A recent article in the ARCHIVES by Wang et al1 was informative and very practical for those who treat large numbers of mandibular fractures. The technique is particularly useful in the mandibular angle where access is limited for intraoral open reduction and fixation. I have successfully used this technique both as a method of temporary alignment and as a definitive treatment procedure.
I would like to point out, however, that the technique was described previously by Halling et al2 in 1991 as a temporary repositioning device prior to compression screw plating of the mandibular angle. Dym et al3 in 1992 described this technique using 2.7-mm-diameter screws and 24-gauge stainless steel wire for definitive treatment of angle fractures in conjunction with arch bars and intermaxillary fixation.
In the parasymphysis region, I prefer to use parallel miniplates, while in the body region I prefer a single subapical miniplate. In these more anterior . . . [Full Text of this Article]