Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8462917 | Annals of Anatomy - Anatomischer Anzeiger | 2007 | 7 Pages |
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'.
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Authors
Stephan Eulert, Peter Proff, Ivan Bokan, Torsten Blens, Tomas Gedrange, Jürgen Reuther, Josip Bill,