Rigid versus semirigid fixation for condylar fracture: experience with the external fixation system

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Piero CasconeGiorgio Iannetti

Abstract

Although mandibular condylar fractures are very common, the treatment remains controversial. Many techniques of reduction and many devices have been suggested. The purpose of this study was to evaluate the advantages and drawbacks of semirigid fixation compared with rigid fixation using an external fixation system. Between 1990 and 2005, 137 patients (83 males, 54 females; median age, 24.2 years; 116 with monocondylar fracture and 21 with bicondylar fracture) were treated with an external fixation system (Mand-X-Fix, Leibinger, Germany). In these cases, the distal fragment was dislocated medially and out of the glenoid cavity (stadium IV of MacLennan). At the 12-month follow-up, 91% of treated patients regained their pretrauma occlusion with good functional results (maximum mouth opening: 100% >30 mm, 81% >35 mm, 59% >40 mm; articular pain: <2%; clicking: <7%) and morphostructural results (fragment overlap significant in 2% of cases, light in 53% of cases, and absent in 45% of cases) and a very low rate of complications in the immediate postsurgical period (temporary paresis of the facial nerve: <7%; infection of the surgical wound: <2%). No long-term facial palsy was noted. Our findings indicate that a semirigid fixation techn...Continue Reading

References

Dec 1, 1992·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·J HiddingD Pingel
Dec 1, 1992·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·C Krenkel
Sep 1, 1990·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·R H HaugA T Indresano
Feb 1, 1989·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·J RavehK Lädrach
Feb 1, 1983·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·M F Zide, J N Kent
Dec 1, 1984·Journal of Maxillofacial Surgery·C M HillD A Mason
Nov 1, 1994·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·R V Walker
Apr 1, 1996·International Journal of Oral and Maxillofacial Surgery·G WidmarkL Lindahl
Mar 15, 2000·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·E EllisG S Throckmorton
Sep 30, 2000·The British Journal of Oral & Maxillofacial Surgery·P MarkerH L Bastian
Apr 5, 2001·The British Journal of Oral & Maxillofacial Surgery·R SchönB Carter
Apr 6, 2001·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·R H Haug, L A Assael
Jan 23, 2002·Facial Plastic Surgery : FPS·E Ellis
Jun 24, 2003·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Luc M H SmetsPaul J W Stoelinga
Feb 6, 2004·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Gaylord S ThrockmortonHaruaki Hayasaki
Feb 6, 2004·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Pedro M VillarrealCristina González
Jan 7, 2005·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Edward Ellis, Gaylord S Throckmorton
Aug 2, 2005·International Journal of Oral and Maxillofacial Surgery·M HlawitschkaU Eckelt
Jun 17, 2006·The British Journal of Oral & Maxillofacial Surgery·Alper AlkanNükhet Celebi

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Citations

Feb 25, 2009·Atlas of the Oral and Maxillofacial Surgery Clinics of North America·Hani F Braidy, Vincent B Ziccardi
Dec 1, 2009·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Salvatore ParascandoloLuigi Califano
Jun 2, 2017·The Journal of Craniofacial Surgery·Piero CasconeMatteo Gualtieri
Jan 30, 2013·Journal of Dental Research·P OwtadM A Darendeliler
Sep 6, 2017·The Journal of Craniofacial Surgery·Piero CasconeFabrizio Spallaccia
Oct 26, 2020·Annals of Anatomy = Anatomischer Anzeiger : Official Organ of the Anatomische Gesellschaft·Bartosz Bielecki-Kowalski, Marcin Kozakiewicz

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