Open treatment of condylar process fractures: Assessment of adequacy of repositioning and maintenance of stability

Edward Ellis, Gaylord S. Throckmorton, Celso Palmieri

Research output: Contribution to journalArticle

63 Citations (Scopus)

Abstract

Purpose: This study was designed to determine how well fractured condylar processes were reduced and the stability of the internal fixation in a group of patients whose fractures were treated by open reduction. Patients and Methods: Sixty-one patients treated by open reduction and internal fixation for unilateral condylar process fractures were studied prospectively using Towne's and panoramic radiographs. The radiographs were made before surgery, and immediately, 6 weeks, and 6 months postoperatively. The images were traced and digitized, and the position of the fractured condylar process was statistically compared with the position of the nonfractured condylar process in both the coronal and sagittal planes. Additionally, 2 observers examined the images and assessed these same 2 factors. Results: After surgery, the difference in position between the fractured and nonfractured sides averaged less than 2°(not significantly different), indicating good reduction of the fractures. However, subsequently, between 10% and 20% of condylar processes had postsurgical changes in position of more than 10°. Conclusions: This study showed that it is possible to anatomically reduce the fractured condylar process, but changes in position of the condylar fragment may then result from a loss of fixation.

Original languageEnglish (US)
Pages (from-to)27-34
Number of pages8
JournalJournal of Oral and Maxillofacial Surgery
Volume58
Issue number1
StatePublished - 2000
Externally publishedYes

Fingerprint

Process Assessment (Health Care)
Maintenance
Fracture Fixation
Therapeutics

ASJC Scopus subject areas

  • Dentistry(all)
  • Surgery

Cite this

Open treatment of condylar process fractures : Assessment of adequacy of repositioning and maintenance of stability. / Ellis, Edward; Throckmorton, Gaylord S.; Palmieri, Celso.

In: Journal of Oral and Maxillofacial Surgery, Vol. 58, No. 1, 2000, p. 27-34.

Research output: Contribution to journalArticle

@article{e1c0023e6cad4351b51bf540631a9bd1,
title = "Open treatment of condylar process fractures: Assessment of adequacy of repositioning and maintenance of stability",
abstract = "Purpose: This study was designed to determine how well fractured condylar processes were reduced and the stability of the internal fixation in a group of patients whose fractures were treated by open reduction. Patients and Methods: Sixty-one patients treated by open reduction and internal fixation for unilateral condylar process fractures were studied prospectively using Towne's and panoramic radiographs. The radiographs were made before surgery, and immediately, 6 weeks, and 6 months postoperatively. The images were traced and digitized, and the position of the fractured condylar process was statistically compared with the position of the nonfractured condylar process in both the coronal and sagittal planes. Additionally, 2 observers examined the images and assessed these same 2 factors. Results: After surgery, the difference in position between the fractured and nonfractured sides averaged less than 2°(not significantly different), indicating good reduction of the fractures. However, subsequently, between 10{\%} and 20{\%} of condylar processes had postsurgical changes in position of more than 10°. Conclusions: This study showed that it is possible to anatomically reduce the fractured condylar process, but changes in position of the condylar fragment may then result from a loss of fixation.",
author = "Edward Ellis and Throckmorton, {Gaylord S.} and Celso Palmieri",
year = "2000",
language = "English (US)",
volume = "58",
pages = "27--34",
journal = "Journal of Oral and Maxillofacial Surgery",
issn = "0278-2391",
publisher = "W.B. Saunders Ltd",
number = "1",

}

TY - JOUR

T1 - Open treatment of condylar process fractures

T2 - Assessment of adequacy of repositioning and maintenance of stability

AU - Ellis, Edward

AU - Throckmorton, Gaylord S.

AU - Palmieri, Celso

PY - 2000

Y1 - 2000

N2 - Purpose: This study was designed to determine how well fractured condylar processes were reduced and the stability of the internal fixation in a group of patients whose fractures were treated by open reduction. Patients and Methods: Sixty-one patients treated by open reduction and internal fixation for unilateral condylar process fractures were studied prospectively using Towne's and panoramic radiographs. The radiographs were made before surgery, and immediately, 6 weeks, and 6 months postoperatively. The images were traced and digitized, and the position of the fractured condylar process was statistically compared with the position of the nonfractured condylar process in both the coronal and sagittal planes. Additionally, 2 observers examined the images and assessed these same 2 factors. Results: After surgery, the difference in position between the fractured and nonfractured sides averaged less than 2°(not significantly different), indicating good reduction of the fractures. However, subsequently, between 10% and 20% of condylar processes had postsurgical changes in position of more than 10°. Conclusions: This study showed that it is possible to anatomically reduce the fractured condylar process, but changes in position of the condylar fragment may then result from a loss of fixation.

AB - Purpose: This study was designed to determine how well fractured condylar processes were reduced and the stability of the internal fixation in a group of patients whose fractures were treated by open reduction. Patients and Methods: Sixty-one patients treated by open reduction and internal fixation for unilateral condylar process fractures were studied prospectively using Towne's and panoramic radiographs. The radiographs were made before surgery, and immediately, 6 weeks, and 6 months postoperatively. The images were traced and digitized, and the position of the fractured condylar process was statistically compared with the position of the nonfractured condylar process in both the coronal and sagittal planes. Additionally, 2 observers examined the images and assessed these same 2 factors. Results: After surgery, the difference in position between the fractured and nonfractured sides averaged less than 2°(not significantly different), indicating good reduction of the fractures. However, subsequently, between 10% and 20% of condylar processes had postsurgical changes in position of more than 10°. Conclusions: This study showed that it is possible to anatomically reduce the fractured condylar process, but changes in position of the condylar fragment may then result from a loss of fixation.

UR - http://www.scopus.com/inward/record.url?scp=0033988048&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0033988048&partnerID=8YFLogxK

M3 - Article

C2 - 10632162

AN - SCOPUS:0033988048

VL - 58

SP - 27

EP - 34

JO - Journal of Oral and Maxillofacial Surgery

JF - Journal of Oral and Maxillofacial Surgery

SN - 0278-2391

IS - 1

ER -