title: Study on treatment of condylar process fractures of the mandible.
abstract: 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'.
authors: Klinik und Poliklinik for Mund-, Kiefer- und Gesichtschirurgie der Julius Maximilians Universitat Würzburg, Pleicherwall 20, D-97070 Würzburg, Germany.
authors: Stephan
authors: S
authors: Eulert
authors: Peter
authors: P
authors: Proff
authors: Ivan
authors: I
authors: Bokan
authors: Torsten
authors: T
authors: Blens
authors: Tomas
authors: T
authors: Gedrange
authors: Jürgen
authors: J
authors: Reuther
authors: Josip
authors: J
authors: Bill
mesh_terms: 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