title: Closed reduction of displaced or dislocated mandibular condyle fractures in children using threaded Kirschner wire and external rubber traction.
abstract: Most surgeons agree that closed treatment provides the best results for condylar fractures in children. Nevertheless, treatment of the paediatric mandibular condyle fracture that is severely displaced or dislocated is controversial. The purpose of this study was to investigate the long-term clinical and radiological outcomes following the treatment of displaced or dislocated condylar fractures in children using threaded Kirschner wire and external rubber traction. This procedure can strengthen the advantage of closed reduction and make up for the shortcomings of open reduction. From March 1, 2005 to December 25, 2011, 11 children aged between 4 and 12 years with displaced or dislocated mandibular condyle fractures were treated using threaded Kirschner wire and external rubber traction under portable C-arm fluoroscopy. All patients had unilateral displaced or dislocated condylar fractures. The follow-up period ranged from 24 to 42 months (mean 29.3 months). Normal occlusion and pain-free function of the temporomandibular joint, without deviation or limitation of jaw opening, was achieved in all patients. This closed reduction technique in displaced or dislocated condylar fractures in children offers a reliable solution in preventing the unfavourable sequelae of closed treatment and the open technique, such as altered morphology, functional disturbances, and facial nerve damage.
authors.affiliation: Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University Hospital, Cheonan, Chungcheongnam-do, Republic of Korea. Electronic address: beautymicro@gmail.com.
authors.forename: J H
authors.initials: JH
authors.lastname: Kim
authors.affiliation: Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University Hospital, Cheonan, Chungcheongnam-do, Republic of Korea.
authors.forename: D H
authors.initials: DH
authors.lastname: Nam
mesh_terms: D001864:Bone Wires; D002648:Child; D002675:Child, Preschool; D004867:Equipment Design; D016267:External Fixators; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D019248:Jaw Fixation Techniques / Q000295:instrumentation*; D008297:Male; D008335:Mandibular Condyle / Q000000981:diagnostic imaging / Q000293:injuries*; D008337:Mandibular Fractures / Q000000981:diagnostic imaging / Q000628:therapy*; D012408:Rubber; D014057:Tomography, X-Ray Computed; D014143:Traction / Q000295:instrumentation*; D016896:Treatment Outcome
chemical_list: D012408:Rubber
keywords: children; closed reduction; mandibular condyle fracture; threaded Kirschner wire