Cochrane · intervention · CD007158
Resorbable versus titanium plates for facial fractures
Cochrane Database of Systematic Reviews · 2009 · Cochrane Library
Full textEvery question was extracted from the full review (methods and results), not only its Summary of Findings table.
Questions
11
current version
GRADE rated
0
No studies
11
Included studies
0
as reported
No studies 11 · 100%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Review question
| Element | Planned (methods) | Found (results) |
|---|---|---|
| Population | Participants over 18 years of age with fractures of the facial skeleton including the mandible, maxilla, zygoma (malar); studies on fractures of the mandibular condyle excluded | No included studies (0 of 53 potentially eligible studies met the inclusion criteria) |
| Intervention | Bioresorbable plates or screws or both | Not specified |
| Comparison | Titanium plates or screws (used as lag screws) or both | Not specified |
| Outcomes | Healing and union of fracture (versus mal-union and non-union); Need for retreatment or replacement of fixation due to failure of the fixation; Degree of function postoperatively (mastication, swallowing, speech); Any chronic or lasting pain measured using any validated scale after 3 weeks; Analgesic medication used (type, dose, frequency); Status of occlusion; Postoperative swelling assessment; Quality of life; Patient satisfaction; Direct costs; Adverse effects | Not specified |
| Study designs | Randomised controlled clinical trials (RCTs) only | Not specified |
| Timing | Follow-up period of up to 3 years postoperatively | Not specified |
Search date: 2008-08. Databases: The Cochrane Oral Health Group's Trials Register; The Cochrane Central Register of Controlled Trials (CENTRAL); MEDLINE (OVID); EMBASE (OVID); ClinicalTrials.gov; Current Controlled Trials (controlled-trials.com)
Questions and results
Current version onlyBioresorbable plates or screws (or both) vs Titanium plates or screws (used as lag screws) or both
Population: Participants over 18 years of age with fractures of the facial skeleton including the mandible, maxilla, zygoma (malar); studies on fractures of the mandibular condyle excluded
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Degree of function postoperatively (mastication, swallowing, speech) Up to 3 years postoperatively | Planned primary outcome not assessed: none of the retrieved studies met the inclusion criteria, so no data were available for analysis. Verbatim (Effects of interventions): "Although 53 studies were retrieved in our… | 0 studies | No studies |
Direct costs (plates, supporting equipment, hospital bed days, retreatment) Up to 3 years postoperatively | Planned cost outcome not assessed: none of the retrieved studies met the inclusion criteria, so no data were available for analysis. Verbatim (Effects of interventions): "Although 53 studies were retrieved in our… | 0 studies | No studies |
Analgesic medication used (type, dose, frequency) Up to 3 years postoperatively | Planned primary outcome not assessed: none of the retrieved studies met the inclusion criteria, so no data were available for analysis. Verbatim (Effects of interventions): "Although 53 studies were retrieved in our… | 0 studies | No studies |
Quality of life (validated questionnaire) Up to 3 years postoperatively | Planned secondary outcome not assessed: none of the retrieved studies met the inclusion criteria, so no data were available for analysis. Verbatim (Effects of interventions): "Although 53 studies were retrieved in our… | 0 studies | No studies |
Postoperative swelling assessment 0 to 48 hours after surgery | Planned secondary outcome not assessed: none of the retrieved studies met the inclusion criteria, so no data were available for analysis. Verbatim (Effects of interventions): "Although 53 studies were retrieved in our… | 0 studies | No studies |
Adverse effects (insufficient fixation; re-operation/revision; plate exposure; superficial or deep wound infection; sinus tract; wound dehiscence; giant cell/foreign body or inflammatory reaction; post-traumatic dystrophy) Up to 3 years postoperatively | Planned adverse-effects outcome not assessed: none of the retrieved studies met the inclusion criteria, so no data were available for analysis. Verbatim (Effects of interventions): "Although 53 studies were retrieved… | 0 studies | No studies |
Patient satisfaction (questionnaire) Up to 3 years postoperatively | Planned secondary outcome not assessed: none of the retrieved studies met the inclusion criteria, so no data were available for analysis. Verbatim (Effects of interventions): "Although 53 studies were retrieved in our… | 0 studies | No studies |
