Surgical treatment of intracapsular condylar head fracture with lag screw technique. A case report

Intracapsular condylar fractures may account for 65% of all condylar fractures. This diversity of classifications makes epidemiological data collection challenging. Historically, intracapsular condylar fractures were treated in a closed or conservative manner, without open surgery and fixation of th...

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Detalles Bibliográficos
Autores: Rafael Zetehaku Araujo, Felipe Eduardo Baires Campos, Luiz Felipe Lehman, Wagner Henriques de Castro
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:Brasil
Institución:Universidade Federal de Minas Gerais (UFMG)
Repositorio:Repositório Institucional da UFMG
Idioma:inglés
OAI Identifier:oai:repositorio.ufmg.br:1843/82596
Acceso en línea:https://doi.org/10.1055/s-0039-1693132
http://hdl.handle.net/1843/82596
https://orcid.org/0000-0001-7781-3737
https://orcid.org/0000-0003-2745-2878
Access Level:acceso abierto
Palabra clave:Condylar fracture
Lag screw
Intracapsular fracture
Fracture healing
Therapeutics
Guidelines as topic
Descripción
Sumario:Intracapsular condylar fractures may account for 65% of all condylar fractures. This diversity of classifications makes epidemiological data collection challenging. Historically, intracapsular condylar fractures were treated in a closed or conservative manner, without open surgery and fixation of the bone fragments. Closed treatment has been described with acceptable outcomes without the risk of complications associated with the surgical treatment, that is, infection, damage to the facial nerve, and unaesthetic extra-oral scar. Recently, studies reporting the surgical treatment of condylar head fractures have reported better results regarding mandibular functional aspects, dental, and aesthetic results. It is also suggested that the repositioning of the articular disc during the surgical procedure, could prevent the consequences of its displacement in possible temporomandibular joint dysfunctions. The objective of this study is to report a clinical case of intracapsular condylar head fracture with open treatment, using lag screw fixation according to AO/ASSIF (Arbeitsgemeinschaft für Osteosynthesefragen/Association for the Study of Internal Fixation) protocols and recommendations.