Assessment of Clinical Outcomes in Open Reduction and Internal Fixation of Mandibular Condyle Fractures Compared to Closed Treatment

Abstract Objective To investigate the clinical outcomes of percutaneous cross screws internal fixation for pelvic Day type II crescent fracture-dislocation. Methods We reviewed 66 consecutive patients undergoing surgical treatment for Day type II crescent fracture-dislocation from June 2005 to December 2017. Percutaneous cross screws internal fixation was performed in 40 patients, and open reduction and internal fixation was performed in 26 patients. The patient characteristics, surgical complications, radiographic and clinical outcomes and were compared. Results There was no statistically difference on the mean time from injury to surgery between the two groups. The time of operation, the amount of blood loss, the length of incision, and the hospital stay were significantly shorter in the percutaneous cross screws internal fixation group. No significant difference on Matta scores and Majeed scores between the two groups. The open reduction and internal fixation group resulted in a higher rate of intraoperative hemorrhage, nerve injury, discomfort, and pain. Conclusion Percutaneous cross screws internal fixation for Day II type pelvic crescent fracture-dislocation was safe and effective. Minimally invasive fixation had the advantages of short operation and hospitalization time, less intraoperative bleeding, and surgical trauma.

Download Full-text

Application of extended H plate to open reduction internal fixation of the mandibular condyle

Oral Surgery ◽

10.1111/ors.12231 ◽

2016 ◽

Vol 10 (2) ◽

pp. 112-116

Author(s):

N.L. Aaronson ◽

C.T. Sasaki ◽

R.A. Lowlicht

Keyword(s):

Internal Fixation ◽

Open Reduction ◽

Mandibular Condyle ◽

Open Reduction Internal Fixation

Download Full-text

The role of open reduction and internal fixation in unilateral fractures of the mandibular condyle: a prospective study

British Journal of Oral and Maxillofacial Surgery ◽

10.1054/bjom.2001.0734 ◽

2002 ◽

Vol 40 (1) ◽

pp. 19-22 ◽

Cited By ~ 57

Author(s):

N. Hyde ◽

M. Manisali ◽

B. Aghabeigi ◽

K. Sneddon ◽

L. Newman

Keyword(s):

Prospective Study ◽

Internal Fixation ◽

Open Reduction ◽

Mandibular Condyle ◽

A Prospective Study

Download Full-text

Retromandibular Approach as a Method for Open Reduction and Internal Fixation of Mandibular Condyle Fractures. Experience in the Regional Hospital 1º de Octubre, ISSSTE and Literature Review

International Journal of Dentistry and Oral Health ◽

10.16966/2378-7090.376 ◽

2021 ◽

Vol 7 (7) ◽

Author(s):

González MGR ◽

Munguía AMN ◽

González CASJ ◽

Tellez EB ◽

Montes IDG

Keyword(s):

Internal Fixation ◽

Closed Reduction ◽

Open Reduction ◽

Surgical Techniques ◽

Mandibular Condyle ◽

Middle Cranial Fossa ◽

Sufficient Evidence ◽

Mandibular Fractures ◽

Open Treatment ◽

Condylar Fractures

Mandibular condyle fractures constitute 17.5% to 52% of mandibular fractures. Open reduction with internal fixation and closed reduction are described for their treatment. Fonseca describes the absolute indications for open treatment when there is displacement of the mandibular condyle to the middle cranial fossa, foreign body invasion, extra capsular displacement of the condyle, and/or malocclusion not susceptible to closed reduction. It includes indications with vast evidence for open treatment of bicondyle fractures, condylar displacement greater than 45 degrees, reduction in the height of the mandibular ramus greater than or equal to 2mm, fractures associated with fractures of the middle third and when there is unstable occlusion. The above establishes sufficient evidence to perform open treatment in various situations of condylar fractures. Regarding the approach of the mandibular condyle region there are different surgical techniques, such as, the preauricular, retroauricular, submandibular, retromandibular, and rhytidectomy approaches.

Download Full-text