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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

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Open versus closed reduction: comminuted mandibular fractures.

Bruno Ramos Chrcanovic1

  • 1Department of Community and Preventive Dentistry, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil. brunochrcanovic@hotmail.com

Oral and Maxillofacial Surgery
|July 31, 2012
PubMed
Summary
This summary is machine-generated.

This review examines current management strategies for comminuted mandibular fractures (CMFs). Open reduction and internal fixation (ORIF) is recommended for severe cases, while conservative treatment remains viable for less complex fractures.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Trauma Surgery
  • Orthognathic Surgery

Background:

  • Comminuted mandibular fractures (CMFs) present complex challenges in treatment and management.
  • Understanding the evolution of treatment strategies is crucial for optimizing patient outcomes.

Purpose of the Study:

  • To conduct a literature review on the evolving management principles for comminuted mandibular fractures (CMFs).

Main Methods:

  • A comprehensive electronic literature search was performed in PubMed in May 2012.
  • Studies were selected based on eligibility criteria including English or German language and reporting clinical series of CMFs.
  • A total of 21 relevant studies were included after initial screening and hand-searching.

Main Results:

  • Open reduction and internal fixation (ORIF) is indicated for severe, displaced CMFs, edentulous patients lacking stable occlusion, and cases with midface fractures.
  • Closed reduction/conservative treatment (CTR) is suitable for minimally displaced CMFs.
  • Load-bearing osteosynthesis, particularly with 2.7-mm reconstruction plates, is preferred for ORIF of CMFs.

Conclusions:

  • ORIF is indicated for severe CMFs, edentulous patients, and those with associated midface fractures.
  • Conservative treatment (CTR) is appropriate for minimally displaced fractures.
  • Load-bearing osteosynthesis is the preferred method for ORIF in CMFs, with external pin fixation as an option for highly comminuted fractures with significant soft tissue damage.