Comparison of Open Vs Closed Reduction of Mandibular Angle Fractures-A Retrospective Institutional based Study

Abstract

Fractures of the mandible, particularly in the angle region have been found to have a high incidence.
Clinical and radiographic examination along with the basis of displacement help to decide the treatment
modality for these fractures. Open reduction is generally performed when there is significant deviation and
closed reduction for simple fractures. The most common modality being Open Reduction with Internal
Fixation(ORIF). The aim of the study is to compare Open Vs closed reduction in patients with fracture in the
angle region of the mandible. This retrospective study involved a sample size of 18 patients with mandible
fracture in the angle region. Case records were collected, tabulated and imported to SPSS for statistical
analysis. Descriptive statistics and chi-square tests were adopted for association of various parameters.
Angle fractures were most commonly seen in males(89%) than females. RTA and assault were the most
common reason for trauma caused - 39% & 33% respectively. 89% of the treatment done was through open
reduction with majority being treated by internal fixation(94%). Angle fracture management depends upon
the severity of the displacement to decide the method of reduction and type of stabilisation. Open reduction
with internal fixation was the most common treatment adopted in this study .