Treatment of Mandibular Non-union Using Patient Specific Crib Cage Plates and Cellular Bone Allograft: A Case Report

A gunshot wound to the mandible frequently creates a comminuted fracture that can be debilitating for patient and challenging surgeon. In some instances, immediate open reduction rigid fixation is not possible, closed with intermaxillary employed. This may lead non-union or mal-union of segments. case report describes management bilateral mandibular angle fractures secondary injury. The were repaired using virtually planned specific reconstruction plates included specially designed crib cage contain bone graft. cellular allograft—Vivigen (DePuy Synthes, Warsaw, IN)—was chosen as grafting material. was followed up 7 months normal functional status mouth opening without pain signs infection. demonstrates plate allograft optimize surgical repair bony healing fractures.