顎関節突起骨折の遠隔成績について-X線写真での治癒状態と臨床予後-

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Surgical and non-surgical, these two treatments of condylar neck fracture have long been a matter of controversy.The purpose of this paper is to evaluate the prognosis of the condylar neck fractures which were treated by each way.We recalled the patients of the condylar neck fracture to our clinics from a starting period of 6 months after initial treat-ment.Out of 187 cases we recalled, 142 cases were unilateral and 45 cases were bilateral. We evaluated unilateral cases.Out of 142, 89 were treated non-surgically and 53 surgically. We classified the fracture levels and conditions by the radiograms and compared those with the clinical prognosis and morphological results. The results were as follows. 1. Regarding morphological results on the condition of dislocated or disarticulated fracture of TMJ, the surgical group was better than the non-surgical group. 2. The case with better morphological results showed less deviation and pain on TMJ. 3. In the surgical group, Kirschner-wire pinning showed the best morphological result.
社団法人日本口腔外科学会の論文