Dr. Ayesha Naz, Dr. Sehrish Arshad, Dr. Hira Aamir
Objective: To evaluate the archbar as a tensioning band compared to the tension band plate, providing an alternative technique for mandibular osteosynthesis to reduce implant material and minimize implant-related postoperative complications. Study Design: A Retrospective Study. Place and Duration: In the Oral and Maxillofacial Surgery Department of Mayo Hospital Lahore for three year duration from September 2014 to September 2017. Methods: The study included open reduction and internal fixation (ORİF) in eighty patients with mandibular fractures and two groups of mini-plates and screws. Group A treated with two plates fixation group B were treated with the one plate fixation with tension strips by anarchbar in the second plate to ensure effective balancing of the fracture sections. Most of these patients were treated with local anesthesia. Postoperative complications were lower in Group-B than Group-A, preferring to use a archbar as a tension band. To defeat the torsional forces generated in the front of the mandible body during the function. Results: Infection was the postoperative complication in (7.5%), 5% in Group A and 2.5% in Group B, and the other complications in Group A included 5% malocclusion and extraction. No such complication was found in 10% of the plate and 10% in the B group. Conclusion: Osteosynthesis with both techniques was effective to provide an immediate postoperative function, but complications in Group B were few. Key words: Mandibular fractures, tension band, double plaque osteosynthesis, implanted material, postoperative complications.