Mechanical testing of paraosseous clamp-cerclage stabilization compared to interfragmentary wiring and combination technique in L-shape acrylic plate simulate to canine mandibular fracture

The purpose of this research was to comparison of the mechanical strength of the three different stabilization techniques in canine mandibular models. An L-shaped acrylic plate to replicate the mandible of a middle-sized dog was used as a canine mandibular fracture model. The research compared the strength of 3 fixation techniques: interfragmentary wiring, paraosseous clamp-cerclage stabilization, and a combination of both techniques. Each method was tested using 6 acrylic samples and measuring the maximum pressure load on the rostral mandible model using a Hounsfield H50KS testing machine. Statistical analysis was used to summarize the maximum load results from each method. The strengths of the interfragmentary wiring technique and the combination technique were not significantly different, while the paraosseous clamp-cerclage stabilization technique had significantly less strength than the other two techniques. The acrylic samples simulated the mandibular bone in a medium-sized breed dog because there are variable sizes and conformations of the mandible. This method was used to help neutralize other confounding factors associated with using real bone. In conclusion, the combination technique of interfragmentary wiring and paraosseous clamp-cerclage was the best method that can be used for increased stabilization of mandibular fixation. This technique was useful for facilitating stabilization of a mandible at a lower cost compared with the bone plate and screw method