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Application of extended H plate to open reduction internal fixation of the mandibular condyle
Author(s) -
Aaronson N.L.,
Sasaki C.T.,
Lowlicht R.A.
Publication year - 2017
Publication title -
oral surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.156
H-Index - 11
eISSN - 1752-248X
pISSN - 1752-2471
DOI - 10.1111/ors.12231
Subject(s) - medicine , condyle , internal fixation , reduction (mathematics) , masticatory force , occlusion , fixation (population genetics) , orthodontics , fracture reduction , dentistry , surgery , population , geometry , mathematics , environmental health
Abstract Fractures of the condyle are among the most common of mandibular fractures. They have traditionally been managed by closed reduction except in cases of severe displacement. Recent data suggest that a broader class of patients with condyle fractures may benefit from open reduction internal fixation (ORIF). We present a case of a condylar neck fracture managed by ORIF via the retromandibular approach using the extended H plate from the Synthes LCP handset. This patient subsequently had restoration of his pre‐operative occlusion with return to normal masticatory function. Use of the extended H plate when performing ORIF provides three‐dimensional stabilisation of the fracture segments avoiding the need for post‐operative fixation and allowing more rapid return to function.