@article{Hassan_Shafqat_Babar_Mahmood_Muzaffar_Afzal_2022, title={Comparison of Post-Operative Results of Early Versus Delayed Open Reduction and Internal Fixation of Isolated Mandibular Fractures}, volume={72}, url={https://pafmj.org/PAFMJ/article/view/6416}, DOI={10.51253/pafmj.v72i5.6416}, abstractNote={<p><strong>Objective:</strong> To evaluate the impact of treatment time of open reduction internal fixation of mandibular fractures in post-operative complications.</p> <p><strong>Study Design: </strong>Quasi-experimental study.</p> <p><strong>Place and Duration of Study:</strong> Oral and Maxillofacial Surgery, Armed Forces Institute of Dentistry, Combined Military Hospital, Rawalpindi Pakistan, from Jan to Jun 2019.</p> <p><strong>Methodology:</strong> A hundred and four patients with isolated mandibular fractures diagnosed clinically and radiologically were included in the study. Group-I was the early Group consisting of cases reported under 72 hours, and Group-II was the delayed Group consisting of patients after 72 hours and within fourteen days. Treatment outcomes were assessed and compared for all patients based on clinical parameters in the post-operative period during follow-up.</p> <p><strong>Results:</strong> One hundred and four patients with mandibular fractures were treated with open reduction internal fixation. On a periodic follow-up of 6 months, all patients were evaluated for malocclusion, surgical site infection, hardware exposure, and non-union complications. Group-I showed six patients (11.70%) with malocclusion, whereas three patients (6.10%) in Group-II had malocclusion (<em>p</em>-value=0.295). Surgical site infection was present in 2(3.84%) patients in Group-I and 3(5.76%) patients in Group-II (<em>p</em>-value=0.647). There was no case of non-union and three patients (5.76%) of hardware exposure in Group-I and two patients (3.84%) in Group-II (<em>p</em>-value=0.647). No statistically significant increase in post-operative complications in malocclusion, surgical site infection, hardware exposure, and non-union was found in Group-II with comparison Group-I.</p> <p><strong>Conclusion:</strong> Delay in the surgical intervention of mandible fractures does not lead to increased post-operative complications.</p> <p> </p>}, number={5}, journal={Pakistan Armed Forces Medical Journal}, author={Hassan, Amna and Shafqat, Yumna and Babar, Adnan and Mahmood, Saad and Muzaffar, Amna and Afzal, Muhammad}, year={2022}, month={Nov.}, pages={1662–66} }