandible fractures.http://www.sciencedirect.com/science/article/pii/S2212426817301768Mandibular fractureMaxillomandibular fixationArch barsIntermaxillary screws |
| spellingShingle | Elizabeth Kiwanuka Rajiv Iyengar Charles Christopher Jehle Raman Mehrzad Daniel Kwan The use of Synthes MatrixWAVE bone anchored arch bars for closed treatment of multiple concurrent mandibular fractures Journal of Oral Biology and Craniofacial Research Mandibular fracture Maxillomandibular fixation Arch bars Intermaxillary screws |
| title | The use of Synthes MatrixWAVE bone anchored arch bars for closed treatment of multiple concurrent mandibular fractures |
| title_full | The use of Synthes MatrixWAVE bone anchored arch bars for closed treatment of multiple concurrent mandibular fractures |
| title_fullStr | The use of Synthes MatrixWAVE bone anchored arch bars for closed treatment of multiple concurrent mandibular fractures |
| title_full_unstemmed | The use of Synthes MatrixWAVE bone anchored arch bars for closed treatment of multiple concurrent mandibular fractures |
| title_short | The use of Synthes MatrixWAVE bone anchored arch bars for closed treatment of multiple concurrent mandibular fractures |
| title_sort | use of synthes matrixwave bone anchored arch bars for closed treatment of multiple concurrent mandibular fractures |
| topic | Mandibular fracture Maxillomandibular fixation Arch bars Intermaxillary screws |
| url | http://www.sciencedirect.com/science/article/pii/S2212426817301768 |
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