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Related Concept Videos

Fractures: Bone Repair01:27

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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...
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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
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Less-Invasive Technique for Non-stabilized Mandibular Fracture in Mouse Models
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Most Facial Fractures Do Not Require Surgical Intervention.

Mary Katherine Spinella1, Jason P Jones1, Megan A Sullivan1

  • 1Resident, Department of Oral and Maxillofacial Surgery, The University of Texas Health Science Center at San Antonio, San Antonio, Texas.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|July 16, 2022
PubMed
Summary

Most facial fractures treated at trauma centers do not need surgery. Mandible fractures and younger age (≤50 years) increase the likelihood of surgical intervention for facial fractures.

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Area of Science:

  • Trauma Surgery
  • Orthopedic Surgery
  • Emergency Medicine

Background:

  • Facial fractures are common injuries presenting to trauma centers.
  • Data on the surgical intervention rates for facial fractures in the United States is limited.

Purpose of the Study:

  • To determine the percentage of patients with facial fractures requiring surgical intervention at a Level 1 Trauma Center.

Main Methods:

  • Retrospective cross-sectional study of facial fracture patients (July 2015-July 2020).
  • Fracture locations (mandible, midface, upper face) and surgical intervention were analyzed.
  • Descriptive and inferential statistics were used.

Main Results:

  • Out of 3,126 patients, 80.9% did not require surgery for facial fractures.
  • Mandible fractures were significantly more likely to require surgery (RR 8.01).
  • Patients aged 50 or younger were more likely to receive surgical intervention (RR 1.98).

Conclusions:

  • The majority of facial fractures at Level 1 Trauma Centers do not necessitate surgical intervention.
  • Mandible fractures and younger patient age are associated with increased need for surgical repair.