The clinical analysis of surgical treatment of condylar process fractures / 实用口腔医学杂志

ABSTRACT

Objective:To explore the indication and operative procedures with different operation styles of the surgical treatment of condylar fractures. Methods:The results of the surgery styles to condylar fractures were reviewed with the clinical data of 112 condylar fracture cases,by clinical condition,radiodiagnosis,fracture region,degree of displacement and time of trauma,that included 53 cases of anatomical reduction in subcondylar oblique ramus osteotomy without detaching condyle,38 cases of traditional open reduction,18 cases of arthroplasty in oblique ramus osteotomy with detaching condyle upside-down,3 cases of arthroplasty in oblique ramus osteotomy with detaching condyle. Results:The anatomical reduction in subcondylar oblique ramus osteotomy without detaching condyle was an effective treatment of condylar fractures on long term results. Conclusion:Majority condylar fractures may apply the anatomical reduction in subcondylar oblique ramus osteotomy without detaching condyle. Smashed fractures and old fractures of condyle may apply the arthroplasty in oblique ramus osteotomy with detaching condyle upside-down. The high condylar fractures may use the arthroplasty in oblique ramus osteotomy with detaching condyle.