Complications associated with closed reduction technique in the treatment of mandibular fractures in Calabar, south-south Nigeria

2012 ◽  
Vol 16 (1) ◽  
Author(s):  
CE Anyanechi ◽  
FN Chukwuneke
Keyword(s):  
Closed Reduction ◽  
Reduction Technique ◽  
Mandibular Fractures

Improving surgical reduction in radial fractures using a ‘dowel’ pinning technique in miniature and toy breed dogs

2011 ◽  
Vol 24 (01) ◽  
pp. 45-49 ◽  
Author(s):  
C. E. DeCamp ◽  
R. Rooks ◽  
J. Yu
Keyword(s):  
Clinical Outcome ◽  
Bone Healing ◽  
Medical Records ◽  
Closed Reduction ◽  
Surgical Repair ◽  
Reduction Technique ◽  
Good Clinical Outcome ◽  
Distal Radial Fractures ◽  
Radiographic Images ◽  
Small Delay

Summary Objectives: A retrospective approach was used to detail and evaluate a ‘dowel’ pinning technique in distal radial fractures in miniature and toy breed dogs. Methods: Medical records and radiographs from 2003–2009 of miniature and toy breed dog radial fractures were examined. Sixty cases were divided into two groups: 51 radial fractures repaired with a ‘dowel’ pinning and external skeletal fixation (ESF) and nine radial fractures repaired with closed reduction and ESF. Each dog was evaluated and radiographic images were obtained at presentation, postoperatively, and at 1, 2, 4, 8, and 12 weeks postoperatively. Signalment, reduction, alignment, time to clinical bone healing and ESF removal, and implant morbidity were determined for each group. Results: Radial fractures repaired with a ‘dowel’ pin and ESF had improved reduction compared to closed reduction and ESF alone (p <0.0001 as evaluated with lateral radiographs and p <0.0004 with cranial/caudal radiographs). Both surgical groups resulted in good clinical outcome with low morbidity, however it was observed that the time to clinical union and ESF removal was an average of 2.5 weeks less with closed reduction technique compared to the open reduction and ‘dowel’ pinning technique (p <0.031). Clinical Significance: Incorporating a ‘dowel’ pin to the surgical repair enhances the reduction of distal radial fractures in miniature and toy breed dogs and results in excellent clinical outcomes but causes a small delay in bone healing.

scholarly journals Comparison of suprapatellar versus infrapatellar approaches of intramedullary nailing for distal tibia fractures

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Yao Lu ◽  
Gen Wang ◽  
Bin Hu ◽  
Cheng Ren ◽  
Liang Sun ◽  
...  
Keyword(s):  
Blood Loss ◽  
Fracture Healing ◽  
Closed Reduction ◽  
Distal Tibia ◽  
Reduction Rate ◽  
Healing Time ◽  
Reduction Technique ◽  
Surgical Time ◽  
Tibia Fractures ◽  
Distal Tibia Fractures

Abstract Background This study aimed to analyze and compare the clinical and functional outcomes of distal tibia fractures treated with intramedullary nailing (IMN) using the suprapatellar (SP) and infrapatellar (IP) surgical approaches. Methods A retrospective analysis was performed in 63 patients with distal fractures that were treated with IMN between August 2014 and August 2018. A total of 27 and 36 patients underwent IMN using the SP and IP techniques, respectively. The surgical time, blood loss, closed reduction rate, rate of adjuvant reduction technique, fracture healing time, and complications were reviewed in this study. Anterior knee pain was assessed using the visual analog scale. The Lysholm Knee Scoring Scale and American Orthopaedic Foot and Ankle Society (AOFAS) scale were used as clinical measurements. Results A total of 63 patients, with a minimum follow-up of 12 months, were evaluated. The average surgical time, blood loss, rate of adjuvant reduction technique, closed reduction rate, fracture healing time, and Lysholm Knee Scoring Scale score were insignificantly different (P > 0.05) between the two groups. However, the SP approach was superior to the IP approach in terms of pain score, AOFAS score, and fracture deformity rate (P < 0.05). Conclusions In the treatment of distal tibia fractures, the SP IMN technique is associated with a significantly higher functional outcome, lower knee pain, and lower rate of fracture deformity than the IP IMN technique.

A promising new technique for closed reduction of arytenoid dislocation

2011 ◽  
Vol 126 (2) ◽  
pp. 168-174 ◽  
Author(s):  
V Leelamanit ◽  
W Sinkijcharoenchai
Keyword(s):  
Closed Reduction ◽  
Vocal Fold ◽  
Reduction Technique ◽  
New Technique ◽  
Safe Procedure ◽  
Operating Microscope ◽  
Custom Made ◽  
Operative Complications ◽  
Arytenoid Dislocation ◽  
A New Technique

AbstractObjectives:To study the effect of a new technique for closed reduction of dislocated arytenoids.Methods:The study included 21 females (72.4 per cent) and eight males (27.6 per cent) with a diagnosis of arytenoid dislocation. There were 18 cases of left arytenoid dislocation and 11 of right arytenoid dislocation.Twenty-eight cases had anteromedial dislocation and one had posterolateral dislocation. All patients were treated with closed reduction using custom-made metal rods and an operating microscope, under general anaesthesia.Results:Post-operatively, 21 patients’ voices returned completely to normal (including full vocal fold mobility), five had an improved voice and three failed to show any improvement. There were no post-operative complications.Conclusion:This new closed reduction technique is a safe procedure for patients with dislocated arytenoids. It is repeatable and the outcome is reliable and effective. Closed reduction can be a useful treatment for arytenoid dislocation.

