British Journal of Oral and Maxillofacial Surgery · 2024
How Good is Good Enough? Lessons Learned from Review of Outcomes of 50 Patients Following Extraoral Open Reduction and Internal Fixation of Condylar Neck and Base Fractures at a Regional Major Trauma Centre
Julian Leow, Rebecca Exley, Simon Holmes, Nabeel Bhatti
50
Patients
59
Condyles
83%
<2 mm overlap
88%
<10° angulation
3.4%
Non-union rate
Royal London Hospital Major Trauma Centre — the largest reported UK condylar ORIF series. This outcome audit answers the question that the international consensus meetings left open: can real-world trauma surgeons of varying seniority consistently translate the ORIF treatment plan into acceptable radiological and functional results? The honest answer from 59 condyles is yes — with defined caveats around surgical technique, imaging, and case selection that carry direct training and consent implications.
https://doi.org/10.1016/j.bjoms.2023.11.004
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