PURPOSE: This study compared the clinical and radiologic outcomes of open treatment of mandibular condylar process @entity174 using lag screws, miniplates, or Kirschner wires. @entity1 AND METHODS: Open reduction and internal fixation was performed for severely displaced or dislocated mandibular condylar process @entity174 in 23 @entity1 (26 @entity174 ) using Eckelt lag screws, in 10 @entity1 (10 @entity174 ) using Kirschner wires, and in 21 @entity1 (22 @entity174 ) using miniplates. Clinical and radiologic evaluations were made 6 months postoperatively and at final follow-up (mean, 18.4 months; range, 7 to 106 months). Radiologic evaluation included accuracy of reduction of the fractured condylar processes and changes in ramus height. RESULTS: Most fractured condylar processes (approximately 90%) were repositioned precisely in all groups. A shortening of the ramus of more than 5 mm was observed significantly more frequently (P <.05) in the miniplate group than in the lag screw group at 6 months. The condyles were severely resorbed in 2 or 3 @entity1 in each group. All of these @entity1 were associated with malunion, and partial bone resorption of the condyles was seen during the first 6 months. The relation between reduction or screw position and @entity79 in @entity1 treated with lag screws indicated that correct reduction and screw insertion allowed normal @entity79 . The @entity1 in all groups showed satisfactory clinical results. No significant intergroup differences were noted in maximum mouth opening and laterotrusion. However, deviation during mouth opening was significantly greater (P <.05) in cases treated with miniplates than with lag screws. CONCLUSION: Lag screw osteosynthesis may be more advantageous for restoration of ramus height than miniplates or Kirschner wires.

A comparative evaluation of osteosynthesis with lag screws, miniplates, or Kirschner wires for mandibular condylar process XXXX .

@entity1 :: ('9606', 'Species') :: ['PATIENTS', 'patients'] @entity79 :: ('MESH:D001847', 'Disease') :: ['bone healing'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures']
@entity174 :: (MESH:D050723,Disease) :: ['fractures']
