Fracture of mandible is frequently seen in the oral and maxillofacial surgical field.
We treated 38 of 363 mandibular fracture cases by open reduction, and divided these cases into two groups, with and without condylar fracture. Patients with condylar injuries were treated by several methods including arthroplasty, condylectomy, excision of the fractured segment and K-wire pinning. Patients with no condylar fracture were treated by A-0 plating and/or miniplating.
Postoperative complications included two infections in pathologic fracture cases and one infection in a condylar pinning case; other complications were two cases of minor occlusal discrepancy and one case of slight nerve injury related to condylar fracture.