Open reduction and internal fixation of mandibular condylar fractures
| Autor: | Zhi-Guang Zhang, Yi-Qing He, Shi-jun Kuang, You-hua Zheng |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Cross-sectional study medicine.medical_treatment Observational Study closed reduction Comorbidity Lower risk open reduction Fracture Fixation Internal 03 medical and health sciences Postoperative Complications 0302 clinical medicine Hematoma Risk Factors Mandibular Fractures Fracture fixation medicine Humans Internal fixation 030212 general & internal medicine Inpatients business.industry Mandibular Condyle Health Care Costs General Medicine Odds ratio Length of Stay medicine.disease Confidence interval Surgery Open Fracture Reduction Cross-Sectional Studies Treatment Outcome mandibular fracture 030220 oncology & carcinogenesis Female business Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 0025-7974 |
| DOI: | 10.1097/md.0000000000016814 |
| Popis: | The purpose of this study was to compare outcomes of open reduction and internal fixation (ORIF) versus closed reduction (CR) for mandibular condylar fractures. Patients included in the National Inpatient Sample (NIS) database (2005–2014) who were admitted to the hospital for unilateral mandibular condylar fracture were included in the analysis. Patient characteristics and clinical outcomes were compared between those who received ORIF and those receiving CR. Logistic regression analysis was performed to estimate odds ratios (ORs) for each aspect of the main observed events. NIS data of 12,303 patients who underwent ORIF and 4310 patients who underwent CR were analyzed. Compared to CR, ORIF had an increased risk of longer hospital stay (adjusted OR [aOR] = 1.78, 95% confidence intervals [CIs] = 1.51–2.09), higher total medical cost (aOR = 2.57, 95% CI = 2.17–3.05), and hematoma development (aOR = 10.66, 95% CI = 1.43–75.59), but had a lower risk of having wound complications (aOR = 0.86, 95% CI = 0.79–0.93). Patients with mandibular condylar fractures who receive ORIF have greater risk of having an extended hospital stay, higher total medical costs, and hematoma development but lower risk of experiencing wound complications compared to those who receive CR. |
| Databáze: | OpenAIRE |
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