Surgical versus non-surgical treatment of fractures of the articular process of the mandible.
In a clinical, radiographic and angiographic study, we reinvestigated 34 patients with dislocated fractures of the condylar neck. 20 of them had been treated by open reduction, 14 in a conservative-functional way. The clinical results were nearly equal in both groups. The instrumental registration and the X-ray findings showed considerable deviations in the joint physiology in the conservative group. 19 of 20 patients operated on showed near-anatomical reconstruction with good functional results.
Hidding
J
J
Dept of Oral and Maxillo-Facial Surgery, University of Münster, Germany.
Wolf
R
R
Pingel
D
D
D000293:Adolescent; D000328:Adult; D001860:Bone Plates; D001864:Bone Wires; D005260:Female; D005592:Fracture Fixation; D005593:Fracture Fixation, Internal; D006801:Humans; D007574:Jaw Relation Record; D004204:Joint Dislocations / Q000503:physiopathology / Q000601:surgery* / Q000628:therapy*; D008297:Male; D008334:Mandible / Q000503:physiopathology; D008335:Mandibular Condyle / Q000000981:diagnostic imaging / Q000293:injuries* / Q000503:physiopathology / Q000601:surgery; D008337:Mandibular Fractures / Q000503:physiopathology / Q000601:surgery* / Q000628:therapy*; D008875:Middle Aged; D009068:Movement; D011859:Radiography; D013704:Temporomandibular Joint / Q000000981:diagnostic imaging / Q000503:physiopathology