Treatment for Adult Mandibular Condylar Process Fractures: A Network Meta-Analysis of Randomized Clinical Trials

Al‐Moraissi, Essam Ahmed; Neff, Andreas; Kaur, Amanjot; Falci, Saulo; Souza, Glaciele Maria de; Ellis, Edward

doi:10.1016/j.joms.2023.06.006

Cited by 4 publications

(1 citation statement)

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“…There are two methods of treating mandibular fractures: conservative treatment and surgical treatment. Upon reviewing the literature, there is no clear consensus on the optimal treatment method [4][5][6][7][8]. Each method has its own advantages and disadvantages, with indications for treatment depending on factors such as age, comorbidities, and the patient's general condition.…”

Section: Introductionmentioning

confidence: 99%

Optimal Plate Choice for High-Neck Mandibular Condyle Fracture: A Mechanistic Analysis of 16 Options

Okulski,

Kozakiewicz,

Krasowski

et al. 2024

JCM

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(1) Background: Mandibular fractures are common, with the condylar process being a frequent site of injury, accounting for 25–45% of cases. This research aims to assess the mechanical suitability of various plates for high-neck condyle fractures. (2) Methods: Polyurethane models mimicking high-neck condyle fractures were utilized in this study. Sixteen distinct plate designs, constructed from titanium sheets, were tested. The figures underwent force assessments on a durability testing apparatus, and the relationship between used force and fracture movement was documented. (3) Results: For high-neck breaking, the two straight plates emerged as the most effective, aligning with established osteosynthesis standards. The second-best plate exhibited nearly half the strength of the gold standard. (4) Conclusions: In response to the aim of this study, considering the mechanical aspects, the double plain plate stands out as the optimal choice for osteosynthesis in cases of high-neck fractures of the mandibular condylar process. In addition, the authors propose the Mechanical Excellence Factor (MEF) as a superior metric for appraising a plate’s mechanical force, surpassing the conventional Plate Design Factor (PDF).

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