Surgical Management of a Mandible Subcondylar Fracture
Open reduction and anatomic reduction can create better function for the temporomandibular joint, compared with closed treatment in mandible fracture surgery. Therefore, the double miniplate fixation technique via mini-retromandibular incision was used in order to make the most stable fixation when...
| Main Author: | |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2012-07-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.e-aps.org/upload/pdf/aps-39-284.pdf |
| _version_ | 1828150485215870976 |
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| author | Dong Hee Kang |
| author_facet | Dong Hee Kang |
| author_sort | Dong Hee Kang |
| collection | DOAJ |
| description | Open reduction and anatomic reduction can create better function for the temporomandibular joint, compared with closed treatment in mandible fracture surgery. Therefore, the double miniplate fixation technique via mini-retromandibular incision was used in order to make the most stable fixation when performing subcondylar fracture surgery. Those approaches provide good visualization of the subcondyle from the posterior edge of the ramus, allow the surgeon to work perpendicularly to the fracture, and enable direct fracture management. Understanding the biomechanical load in the fixation of subcondylar fractures is also necessary in order to optimize fixation methods. Therefore, we measured the biomechanical loads of four different plate fixation techniques in the experimental model regarding mandibular subcondylar fractures. It was found that the loads measured in the two-plate fixation group with one dynamic compression plate (DCP) and one adaption plate showed the highest deformation and failure loads among the four fixation groups. The loads measured in the one DCP plate fixation group showed higher deformation and failure loads than the loads measured in the two adaption plate fixation group. Therefore, we conclude that the selection of the high profile plate (DCP) is also important in order to create a stable load in the subcondylar fracture. |
| first_indexed | 2024-04-11T21:45:12Z |
| format | Article |
| id | doaj.art-c22f2981e1bb46e29db3a916543020cc |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-11T21:45:12Z |
| publishDate | 2012-07-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-c22f2981e1bb46e29db3a916543020cc2022-12-22T04:01:27ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712012-07-0139428429044Surgical Management of a Mandible Subcondylar FractureDong Hee Kang0Department of Plastic Surgery , Dankook University Hospital, Dankook University College of Medicine, Cheonan, Korea.Open reduction and anatomic reduction can create better function for the temporomandibular joint, compared with closed treatment in mandible fracture surgery. Therefore, the double miniplate fixation technique via mini-retromandibular incision was used in order to make the most stable fixation when performing subcondylar fracture surgery. Those approaches provide good visualization of the subcondyle from the posterior edge of the ramus, allow the surgeon to work perpendicularly to the fracture, and enable direct fracture management. Understanding the biomechanical load in the fixation of subcondylar fractures is also necessary in order to optimize fixation methods. Therefore, we measured the biomechanical loads of four different plate fixation techniques in the experimental model regarding mandibular subcondylar fractures. It was found that the loads measured in the two-plate fixation group with one dynamic compression plate (DCP) and one adaption plate showed the highest deformation and failure loads among the four fixation groups. The loads measured in the one DCP plate fixation group showed higher deformation and failure loads than the loads measured in the two adaption plate fixation group. Therefore, we conclude that the selection of the high profile plate (DCP) is also important in order to create a stable load in the subcondylar fracture.http://www.e-aps.org/upload/pdf/aps-39-284.pdfFracture fixationMandibular condyleMandibular fractures |
| spellingShingle | Dong Hee Kang Surgical Management of a Mandible Subcondylar Fracture Archives of Plastic Surgery Fracture fixation Mandibular condyle Mandibular fractures |
| title | Surgical Management of a Mandible Subcondylar Fracture |
| title_full | Surgical Management of a Mandible Subcondylar Fracture |
| title_fullStr | Surgical Management of a Mandible Subcondylar Fracture |
| title_full_unstemmed | Surgical Management of a Mandible Subcondylar Fracture |
| title_short | Surgical Management of a Mandible Subcondylar Fracture |
| title_sort | surgical management of a mandible subcondylar fracture |
| topic | Fracture fixation Mandibular condyle Mandibular fractures |
| url | http://www.e-aps.org/upload/pdf/aps-39-284.pdf |
| work_keys_str_mv | AT dongheekang surgicalmanagementofamandiblesubcondylarfracture |