Lag screw fixation in anterior mandibular fractures

Rakesh Koshy Zachariah, Sherin Abdul Khalam, Varun B Raghavanpillai, Afzal Abdul Salim


Background: Lag screw fixation is  a simple technique which reduces the surgical time. Aims and objectives: To assess the efficacy of minimal access lag screw fixation technique in anterior mandibular fractures management. Materials and Method: The study sample consists of  six cases of undisplaced anterior mandibular fracture reported to a private dental college in Kearala, India indicated for open reduction and fixation. All patients were treated with lower arch bar followed by intermaxillary fixation and immobilization using lag screws under local anesthesia with a six month followup. Results: All the six cases showed rigid fixation with good stability of the bone fragments after 4-6 months follow up. Radiographs revealed properly placed lag screws with minimal post operative complications. Conclusion: It is concluded that treatment of anterior mandibular fractures with lag screw fixation provides good stability with appropriate compression.


Anterior Mandible; Fracture; Lag Screw; Minimal Access; Osteosynthesis


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