Rigid Versus Semirigid Fixation for Condylar Fracture: Experience With the External Fixation System

Two load sharing plates fixation in mandibular condylar fractures: Biomechanical basis

“…Although they are very common, their treatment in adults remains controversial (Cascone et al, 2008).…”

“…The boundary conditions (the conditions tied) used to simulate the temporo mandibular joint were carried out through some springs in direction normal to condylar surfaces, distributed on the anterior-superior side of the condyles, in order to make them work only in compression. The model proposed, and already quoted in literature (Gysi, 1921;Barbenel, 1972;Champy and Lodde, 1976;Lindahl, 1977;Kubein and Jähnig, 1983;Faulkner et al, 1987;Hart et al, 1988;Iizuka et al, 1991;Ellis and Dean, 1993;Meijer et al, 1993;Krenkel, 1994;Hammer et al, 1997;Choi et al, 1999Choi et al, , 2001Meyer et al, 2002Meyer et al, , 2006Tominaga et al, 2006;Cascone et al, 2008), was created with boundary conditions in order to analyse the mechanicalestructural behaviour of the mandible during the function of the masticatory muscular forces. In our mandibular model, a right subcondylar fracture was caused and repaired through the use of union elements, having two different methods of fixation.…”

“…Even if the are despite being very common, their treatment remains controversial (Cascone et al, 2008). In contrast to the non-surgical approach to condylar fractures in children, for which there is a good consensus of opinion, the treatment of condylar fractures in adults is still a much debated topic (Ellis and Dean, 1993).…”

The Role of External Fixation in Trauma and Reconstruction of the Mandible in the Age of Rigid Fixation

“…Usually this can be done as early as 2 weeks after placement for a condylar fracture. 5,7,8 However, the duration of ex-fix can be significantly longer if it is being used for other indications, such as chronic infections requiring prolonged antibiotic treatment, or if it is used to achieve bony union without internal rigid fixation. 9…”

Tratamiento de las fracturas subcondíleas y de cuello de cóndilo mandibular mediante abordaje intraoral endoscópicamente asistido

“…En la mayoría de los casos se opta por la reducción cerrada con bloqueo intermaxilar (BIM) alámbrico o elástico, porque la reducción de las fracturas de cóndilo abiertas es una intervención compleja y delicada, y puede ser técnicamente muy difícil reducir y fijar los segmentos. Además, el abordaje abierto tiene riesgos anatómicos y entre sus posibles complicaciones se incluye lesión del nervio facial, cicatrices, hemorragia y compromiso vascular del segmento proximal, mientras que los pacientes a los que se les realiza BIM suelen tener resultados aceptables 3 .…”