Surgical Treatment of Sagittal Fracture of Mandibular Condyle Using Long-Screw Osteosynthesis

Biomechanical comparison of osteosynthesis with poly-L-lactic acid and titanium screw in intracapsular condylar fracture fixation: An experimental study

“…Based on the biomechanical simulations they performed Neff et al [19] reported that osteosynthesis with one lag screw is insufficient in providing the rotational stability. Nevertheless, the satisfactory results of Yang et al [1] and Luo et al [3] have been achieved by the use of a single bicortical screw.…”

“…[1] Intracapsular condylar fractures account for 22-36% of all adult mandibular condylar fractures and frequently occur as a result of facial trauma. [2,3] A sagittal mandibular condylar fracture presents as a fracture line that begins from the lateral pole of the condylar surface to the medial side of the condylar neck. This type of fracture is also called a type B intracapsular condylar fracture.…”

“…[4,5] Intracapsular condylar fractures are the most controversial fractures regarding management. [3,6] Due to the complex anatomical and biomechanical relations of the intracapsular condylar fractures, they are technically challenging to reduce and fix without causing injury to the facial nerve, bleeding, and scarring. [7] Thus, most surgeons choose conservative treatment.…”

“…[4] To overcome the shortcomings of conservative treatment, various surgical techniques using metallic or bioresorbable materials have been developed to treat intracapsular fractures of the mandibular condyle. [7][8][9][10] In the literature bicortical screws, [3] microplates, [11] a single titanium screw or pins, [12] two resorbable screws [7] and resorbable pins [10] have been used for the surgical reduction of the intracapsular condylar fractures. Despite the fact that both of the metallic and resorbable fixation devices have advantages and are frequently used in the surgical reduction of the intracapsular fractures, to our knowledge there have been no published study that compare the biomechanical efficacy of these two techniques in the literature.…”

Finite element analysis of newly introduced plates for mandibular condyle neck fracture treatment by open reduction and rigid fixation

“…Application of positioning lag screws, 25 which is the predicted method of treatment in high condylar fractures, can have a better prognosis than using a titanium plate and obviously much better than the removal of the condylar fragment. 26 The technique of the application of 2 strait plates is debatab le. 27 Microplates limit dissection, providing excellent fixation for intracapsular condylar head fractures, provide adequate rigidity for the fixation of condylar neck fractures, yielding excellent functional and radiographic results.…”