Study on treatment of condylar process fractures of the mandible.
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'.
Eulert
Stephan
S
Klinik und Poliklinik for Mund-, Kiefer- und Gesichtschirurgie der Julius Maximilians Universitat Würzburg, Pleicherwall 20, D-97070 Würzburg, Germany.
Proff
Peter
P
Bokan
Ivan
I
Blens
Torsten
T
Gedrange
Tomas
T
Reuther
Jürgen
J
Bill
Josip
J
D001860:Bone Plates; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D007839:Functional Laterality; D006801:Humans; D007572:Jaw Fractures / Q000601:surgery; D008297:Male; D008335:Mandibular Condyle; D008337:Mandibular Fractures / Q000601:surgery / Q000628:therapy*; D012189:Retrospective Studies; D012887:Skull Fractures / Q000601:surgery; D016896:Treatment Outcome