Document Detail


Plate osteosynthesis of condylar fractures: a retrospective study of 45 patients.
MedLine Citation:
PMID:  12674358     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: This retrospective study presents the type of osteosynthesis used for the fixation of condylar fractures and the postoperative results and complications observed. METHOD AND MATERIALS: Forty-five patients with fractures of the mandibular condyle underwent open reduction and osteosynthesis with plates and screws. The surgical approach was, in most cases, via a submandibular incision. Stabilization was achieved in the majority of the cases with a 2.0-mm single or double miniplate, but 2.0-mm mini dynamic compression plates were also used. RESULTS: The complications were mainly inadequate reduction, screw loosening, and limitation of mouth opening. No plate fractures or infections were observed. CONCLUSION: The use of a single plate (miniplate or dynamic compression plate) often produces inadequate stability and reduction postoperatively. The placement of two 2.0-mm zygomatic dynamic compression plates demands great tissue dissection and detachment and can lead to limitation of mouth opening. The use of two 2.0-mm miniplates seems to produce better stability and fewer complications.
Authors:
George Rallis; Costas Mourouzis; Michael Ainatzoglou; Michael Mezitis; Nicholas Zachariades
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Quintessence international (Berlin, Germany : 1985)     Volume:  34     ISSN:  0033-6572     ISO Abbreviation:  Quintessence Int     Publication Date:  2003 Jan 
Date Detail:
Created Date:  2003-04-03     Completed Date:  2003-06-10     Revised Date:  2006-07-11    
Medline Journal Info:
Nlm Unique ID:  0342677     Medline TA:  Quintessence Int     Country:  England    
Other Details:
Languages:  eng     Pagination:  45-9     Citation Subset:  D    
Affiliation:
Department of Oral and Maxillofacial Surgery, General District Hospital of Athens "KAT", Athens, Greece. rallis@hol.gr
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Bone Plates*
Bone Screws
Chi-Square Distribution
Dislocations / surgery
Equipment Design
Equipment Failure
Female
Follow-Up Studies
Fracture Fixation, Internal / adverse effects,  instrumentation*
Humans
Male
Mandible / physiopathology
Mandibular Condyle / injuries*,  surgery
Mandibular Fractures / surgery*
Middle Aged
Movement
Postoperative Complications
Retrospective Studies
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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