Effect of stainless-steel wire internal fixation on intracapsular condylar fracture




Zhiwei Jiang, Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Baotou Medical College, Inner Mongolia University of Science and Technology, Baotou, China
Yang Li, Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Baotou Medical College, Inner Mongolia University of Science and Technology, Baotou, China
Yong Li, Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Baotou Medical College, Inner Mongolia University of Science and Technology, Baotou, China
Zhonghou Wang, Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Baotou Medical College, Inner Mongolia University of Science and Technology, Baotou, China
Zhanlong Wang, Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Baotou Medical College, Inner Mongolia University of Science and Technology, Baotou, China
Zhiqiang Liu, Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Baotou Medical College, Inner Mongolia University of Science and Technology, Baotou, China


Objectives: The aim of the study was to investigate the clinical effect of stainless-steel wire fixation on the early mouthopening movement of an intracapsular fracture involving the condylar process. Materials and methods: In this study, patients who underwent mandibular condylar intracapsular fracture surgery in our hospital from 2012 to 2020 were selected as research subjects. A total of 44 patients received steel wire internal fixation treatment, 32 patients received titanium plate-and-nail rigid internal fixation, and 28 patients underwent conservative non-surgical treatment. Results: For the patients in the stainless-steel wire group, the degree of mouth opening reached normal levels of 3.7 cm approximately 10 days after surgery. The recovery time for the patients in the titanium plate-and-nail rigid internal-fixation group was 21 days, while the patients in the conservative treatment group needed 60 days to recover. Conclusion: The treatment of fixation with a stainless-steel wire for intracapsular condylar fracture reduced the time taken to perform mouth-opening exercises and improved the recovery rate of patients.



Keywords: Fixation method. Intracapsular condyle fracture. Fixation with stainless-steel wire. Fixation with titanium plate and titanium nail. Conservative treatment.