Study of open versus closed reduction of mandibular condyle fractures


  • Nagaraj Gareikpatii Department of General surgery, Katuri Medical College and Hospital, Andhra Pradesh, India



Mandibular condyle, Mandibular fractures, Condylar fractures


Background: Condylar fractures of the mandible are a commonest occurrence in maxillofacial surgery. Many surgeons prefer closed therapy with maxillomandibular fixation, while open treatment with rigid internal fixation has become more common in recent years. This study provides a comparative evaluation of open and closed reduction of the mandibular condyle.

Methods: The 50 patients with condylar fractures were treated with open and closed reduction as per the requirement.

Results: A higher incidence of unilateral segmented condylar fractures were seen in young adult males. Open reduction and internal fixation (ORIF) with a combined approach was the preferred treatment of choice with fewer post-op complications.

Conclusions: ORIF is a suitable technique in the treatment of condylar fractures as it promises few complications.


Villarreal PM, Monje F, Junquera LM, Mateo J, Morillo AJ, González C. Mandibular condyle fractures: Determinants of treatment and outcome. J Oral Maxillofac Surg. 2004;62:155-63.

Zachariades N, Papavassiliou D. The pattern and aetiology of maxillofacial injuries in Greece. A retrospective study of 25 years and a comparison with other countries. J Craniomaxillofac Surg. 1990;18:251-4.

Fridrich K, Pena-Velasco G, Olson R. Changing trends with mandibular fractures: A review of 1,067 cases. J Oral Maxillofacial Surg. 1992;50(6):586-9.

Choi K, Yang J, Chung H, Cho B. Current Concepts in the Mandibular Condyle Fracture Management Part I: Overview of Condylar Fracture. Arch Plastic Surg. 2012;39(4):291.

Zachariades N, Mezitis M, Mourouzis C, Papadakis D, Spanou A. Fractures of the mandibular condyle: A review of 466 cases. Literature review, reflections on treatment and proposals. J Craniomaxillofac Surg. 2006;34:421-32.

Silverman SL. A new operation for displaced fractures at the neck of the mandibular condyle. Dent Cosm. 1925;67:876-7.

Valiati R, Ibrahim D, Abreu Mer, Heitz C, De Oliveira Rb, Pagnoncelli Rm et al. The treatment of condylar fractures: to open or not to open? A critical review of this controversy. Int J Med Sci. 2008;5(6):313-8.

Eckelt U, Schneider M, Erasmus F, Gerlach KL, Kuhlisch E, Loukota R et al. Open versus closed treatment of fractures of the mandibular condylar process-a prospective randomized multi-centre study. J Cranio-Maxillofacial Surg. 2006;34:306-14.

Terai H, Shimahara M. Closed treatment of condylar fractures by intermaxillary fixation with thermoforming plates. Bri J Oral Maxillofacial Surg. 2004;42:61-3.

Thapa S, Wang J, Hu H, Zhang F, Ji P. Epidemiology of Surgically Managed Mandibular Condylar Fractures at a Tertiary Referral Hospital in Urban Southwest China. Open Dentistry J. 2017;11(1):294-300.

Andersson J, Hallmer F, Eriksson L. Unilateral mandibular condylar fractures: a 31-year follow-up of non-surgical treatment. Int J Oral Maxillofacial Sur. 2007;36(4):310-314.

Hagan EG, Huelke DF. An analysis of 319 case reports of mandibular fractures. J Oral Sci. 1961;6:37-104.

Ellis III E, Throckmorton GS, Palmieri C. Open treatment of condylar process fractures: assessment of adequacy of repositioning and maintenance of stability. J Oral Maxillofac Surg. 2000;58:27-34

Nussbaum ML, Laskin DM, Best AM. Closed Versus Open Reduction of Mandibular Condylar Fractures in Adults: A Meta-Analysis. J Oral Maxillofac Surg. 2008;66:1087-92.

Spinzia A, Patrone R, Belli E. Open reduction and internal fixation of extracapsular mandibular condyle fractures: a long-term clinical and radiological follow-up of 25 patients. BMC Surg. 2014;14:68.

Cortese A, Borri A, Bergaminelli M, Bergaminelli F, Claudio P. Condylar Neck and Sub-Condylar Fractures: Surgical Consideration and Evolution of the Technique with Short Follow-Up on Five Cases. Dentistry J. 2020;8(4):125.






Original Research Articles