{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:03:26Z","timestamp":1756425806040,"version":"3.44.0"},"reference-count":14,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,9,2]]},"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:p>The purpose of the present case is to highlight the surgical management of the refractured condylar segment of the mandible after open reduction and internal fixation. A man in his 20s reported to the department with an alleged history of road traffic injury (RTI). He was diagnosed with a fracture of the right parasymphysis and left subcondylar region of the mandible. He was managed surgically using 2 mini plates of 2.0\u2009mm in relation to the condyle, one 5-hole miniplate in relation to the posterior border of the mandible, one 3-hole miniplate in relation to the anterior border of the condyle. A 2.4\u2009mm 8-hole reconstruction plate was placed in relation to the right parasymphysis region of the mandible. He again reported to the department of oral and maxillofacial surgery after 25 days with an alleged history of RTI. After a complete examination, he was diagnosed with a fracture of the symphysis and left subcondylar region of the mandible. He was managed surgically using 11-hole reconstruction plate 2.4\u2009mm with bicortical screws to fix symphysis fracture of the mandible. A 4-hole high-profile matrix mandible 2.0\u2009mm plate was used to fix the left subcondylar fracture. Now the patient is having good mouth opening, preinjury occlusion and a good range of functional movements of the mandible.<\/jats:p>\n               <jats:p>After functionally stable fixation of the condyle and rigid fixation of the anterior mandible, refracture is rarely reported. The anatomy of the condyle is complex, so after the removal of the miniplates, the bone available is less. The purpose of reporting the present case is to highlight the management of refracture of the condyle using matrix mandible plate. The use of a synthes matrix mandibular plate is promising in such cases and can be used effectively.<\/jats:p>","DOI":"10.1136\/bcr-2024-261867","type":"journal-article","created":{"date-parts":[[2024,12,22]],"date-time":"2024-12-22T09:25:31Z","timestamp":1734859531000},"page":"e261867","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Management of refractured mandibular condyle after open reduction and internal fixation"],"prefix":"10.1136","volume":"17","author":[{"given":"Garima","family":"Khandelwal","sequence":"first","affiliation":[{"name":"Oral and Maxillofacial Surgery, AIIMS, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rahul","family":"Yadav","sequence":"additional","affiliation":[{"name":"Oral and Maxillofacial Surgery, AIIMS, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jithin Sasikumar","family":"Puthukkudiyil","sequence":"additional","affiliation":[{"name":"Oral and Maxillofacial Surgery, AIIMS, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,12,22]]},"reference":[{"key":"2025082801420543000_17.12.e261867.1","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/j.jcms.2012.05.007","article-title":"Aetiology, pattern and treatment of mandibular condylar fractures in 549 patients: A 22-year retrospective study","volume":"41","author":"Zhou","year":"2013","journal-title":"J Cranio-Maxillofac Surg"},{"key":"2025082801420543000_17.12.e261867.2","doi-asserted-by":"publisher","DOI":"10.1016\/0030-4220(85)90002-7"},{"key":"2025082801420543000_17.12.e261867.3","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/S1042-3699(20)30415-5","article-title":"Open Reduction of Fractured Mandibular Condyles","volume":"2","author":"Kent","year":"1990","journal-title":"Oral 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