Evidence map›Paper›PMID 41016969›Full record

Observational studyClinical oral investigations2025

Functional and three-dimensional radiographic outcomes after open reduction and internal fixation of condylar head fractures using magnesium alloy cannulated screws - a retrospective long-term follow-up.

Henry Leonhardt, Jan Bernard Matschke, Philipp Sembdner, Alexander Seidler, Niall M H McLeod, Christian Bräuer, Adrian Franke

Abstract readObservational Study
In one paragraph

Observational study in Clinical oral investigations, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Henry LeonhardtConsultant for Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, University Hospital Carl Gustav Carus Dresden, Technische Universität Dresden, Fetscherstraße 74, 01307, Dresden, Germany.ORCID http://orcid.org/0000-0003-1412-0276
Jan Bernard MatschkeIntern for Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, University Hospital Carl Gustav Carus Dresden, Technische Universität Dresden, Fetscherstraße 74, 01307, Dresden, Germany.ORCID http://orcid.org/0000-0002-8713-8728
Philipp SembdnerChair of Virtual Product Development, Institute of Machine Elements and Machine Design, TU Dresden, 01062, Dresden, Germany.ORCID http://orcid.org/0000-0003-0706-371X
Alexander SeidlerChair of Virtual Product Development, Institute of Machine Elements and Machine Design, TU Dresden, 01062, Dresden, Germany.ORCID http://orcid.org/0009-0001-3822-2499
Niall M H McLeodConsultant Oral & Maxillofacial Surgeon at University Hospitals Coventry & Warwickshire NHS Trust, Clifford Bridge Rd, Coventry, CV2 2DX, UK.ORCID http://orcid.org/0000-0001-5795-6482
Christian BräuerConsultant for Oral and Maxillofacial Surgery, Department of Oral, Maxillofacial and Facial Plastic Surgery, Rostock University Medical Center, Schillingallee 35, D-18057, Rostock, Germany.
Adrian FrankeConsultant for Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, University Hospital Carl Gustav Carus Dresden, Technische Universität Dresden, Fetscherstraße 74, 01307, Dresden, Germany. adrian.franke@uniklinikum-dresden.de.ORCID http://orcid.org/0000-0001-9324-9574

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesCondylar head fractures are common in facial trauma and can result in significantly impaired mandibular function. Open Reduction and internal fixation overall produce better functional outcomes than closed treatment. Multiple methods of fixation have been proposed, including the use of biodegradable magnesium-based cannulated bone screws. This study aims to investigate the long-term efficacy of this fixation method using three-dimensional radiographic imaging and clinical outcomes. MATERIALS AND

methodsThis retrospective cohort study of a single centre included patients who underwent surgical intervention for a condylar head fracture using a cannulated magnesium lag screw. Clinical parameters and three-dimensional radiographic scans were collected during follow-up, and virtual model analysis was conducted after segmentation.

resultsFifty-eight patients received an osteosynthesis with a magnesium alloy implant. The functional results of the final assessment were excellent. Significant changes in volume, surface area, and signs of condylar remodelling were observed during the healing process. Complication rates were low. No implant had to be removed.

conclusionsCannulated compression screws using biodegradable magnesium-based alloys show good clinical results despite reduced condylar volume and surface area, as well as significant proof of three-dimensional incongruency of healing mandibular condyles. No patient complained of subjective problems connected to the resorption process, and no mechanical failure prior to fracture healing was recorded. Overall, this method verifies excellent long-term results. CLINICAL RELEVANCE: Surgical implants comprised of magnesium alloys provide adequate fixation of fractures of the condylar head with excellent clinical results without the need for a second intervention to remove the implant.

Indexed as

Bone ScrewsFracture Fixation, InternalImaging, Three-DimensionalMandibular CondyleMandibular FracturesOpen Fracture ReductionAdultAlloysCone-Beam Computed TomographyFemaleFollow-Up StudiesHumansMagnesiumMaleMiddle AgedProsthesis DesignAlloysMagnesiumBiodegradable implantsInternal fracture fixationMagnesiumMandibular condyleMandibular fracturesThree-dimensional imaging

Identifiers

PMID41016969
PMCPMC12477083

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.