Application of CAD/CAM technology for surgical treatment of condylar head fractures: A preliminary study

Pavlychuk, Tetiana; Chepurnyi, Yurii; Neff, Andreas; Копчак, Андрій

doi:10.1016/j.jobcr.2020.08.018

Cited by 14 publications

(16 citation statements)

References 27 publications

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“…The above results are consistent with the research conclusion by Dr. Pavlychuk et al. 26 They treated 14 patients with 16 condylar head fractures (CHFs) by open reduction and internal fixation with the use of CAD/CAM technology. The results showed that the application of the CAD/CAM technologies for condylar head fractures helps to improve the accuracy and quality of fragments reduction with minimal risks of intraoperative complications.…”

Section: Discussionsupporting

confidence: 91%

Virtual surgical planning is a useful tool in the surgical management of mandibular condylar fractures

Shakya

Huang

et al. 2022

Chinese Journal of Traumatology

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Section: Discussionsupporting

confidence: 91%

Virtual surgical planning is a useful tool in the surgical management of mandibular condylar fractures

Shakya

Huang

et al. 2022

Chinese Journal of Traumatology

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“…However, it is not the only option, especially in multifracture fractures. A new approach from the Kiev team [5,6] with custom-made plates for proximal fragment reduction is a very interesting solution to a serious clinical issue. Consideration could be given to manufacturing these customized plates with magnesium alloy.…”

Section: Discussionmentioning

confidence: 99%

“…Titanium alloys are used in skeletal surgery, in both children [1][2][3] and adults [4][5][6][7]. Long screw fixation through the lateral fragment end of the ascending ramus (i.e., distal fragment) has been a well-known procedure for osteosynthesis of the condylar head for approximately the last 30 years [8].…”

Section: Introductionmentioning

confidence: 99%

Clinical Evaluation of Magnesium Alloy Osteosynthesis in the Mandibular Head

2022

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Titanium alloys are used in skeletal surgery. However, once bone union is complete, such fixation material becomes unnecessary or even harmful. Resorbable magnesium materials have been available for several years (WE43 alloy). The aim of this study was to clinically compare magnesium versus titanium open reduction and rigid fixations in mandible condylar heads. Ten patients were treated for fractures of the mandibular head with magnesium headless compression screws (2.3 mm in diameter), and 11 patients were included as a reference group with titanium screws (1.8 mm in diameter) with similar construction. The fixation characteristics (delay, time, and number of screws), distant anatomical results (mandibular ramus height loss, monthly loss rate, and relative loss of reconstructed ramus height), basic functional data (mandibular movements, facial nerve function, and cutaneous perception) and the influence of the effects of the injury (fracture type, fragmentation, occlusion, additional fractures, and associated diseases) on the outcome were evaluated. The long-term results of treatment were evaluated after 18 months. Treatment results similar to those of traditional titanium fixation were found with magnesium screws. Conclusions: Resorbable metal screws can be a favored option for osteosynthesis because surgical reentry can be avoided. These materials provide proper and stable treatment results.

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“…This results in excellent final results. In the condylar head region, custom repositioning plates/mesh according to the Ukrainian concept is a highly promising prospect [ 76 , 77 ]. Full adaptation to the details of the mandibular head anatomy can be cited as specific applications [ 78 ] to induce faster cell growth, more cell divisions, and eventually better quality bone consolidation.…”

Section: Discussionmentioning

confidence: 99%

Bone Union Quality after Fracture Fixation of Mandibular Head with Compression Magnesium Screws

Kozakiewicz

Gabryelczak

2022

Materials

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For some years now, fixation devices created with resorbable magnesium alloys for the mandibular head have been clinically available and are beginning to be used. It is thus valuable to evaluate the quality of unions in these cases. The aim of this study was radiological comparison of magnesium versus titanium open reduction and rigid fixations in the mandible condylar head. Thirty-one patients were treated for fractures of the mandibular head with magnesium WE43 alloy headless compression screws (diameter 2.3 mm) and, as a reference group, 29 patients were included with similar construction titanium screws (diameter 1.8 mm). The 12-month results of the treatment were evaluated by the texture analysis of CT. Near similar treatment results were found with magnesium screws in traditional titanium fixation. Magnesium screws result in a higher density of the bone structure in the mandibular head. Conclusions: The quantitative evaluation of bone union after surgical treatment of mandibular head fracture with magnesium compression headless screws indicates that stable consolidation was achieved. Undoubtedly, the resorption process of the screws was found to be incomplete after 12 months, evidenced by a marked densification of the bone structure at the fracture site.

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Application of CAD/CAM technology for surgical treatment of condylar head fractures: A preliminary study

Cited by 14 publications

References 27 publications

Virtual surgical planning is a useful tool in the surgical management of mandibular condylar fractures

Virtual surgical planning is a useful tool in the surgical management of mandibular condylar fractures

Clinical Evaluation of Magnesium Alloy Osteosynthesis in the Mandibular Head

Bone Union Quality after Fracture Fixation of Mandibular Head with Compression Magnesium Screws

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