Intra-Articular Condylar Fractures: Is Necessary Surgical Treament? - (Pages 10-15)

1Giuseppe Consorti, 1Lisa Catarzi, 2Davide Valassina, 3Alessandro Bardazzi, 1Enrico Betti and 1Paolo Balercia

1Azienda Ospedaliero Universitaria Ospedali Riuniti Ancona – Umberto I. Unit of Cranio Maxillo Facial Surgery, Ancona, Italy,
2Maxillo-Facial Surgery Unit, Azienda Ospedaliera S. Anna, Como, Italy and 3Maxillo-Facial Surgery Unit, ASST Papa Giovanni
XXIII Piazza OMS, 1 Bergamo, Italy



The surgical treatment of mandibular condylar fractures represents one of the most discussed topics in maxillofacial trauma surgery. Over the years the literature has documented an increasing attitude towards open reduction and internal fixation (ORIF) of these fractures. Some authors have recently increased the indications for ORIF to include intra-articular fractures, which have historically been managed conservatively1,2,3. The authors present their experience in the surgical treatment of intra-articular condylar fractures over a period of five years, from 2009 to 2014. Surgical techniques, early and delayed complica-tions, clinical and radiological outcomes and comparison with conservative treatment are discussed.

Keywords: Mandibular Fracture, Condylar Fracture, Trauma.