Complications of Condylar Fracture Osteosynthesis

Abstract

When performing condyle osteosynthesis, one must keep in mind that plates must be located on the posterior border of the ramus and below the mandibular incisure to respect mastication strains. In our study, the number of plates or the number of screws per plate was not always ideal. Moreover, we started active physiotherapy the day after surgery, which is too early because titanium plates are too weak to support all the mandibular strains. A well-adapted osteosynthesis associated with a progressive load of the temporomandibular joint should limit postoperative plate fracture or torsion.