Open Versus Closed Reduction of Mandibular Sub-Condylar Fractures

Comparison of Open Reduction With Internal Fixation and Closed Reduction With External Fixation of Mandibular Sub-Condylar Fractures

Patients with mandibular sub-condylar fractures underwent either either open reduction with internal fixation (ORIF) or closed reduction with external fixation (CREF) and were followed up for 6 months to assess treatment adequacy with the hypothesis that ORIF is superior to CREF.

Inclusion Criteria:

• Age 16-60 years
• Displaced Mandibular Subcondylar Fractures(MCFs) irrespective of multiple mandibular fractures.

Exclusion Criteria:

• Bilateral MCFs
• MCF with mid-facial fractures
• Insufficient bilateral dentition
• Medically unfit for surgery
• Old healed mandibular fractures
• History of previous mandibular surgery for the same indication