INCIDENCE OF OPEN REDUCTION AND INTERNAL FIXATION IN CONDYLAR FRACTURE

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Vignesh, Dr. Soya Alfred Xavier

Abstract

The treatment of condylar process fractures has generated a great deal of discussion and controversy in oral and maxillofacial trauma and there are many different methods to treat this injury. Although condylar fractures of the mandible may be treated by closed reduction and appropriate physiotherapy, open reduction and internal fixation are indicated in specific circumstances. Condylar fractures of the mandible present a significant challenge in maxillofacial trauma management, given their impact on mandibular function and aesthetics. While conservative management has traditionally been favored for certain cases, open reduction and internal fixation (ORIF) have gained prominence as a surgical approach, offering advantages in fracture reduction and stability. However, the utilization of ORIF varies among clinicians and institutions, influenced by several factors including fracture severity, patient characteristics, and surgeon experience. Understanding the current incidence and trends of ORIF in condylar fracture management is essential for optimizing treatment strategies and improving outcomes. This study aims to investigate the incidence of ORIF in condylar fracture management, explore factors influencing its utilization, and evaluate associated outcomes. By shedding light on contemporary practice patterns, this research seeks to enhance our understanding of optimal treatment approaches and contribute to the advancement of maxillofacial trauma care.


Materials and method: The study population was 45 Outpatients visiting the University hospital. patients who were admitted to a hospital for treatment of unilateral mandibular condylar fracture and treated with either open reduction and internal fixation or closed reduction. The data collected were tabulated in excel. Descriptive statistics and the relationship between variables were determined using the chi-square test, where p<0.05 was considered statistically significant.


Result: In our study, we found that the incidence of Open reduction and internal fixation is higher compared to Closed reduction Out of 45(82.2%) patients who are admitted for mandibular condylar fracture 32(82.2%) patients underwent open reduction and internal fixation and 8(17.8) patients underwent Closed reduction.


Conclusion: Patients with mandibular condylar fractures who receive ORIF have a greater risk of having an extended hospital stay, higher total medical costs, and hematoma development but a lower risk of experiencing wound complications compared to those who receive CR.

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How to Cite
Dr. Soya Alfred Xavier, V. (2024). INCIDENCE OF OPEN REDUCTION AND INTERNAL FIXATION IN CONDYLAR FRACTURE. Obstetrics and Gynaecology Forum, 34(3s), 769–774. Retrieved from http://obstetricsandgynaecologyforum.com/index.php/ogf/article/view/349
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