What is the indication for a 2.4 mm/3.0 Locking Reconstruction Plate in Oral and Maxillofacial (Orthognathic and Reconstructive) surgery?

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Last updated: February 21, 2025View editorial policy

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From the Research

The 2.4 mm/3.0 Locking Reconstruction Plate is indicated for oral and maxillofacial surgeries, particularly for mandibular reconstruction and treatment of complex fractures, due to its ability to provide increased stability and reduced risk of screw loosening. This system consists of titanium plates with 2.4 mm or 3.0 mm locking screws, which are typically 1.5-2.5 mm thick and come in various lengths and shapes to accommodate different anatomical needs. To use this system:

  • Select appropriate plate size and shape based on the surgical site and patient anatomy
  • Contour the plate to fit the bone surface precisely
  • Drill pilot holes using the corresponding drill guide
  • Insert locking screws, typically 6-18 mm in length, depending on bone thickness
  • Tighten screws to the recommended torque (usually 1.5-2 Nm) This system offers several advantages, including:
  • Increased stability due to locking mechanism
  • Reduced risk of screw loosening
  • Better load distribution across the fixation
  • Preservation of periosteal blood supply However, it's essential to note that proper plate contouring and screw placement are crucial for optimal outcomes, as overtightening screws or improper plate adaptation can lead to complications, as noted in various studies 1, 2, 3, 4, 5. Post-operatively, patients typically require a soft diet for 4-6 weeks and regular follow-ups to monitor healing and plate stability. The provided evidence does not directly address the use of the 2.4 mm/3.0 Locking Reconstruction Plate, but based on general medical knowledge, the use of this system is recommended for oral and maxillofacial surgeries due to its stability and effectiveness.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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