Extramedullary fixation combined with intramedullary fixation in the surgical reduction of sagittal mandibular condylar fractures / 华西口腔医学杂志
West China Journal of Stomatology
;
(6): 474-477, 2016.
Article
in Chinese
| WPRIM
| ID: wpr-317782
ABSTRACT
<p><b>OBJECTIVE</b>This study aimed to evaluate the clinical effect of extramedullary fixation combined with intramedullary fixation during the surgical reduction of sagittal mandibular condylar fractures.</p><p><b>METHODS</b>Twenty-four sagittal fractures of the mandibular condyle in18 patients were fixed by two appliances intramedullary with one long-screw osteosynthesis or Kirschner wire and extramedullary with one micro-plate. The radiologically-recorded post-operative stability-associated com-plications included the screw/micro-plate loosening, micro-plate twisting, micro-plate fractures, and fragment rotation. The occluding relations, the maximalinter-incisal distances upon mouth opening, and the mandibular deflection upon mouth opening were evaluated based on follow-up clinical examination.</p><p><b>RESULTS</b>Postoperative panoramic X-ray and CT scans showed good repositioning of the fragment, with no redislocation or rotation, no screw/plate loosening, and no plate-twisting or fracture. Clinical examination showed that all patients regained normal mandibular movements, ideal occlusion, and normal maximal inter-incisal distances upon mouth opening.</p><p><b>CONCLUSIONS</b>Extramedullary fixation combined with intramedullary fixation is highly recommended for sagittal condylar fractures because of the anti-rotation effect of the fragment and the reasonable place-ment of the fixation appliances.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Rotation
/
Bone Plates
/
Bone Screws
/
Radiography, Panoramic
/
Fracture Fixation
/
Mandible
/
Mandibular Condyle
/
Mandibular Fractures
Limits:
Humans
Language:
Chinese
Journal:
West China Journal of Stomatology
Year:
2016
Type:
Article
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