Need for retreatment or replacement of fixation due to failure of the fixation Up to 3 years postoperatively | Planned primary outcome not assessed: none of the retrieved studies met the inclusion criteria, so no data were available for analysis. Verbatim (Effects of interventions): "Although 53 studies were retrieved in our… | 0 studies | No studies |
Any chronic or lasting pain measured using any validated scale after 3 weeks After 3 weeks | Planned primary outcome not assessed: none of the retrieved studies met the inclusion criteria, so no data were available for analysis. Verbatim (Effects of interventions): "Although 53 studies were retrieved in our… | 0 studies | No studies |
Status of occlusion (e.g. Angle's classification, ANB, Wits analysis) Up to 3 years postoperatively | Planned secondary outcome not assessed: none of the retrieved studies met the inclusion criteria, so no data were available for analysis. Verbatim (Effects of interventions): "Although 53 studies were retrieved in our… | 0 studies | No studies |
Healing and union of fracture (versus mal-union and non-union) Up to 3 years postoperatively | Planned primary outcome not assessed: none of the retrieved studies met the inclusion criteria, so no data were available for analysis. Verbatim (Effects of interventions): "Although 53 studies were retrieved in our… | 0 studies | No studies |
Bioresorbable plates or screws (or both) vs Titanium plates or screws (used as lag screws) or both
Population: Adults over 18 years of age with fractures of the facial skeleton including the mandible, maxilla, zygoma (malar); studies on fractures of the mandibular condyle excluded
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Healing and union of fracture (versus mal-union and non-union) Up to 3 years postoperatively | Protocol-planned primary outcome: Healing and union of fracture (versus mal-union and non-union). No eligible studies (protocol stage; no Results section). | NR | No studies |
Adverse effects (insufficient fixation; re-operation/revision; plate exposure; superficial or deep wound infection; sinus tract; wound dehiscence; giant cell/foreign body or inflammatory reaction; post-traumatic dystrophy) Up to 3 years postoperatively | Protocol-planned adverse-effects outcome: Adverse effects (insufficient fixation; re-operation/revision; plate exposure; superficial or deep wound infection; sinus tract; wound dehiscence; giant cell/foreign body or… | NR | No studies |
Quality of life (validated questionnaire) Up to 3 years postoperatively | Protocol-planned secondary outcome: Quality of life (validated questionnaire). No eligible studies (protocol stage; no Results section). | NR | No studies |
Status of occlusion (e.g. Angle's classification, ANB, Wits analysis) Up to 3 years postoperatively | Protocol-planned secondary outcome: Status of occlusion (e.g. Angle's classification, ANB, Wits analysis). No eligible studies (protocol stage; no Results section). | NR | No studies |
Direct costs (plates, supporting equipment, hospital bed days, retreatment) Up to 3 years postoperatively | Protocol-planned cost outcome: Direct costs (plates, supporting equipment, hospital bed days, retreatment). No eligible studies (protocol stage; no Results section). | NR | No studies |
Analgesic medication used (type, dose, frequency) Up to 3 years postoperatively | Protocol-planned primary outcome: Analgesic medication used (type, dose, frequency). No eligible studies (protocol stage; no Results section). | NR | No studies |
Degree of function postoperatively (mastication, swallowing, speech) Up to 3 years postoperatively | Protocol-planned primary outcome: Degree of function postoperatively (mastication, swallowing, speech). No eligible studies (protocol stage; no Results section). | NR | No studies |
Patient satisfaction (questionnaire) Up to 3 years postoperatively | Protocol-planned secondary outcome: Patient satisfaction (questionnaire). No eligible studies (protocol stage; no Results section). | NR | No studies |
Need for retreatment or replacement of fixation due to failure of the fixation Up to 3 years postoperatively | Protocol-planned primary outcome: Need for retreatment or replacement of fixation due to failure of the fixation. No eligible studies (protocol stage; no Results section). | NR | No studies |
Any chronic or lasting pain measured using any validated scale after 3 weeks After 3 weeks | Protocol-planned primary outcome: Any chronic or lasting pain measured using any validated scale after 3 weeks. No eligible studies (protocol stage; no Results section). | NR | No studies |
Postoperative swelling assessment 0 to 48 hours after surgery | Protocol-planned secondary outcome: Postoperative swelling assessment. No eligible studies (protocol stage; no Results section). | NR | No studies |