[Comparison of internal fixation with mini-titanium plate and wire osteosynthesis in midface fractures].

OBJECTIVE

To compare clinical results of the internal fixation with wire and the internal fixation with mini-titanium plate in midface fractures.

METHODS

By the coronal approach and supplementary incisions, forty patients with midface fractures were treated with wire osteosynthesis or rigid internal fixation (RIF) with mini-titanium plate.

RESULTS

A good stability can not he obtained with wire osteosynthesis in the treatment of midface fractures. The supporting bony structure of midface can be reconstructed with mini-titanium plate RIF, which results in a sufficient three-dimensional stability of the fractured segments and an ideal facial configuration Mini-titanium plate RIF is more convenient and reliable than wire osteosynthesis in the difficult operation fields of the infraorbital margin and zygomaticomaxillary suture.

CONCLUSION

Mini-titanium plate RIF is the best method for treatment of midface fractures.