A single-centre retrospective 10-year experience of the rhombic 3D condylar fracture plate for open reduction and internal fixation of condylar neck and base fractures
Research output: Contribution to journal › Research article › Contributed › peer-review
Contributors
Abstract
Fractures of the mandibular condyle account for a significant proportion of mandibular fractures. The specific functional loads require particular specifications for the implant design used for open reduction and internal fixation of such fractures. The clinical and radiographic outcomes in patients treated using a single rhombic 3D condylar fracture plate for open reduction and internal fixation at a single institution, and who fulfilled the inclusion and exclusion criteria, are presented. The primary outcome variables were: occlusion, maximum interincisal distance and mandibular excursion at 1, 3, and 6 months postoperatively, and radiographic measurements for mandibular height and gonion angle. In total, 263 patients were included, of whom 173 (65.8%) were male and 90 (34.2%) female. The mean age was 40.4 ± 18.9 years. There was satisfactory occlusion in 98.9% of patients at the 6-month follow-up, and a significant improvement in all parameters for mandibular excursion (p < 0.001), with a reduced ramus height and an increase in the gonion angle on the fractured side. Excellent clinical and radiographic results were achieved using the rhombic-shaped implant, deeming it appropriate for the osteosynthesis of mandibular condyle fractures.
Details
Original language | English |
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Pages (from-to) | 622-629 |
Number of pages | 8 |
Journal | Journal of Cranio-Maxillofacial Surgery |
Volume | 52 |
Issue number | 5 |
Publication status | Published - May 2024 |
Peer-reviewed | Yes |
External IDs
PubMed | 38582680 |
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Keywords
ASJC Scopus subject areas
Keywords
- Fracture, Gonion angle, Mandibular condyle, Retromandibular, Rhombic-shaped, Transoral, Mandibular Condyle/injuries, Humans, Middle Aged, Fracture Fixation, Internal/methods, Male, Treatment Outcome, Bone Plates, Open Fracture Reduction/methods, Young Adult, Adolescent, Mandibular Fractures/surgery, Female, Adult, Retrospective Studies, Aged