All surgically treated patients in the period of 1995 to 2005 with at least one mandibular fracture mesial to the mandibular angle were included in this study. A total of 63 patients (46 men, 17 women) with 63 symphysis fractures were included and 497 patients (369 men, 128 women) with 553 P/B were included; 99.27 % (549) of these fractures were included in the study, 4 had to be dismissed because of inconclusive documentation.
Of patients with P/B, 96.04 % were successfully treated with 1 open reduction, 3.76 % had 2, and 0.20 % had 3 surgeries. Of the surgically treated patients, 75.77 % (416) were completely free of complications, whereas the other 24.23 % of the P/B showed 1 or more complications. The main complication was mild nerve damage (24.8 % ). Osteosynthesis failure rate (OFR) was 2.4 % (7 of 298) for 2 miniplates, 5.7 % (3 of 53) for 1 tension screw, and 8.4 % (9 of 107) for 1 miniplate. Regarding OFR, 2 miniplates showed to be superior in a Fisher exact test (P = .018, adjusted P = .132). Symphysis fractures were completely free of complications in 81.8 % and showed 2 major complications, i.e., 1 severe nerve damage and 1 osteosynthesis failure.
This study has the limitations of a retrospective study.
A high success rate of open reduction and osteosynthesis with 2 miniplates can be guaranteed.