Management of diacapitular mandibular condyle fracture using a single lag screw fixation: Case Report.

K P Karthik; V Ashwin; R Balamurugan

doi:10.17126/joralres.2022.062

K P Karthik Consultant Oral and Maxillofacial Surgeon, India. http://orcid.org/0000-0002-5575-5684
V Ashwin Consultant Oral and Maxillofacial Surgeon, India. http://orcid.org/0000-0002-8683-8845
R Balamurugan Oral and Maxillofacial Surgeon, RYA COSMO Foundation, India. http://orcid.org/0000-0002-9288-6448

DOI: https://doi.org/10.17126/joralres.2022.062

Abstract

Introduction: Mandibular fractures are the most common facial fractures affecting various anatomical sites of the mandible. Among the various mandibular fractures, management of condylar fractures remains a challenging task for surgeons.
Case Report: We report the case of a 28 year old male patient who presented with pain in the chin and restricted mouth opening. Computed tomography revealed a sagittal fracture of the right condylar head with medial displacement of the fractured fragments. Management of diacapitular fractures includes open reduction and internal fixation of the right condyle using a single lag-screw.
Results: The postoperative outcomes were favorable, where normal mandibular movements, desired dental occlusion and exact positioning of the condyle with rigid fixation were established thereby maintaining the shape of the condyle.
Conclusion: Use of single lag screw fixation is highly recommended as it greatly supports the stabilized fracture fragments and also aid in prevention of fracture fragment rotation medially.

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