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  • Title: Open versus closed treatment of unilateral moderately displaced mandibular condylar fractures: a meta-analysis of randomized controlled trials.
    Author: Liu Y, Bai N, Song G, Zhang X, Hu J, Zhu S, Luo E.
    Journal: Oral Surg Oral Med Oral Pathol Oral Radiol; 2013 Aug; 116(2):169-73. PubMed ID: 23663989.
    Abstract:
    PURPOSE: To compare the efficacy of operative and conservative treatment of displaced condylar fractures of the mandible, a meta-analysis was performed. STUDY DESIGN: PubMed, Cochrane Controlled Trials Register, EMBASE electronic databases were searched until 10 December 2012. English studies were restricted in randomized controlled trials (RCT). RESULTS: Four RCT with 177 patients were included. No significant difference was found between the 2 groups in the maximal interincisal opening (P = .32). However a statistically significant difference was seen that operative treatment statistically got better efficacy in lateral excursion movement, protrusion, malocclusion, and temporomandibular joint pain (P < .05). CONCLUSIONS: This meta-analysis confirms that both treatment options for unilateral displaced condylar fractures of the mandible yielded acceptable results. However, operative treatment was superior in most objective and subjective functional parameters.
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