1. Study on treatment of condylar process fractures of the mandible
- Author
-
Stephan Eulert, Torsten Blens, Tomas Gedrange, Peter Proff, Ivan Bokan, Jürgen Reuther, and Josip Bill
- Subjects
Male ,Jaw Fractures ,Dentistry ,Functional Laterality ,Condyle ,Lag screw ,stomatognathic system ,Mandibular Fractures ,Humans ,Medicine ,Statistical analysis ,In patient ,Child ,Process (anatomy) ,Retrospective Studies ,Orthodontics ,Osteosynthesis ,Skull Fractures ,business.industry ,Mandibular Condyle ,Mandible ,General Medicine ,Treatment Outcome ,Female ,Anatomy ,business ,Bone Plates ,Surgical interventions ,Follow-Up Studies ,Developmental Biology - Abstract
Summary Treatment of mandibular condylar process fractures may be conservative or surgical. Both treatment approaches aim to reconstruct the articulating joint surfaces in a physiological position to the discoligamentary structures. The study comprised 1812 patients of Wuerzburg University who presented with a fracture of the mandibular condylar process between 1981 and 2001. Besides conservative management options, surgical interventions using mini-plate osteosynthesis and the Wuerzburg lag screw plate were studied for post-treatment changes. Statistical analysis revealed that surgical osteosynthesis is superior to merely conservative therapy in terms of post-treatment dysgnathic severity. Hence, surgical osteosynthesis is advocated especially in patients with high condylar fractures or dislocated fractures in order to ideally achieve ‘restitutio ad integrum’.
- Published
- 2007