PATTERN OF CONDYALR FRACTURES AND ITS TREATMENT IN TERTIARY CARE HOSPITAL-A STUDY
DOI:
https://doi.org/10.33279/jkcd.v9i04.396Keywords:
Condylar fractures, Etiology, Associated fractures, Treatment ModalitiesAbstract
Objective: To evaluate the occurrence of mandibular condylar fractures in our area regarding age, gender, etiological factors, type and level, any associated facial fractures and treatment modality adopted in our centre.
Materials and Methods: Data of 120 patients presented with the features of mandibular condylar fracture at Oral and Maxillofacial Surgery Unit, Bacha Khan Medical College Mardan from September 2016 to October 2019 was recorded. Non probability, convenience sampling technique was used. History, clinical and radiographic examination was performed for diagnosis. Treatment modalities included conservative, closed reduction and open reduction and internal fixation. Data regarding the age, gender, etiology, pattern and level of fracture, associated facial fractures and treatment modalities were evaluated and analyzed.
Results: Mean age was 21 ± 11.97 years, with an age range of 5-75 years. Age group 11-20 years were most commonly affected (38.4%).The ratio of male and female was 3.80:1. Road Traffic Accidents (38.3%) was the common cause of injury. Unilateral fractures (65%) dominated the bilateral pattern (35%).Condylar head was most common fracture (58.60%). Parasymphysis was most common associated fractures (26.3%) followed by body and zygomatic bone (18.4%). Most of the patients were treated by closed reduction (54.2%).
Conclusion: Public awareness is required regarding the significance of the condylar injuries. Randomized Controlled Trials are required to compare the outcome of different treatment modalities.
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Copyright (c) 2019 Ahmad Khan, Sertaj Khan, Saifullah, Mohammad Tariq Khan, Khadija Syed, Muhammad Sohail, Syed Asad Shah, Ruqayyah Younis, Umar Khitab
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