Prospective closed treatment of nondisplaced and nondislocated condylar neck and head fractures versus open reposition internal fixation of displaced and dislocated fractures

Abstract

Classes V and VI remain challenging to treat, while the other classes can be treated reliably with this study's rationale. Condyle remodeling in classes V and VI, translation in class VI may benefit prospectively from even more careful mobilization, improved osteofixation as minimalized operation trauma.

Surgical versus non-surgical treatment of mandibular condylar fractures: a meta-analysis

“…31,36,39,46,49,53 Twelve studies also performed MMF in some 24,33 or all patients 16,20,21,23,27,30,34,43,49,50 in the surgical treatment group. Concerning the non-surgical treatment group, 14 studies performed the MMF for up to 2 weeks, 12,21,22,25,27,30,32,34,35,37,[40][41][42]52 whereas in 16 studies the MMF was performed for more than 2 weeks. 16,20,23,24,26,31,33,38,[43][44][45][47][48][49][50][51] One study did not perform MMF in any group, 29 three studies did not report the MMF period, …”

“…20,22,27,28,30,33,36,47,48,53 The classification of Spiessl and Schroll 54 for MCFs was used in 11 articles. 12,25,[33][34][35][36][37]40,41,46,48 In total 1982 patients were enrolled in the 36 studies, with 1094 MCFs in the surgical treatment group and 1307 MCFs in the non-surgical treatment group. The presence of associated MFs was reported in 19 studies, but only seven studies reported the precise location of the (11) Pre-auricular (11) (2), others (7) Intraoral (14), preauricular (3) (25), body (10) angle (9) 2.0-mm titanium miniplate (48) Retro-mandibular fractures.…”

“…51 The absence of any history of TMJ disorder/dysfunction was cited as an inclusion criterion in nine studies, 12,29,35,37,[40][41][42][43]45 sufficient dentition to allow MMF and reproduce occlusal relationships was cited in 10 studies, 12,29,35,37,40,41,[43][44][45]50 and the absence of severe pre-traumatic dysgnathia was mentioned as an inclusion criterion in eight studies. 12,29,35,37,[40][41][42][43] Ten studies did not report the inclusion criteria. 20,22,27,28,30,33,36,47,48,53 The classification of Spiessl and Schroll 54 for MCFs was used in 11 articles.…”

“…12,16, All e-mails were sent within a period of 24 h. The authors of six (18%) studies replied. [29][30][31]33,38,52 Five RCTs, [42][43][44][45]51 13 CCTs, 12,25,28,29,32,[35][36][37]40,41,46,47,49 and 18 retrospective studies 16,[20][21][22][23][24]26,27,30,31,33,34,38,39,48,50,52,53 were included in the meta-analysis.…”

“…42,45,50,51 Four studies did not report the follow-up period. 22,36,39,53 Concerning the surgical treatment group, 22 studies performed the fixation using one 2.0-mm miniplate in one or more patients, 12,16,20,[24][25][26]28,30,32,33,35,38,40,[42][43][44][45]47,48,[50][51][52] and five studies used two 2.0-mm miniplates, 12,35,43,48,52 whereas one study used a locking 2.0-mm miniplate, 48 five studies used 1.2-mm microplates, 12,28,37,40,41 six studies used wire osteosynthesis, 20,21,23,28,33,38 two studies used mini-dynamic compression Plates, 22,…”