The Study Comparison the Outcomes of Mandibular Condylar Fracture Treatment between Close Reduction and Open Reduction with Internal Fixation
Abstract
This study aims to compare the outcomes of mandibular condylar fracture treatment between closed reduction and open reduction with internal fixation including function, form and complication at Chonburi hospital. Data of 132 patients with a mandibular condylar fracture treated by closed reduction and open reduction with internal fixation who came to Chonburi hospital between January 2009 and August 2019 was collected. 101 patients were treated by closed reduction (76.5 %). 35 patients were treated by open reduction with internal fixation (23.5 %). No statistically significant differences were noted for maximum mouth opening, ramus height shortening and complications while statistical significant differences for operation time and days of admission were noted. In conclusion, both closed reduction and open reduction with internal fixation provide comparable functional, form and complication outcomes. However, surgical treatment is associated with longer treatment duration and hospital stay. Therefore, treatment selection should be individualized based on appropriate clinical indications.
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