NEW SCALE FOR ASSESSMENT OF MANDIBULAR FRACTURES: RADIOGRAPHIC UNION SCALE FOR MANDIBLE (RUSM)

Vikas Kunwar Singh, Ashish Chalana, Ruchika Tiwari, Rinki Aggarwal, Jay Kansara, Vandita Chaurasia

Abstract


Objective: The aim of this study was to radiographically assess the mandibular fractures and propose a new scale for the assessment of mandibular fractures and to give a radiographic union scale for mandible (RUSM).

Methodology: This is a review of 60 patients who reported in trauma centre of Mahatma Gandhi Hospital, Jaipur for evaluation and management of mandibular fractures from June 2017 to August 2019. A cross sectional review of all the patients was adopted for assessment of fracture healing in accordance with two orthogonal radiographs (orthopantomogram and occlusal radiograph) in proposed assessment scale 3 months post-surgery.

Results: According to inference from the RUSM scale assessment of 60 patients, 5 patients were in category 1 - non-union, 8 patients were in the category 2 - not healed and 47 patients were in the category 3 - healed fracture post 3 month follow up.

Conclusion: RUSM’s simple, systematic, and continuous gauge of the healing of mandibular fractures treated has been shown to result in excellent inter-observer agreement. Consequently, its use may standardize the monitoring of the treatment effect in routine practice and the outcome assessment in clinical trials.


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