Docking Technique for Condylar Fracture With Severe Medial Displacement

Reduction and fixation of condylar fractures with medial displacement present significant challenges due to the medial location of the proximal segment. This study reports a surgical technique for repositioning condylar fractures utilizing fracture forceps. For instance, internal fixation employing a retromandibular anterior trans-parotid (RAT/Innsbruck) approach has been implemented in unilateral condylar neck fracture with medial displacement and division >45 degrees. Eckelt/Rasse fracture forceps was transcutaneously affixed at the mandibular angle without an additional incision. The distal segment was docked to the proximal segment utilizing the pull-and-release maneuvers with the Eckelt/Rasse fracture forceps. This technique facilitates the reduction of the condyle in cases of severe medial displacement.

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Publication Details

Journal
Journal of Craniofacial Surgery
Published
2025-04-23
DOI
https://doi.org/10.1097/scs.0000000000011433
Citations
2
Primary Topic
Facial Trauma and Fracture Management
Type
article
Field-Weighted Citation Impact
4.01
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article

Docking Technique for Condylar Fracture With Severe Medial Displacement

Ryo Sasaki, Toshihiro Okamoto, Kaori Agawa, Yorikatsu Watanabe
2 citations
Journal of Craniofacial Surgery
Facial Trauma and Fracture Management
4.01
article

Docking Technique for Condylar Fracture With Severe Medial Displacement

Ryo Sasaki, Toshihiro Okamoto, Kaori Agawa, Yorikatsu Watanabe
article en
2 citations

Abstract

Reduction and fixation of condylar fractures with medial displacement present significant challenges due to the medial location of the proximal segment. This study reports a surgical technique for repositioning condylar fractures utilizing fracture forceps. For instance, internal fixation employing a retromandibular anterior trans-parotid (RAT/Innsbruck) approach has been implemented in unilateral condylar neck fracture with medial displacement and division >45 degrees. Eckelt/Rasse fracture forceps was transcutaneously affixed at the mandibular angle without an additional incision. The distal segment was docked to the proximal segment utilizing the pull-and-release maneuvers with the Eckelt/Rasse fracture forceps. This technique facilitates the reduction of the condyle in cases of severe medial displacement.

Journal of Craniofacial SurgeryVol. 36(7)
Tokyo Women's Medical University (JP), Tokyo Metropolitan Police Hospital (JP)
Openalex Percentile: Top 8%
Facial Trauma and Fracture Management
4.01
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Docking Technique for Condylar Fracture With Severe Medial Displacement — Ryo Sasaki, Toshihiro Okamoto, et al. · Journal of Craniofacial Surgery (2025) | TGRS Research Map | TGRS