Teeth in the Line of Mandibular Fractures

1994 ◽  
Vol 2 (3) ◽  
pp. 113-116
Author(s):  
Duncan Nickerson ◽  
Donald Mcphalen
Keyword(s):  
Risk Factor ◽  
Internal Fixation ◽  
Closed Reduction ◽  
Open Reduction ◽  
Careful Consideration ◽  
Fracture Site ◽  
Fracture Line ◽  
Mandibular Fractures ◽  
Third Molars ◽  
Infection Rates

D Nickerson, D McPhalen. Teeth in the line of mandibular fractures. Can J Plast Surg 1994;2(3):113-116. This study considers 710 mandibular fractures occurring in 546 patients over a five-year period and notes the fate of 114 teeth involved in the line of 104 of these fractures. Analysis of retention versus removal of teeth in the fracture line and any associated infection was undertaken. Overall, 15.5% of cases that involved retained teeth became infected, as compared with 7.1% of cases in which a tooth was extracted from the fracture site. for third molars, the teeth most commonly involved in mandibular fractures, infection was associated with 20.5% of retained teeth and 10% of cases where teeth were extracted from the fracture site. These data support careful consideration of a tooth's disposition before a decision regarding retention or extraction is made. Furthermore, they suggest that even in the absence of a grossly evident risk factor for infection, such as a fractured tooth, the tooth itself may inherently predispose to infection if retained. Infection rates were higher for retained teeth regardless of whether open reduction with rigid internal fixation or closed reduction with maxillomandibular fixation was used.

scholarly journals Closed reduction in the treatment of neglected mandibular fractures at the Department of Oral and Maxillofacial Surgery, Universitas Airlangga

2019 ◽  
Vol 52 (3) ◽  
pp. 147
Author(s):  
Olivia Jennifer Gunardi ◽  
Riska Diana ◽  
David Buntoro Kamadjaja ◽  
Ni Putu Mira Sumarta
Keyword(s):  
Closed Reduction ◽  
Reduction Method ◽  
Maxillofacial Surgery ◽  
Case Series ◽  
Mandibular Fracture ◽  
Patient Treatment ◽  
Dental Occlusion ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Intermaxillary Fixation

Background: The mandible is one of the bones most affected by facial fractures commonly resulting from trauma to the face. The ultimate goal of treatment is to re-establish the pre-injury dental occlusion (bite), mandibular anatomy and jaw function of the patient. Treatment approaches range from conservative non-invasive management by ’closed’ reduction and immobilization using intermaxillary fixation (IMF) to the more invasive surgery-based ’open’ reduction incorporating an internal fixation approach. Purpose: The purpose of this case series was to describe the close reduction method as a form of treatment in cases of neglected mandibular fracture. Cases: Four cases of single or multiple mandibular fracture were presented. Case management: All of the cases were managed using a closed reduction method and IMF. Conclusion: A closed reduction method in this case series produced encouraging results and could be considered an alternative in the treatment of neglected mandibular fractures with displacement.

scholarly journals 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

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.

scholarly journals Clinical examination of various jaw fractures and evaluation of open and closed reductions: Six case reports

2021 ◽  
Vol 11 (Suppl. 1) ◽  
pp. 274-278
Author(s):  
Tahir Ataözden ◽  
Mustafa Mert Başaran ◽  
Semanur Özüdoğru
Keyword(s):  
Clinical Examination ◽  
Closed Reduction ◽  
Case Reports ◽  
Mandibular Fractures ◽  
Fracture Type ◽  
Medial Condyle ◽  
Medial Condyle Fracture ◽  
Jaw Fractures ◽  
Native Speakers Of English ◽  
Condyle Fracture

Aim: This study aims to present the fracture types and treatment methods of jaw fracture cases that presented at our center. Methodology: Of six presenting cases, two were angulus, one was parasymphysis, three were subcondylar, and one was a medial condyle fracture only. All patients were evaluated both clinically and radiologically by CT of the atlanto-occipital joint. We managed two of the mandibular fractures with open and closed reduction (mixed) and four with closed reduction only. Dislocation was observed in only two patients. Internal fixation was performed using either mini plates (Medartis, Basel, Switzerland) or mini-screws. All cases united within three weeks to three months. Results: After analyzing the epidemiology of six fractures and the outcomes of the surgical treatment, as well as assessing the complications related to the surgical procedures, it was determined that in cases with dislocation, bimaxillary fixation should be applied as a maintenance to open reduction therapy. In cases without dislocation, bimaxillary fixation only is sufficient. Conclusion: An analysis of dislocation conditions according to fracture type supports that the incidence of dislocation is low in condyle fractures. Conclusion: An analysis of dislocation conditions according to fracture type supports that the incidence of dislocation is low in condyle fractures.   How to cite this article: Özüdoğru S, Başaran MM, Ataözden T. Clinical examination of various jaw fractures and evaluation of open and closed reductions: Six case reports. Int Dent Res 2021;11(Suppl.1):274-8.  https://doi.org/10.5577/intdentres.2021.vol11.suppl1.40   Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.  

Sign in / Sign up

Export Citation Format

Share Document