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Title

Reconstruction plates versus single or dual miniplates for angle fractures: Hardware failure and non-union rates

 

Authors

Mansi Dubey*, Abhishek Balani, Vinay Kharsan, Abhishek Karan, Swati Sahu & Subham Mahapatra

 

Affiliation

Department of Oral and Maxillofacial Surgery, New Horizon Dental College and Research Institute, Bilaspur, Chhattisgarh, India; *Corresponding author

 

Email

Mansi Dubey - E-mail: mansidubey59@gmail.com; Phone: +91 98930 78115
Abhishek Balani - E-mail: abhibalani@gmail.com; Phone: +91 95842 11444
Vinay Kharsan - E-mail: Kharsan@rediffmail.com; Phone: +91 94255 39130
Abhishek Karan - E-mail: abhishekkaran28@gmail.com; Phone: +91 96200 61930
Swati Sahu - E-mail: sahuswati85.ss@gmail.com; Phone: +91 70005 25178
Subham Mahapatra - E-mail: msubham0808@gmail.com; Phone: +91 98274 63197

 

Article Type

Research Article

 

Date

Received February 1, 2026; Revised February 28, 2026; Accepted February 28, 2026, Published February 28, 2026

 

Abstract

Mandibular angle fractures remain common in facial trauma, yet optimal fixation methods remain controversial due to variable hardware failure and non-union rates. Therefore, it is of interest to evaluate reconstruction plates (n=58), single miniplates (n=64) and dual miniplates (n=64) in 186 patients over 5 years with ≥12-month follow-up. Outcomes assessed included hardware failure, non-union, infection and malocclusion across all groups. Reconstruction plates demonstrated superior results with the lowest hardware failure (3.4%) and non-union (1.7%) rates versus single miniplates (12.5%, 6.3%) and dual miniplates (6.3%, 3.1%) (p<0.05). Reconstruction plates provide optimal biomechanical stability for complex mandibular angle fractures, particularly with unfavourable patterns, inadequate dentition, or poor patient compliance.

 

Keywords

Mandibular angle fracture, reconstruction plates, miniplates, hardware failure, non-union, osteosynthesis

 

Citation

Dubey et al. Bioinformation 22(2): 1250-1255 (2026)

 

Edited by

Vini Mehta

 

ISSN

0973-2063

 

Publisher

Biomedical Informatics

 

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.