Management of condylar head fractures of the temporomandibular joint (TMJ) remains a source of controversy. Based on established literature, conservative treatment of condylar head fractures increases the risk for TMJ ankylosis. Rigid postoperative intermaxillary fixation (IMF) may have also contributed on pathologic process creating ankylosis. On the basis of perioperative arthroscopic evaluation of the status and position of the disc we determined the ideal surgical repositioning of the fragment and the disc. We believe that re-establishing the pretrauamatic anatomic position of the TMJ components is the best way to avoid a possible post-traumatic TMJ ankylosis. Our study will present acceptable functional and radiological results of surgical treatment of TMJ intracapsular fractures with more than 2-years follow-up.
Surgical treatment of condylar head fractures, prevention of post-traumatic TMJ ankylosis
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