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Mandibular condyle fractures, in particular, often lead to temporomandibular joint (TMJ) dysfunction. Methods: This study evaluated the effectiveness of open rigid internal fixation (ORIF) in restoring TMJ function, using the Helkimo Index to compare pre- and post-operative outcomes. Results: A total of 395 patients who underwent ORIF for condylar fractures were analyzed (302 males, 93 females). TMJ function improved significantly from baseline to 6-month follow-up (p &lt; 0.001), with a mean reduction of 2.18 grades on the Helkimo Index. Higher post-operative Helkimo grades (2\u20133) occurred more frequently during warm months than during cold months (p &lt; 0.05). Low body mass index (BMI) was associated with a greater risk of post-surgical TMJ dysfunction (p &lt; 0.001). TMJ function correlated with facial nerve recovery: patients with poorer pre-operative TMJ function showed additionally slower facial nerve recovery during the first five months after surgery. Age, gender, place of residence, injury characteristics, comorbidities, delay of surgery, duration of surgery, surgical approach, fixing material and laboratory blood tests showed no significant association with post-operative TMJ function. Residual TMJ dysfunction was observed in 3% of treated patients (Di = 3). Conclusions: ORIF, combined with appropriate post-operative physiotherapy, effectively restores TMJ function after condylar fractures\u2014including severe injuries. Simple clinical indices such as the Helkimo Index reliably capture functional improvement.<\/jats:p>","DOI":"10.3390\/dj13120562","type":"journal-article","created":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T15:11:24Z","timestamp":1764947484000},"page":"562","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Effectiveness of Open Rigid Internal Fixation of Condylar Fracture Resulting in Temporomandibular Joint Function Recovery"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-5558-8066","authenticated-orcid":false,"given":"Paulina","family":"Agier","sequence":"first","affiliation":[{"name":"Multispecialty Dental Clinic 106\/116 Ko\u015bciuszki Av., 90-442 Lodz, Poland"},{"name":"Department of Maxillofacial Surgery, Medical University of Lodz, 251 Pomorska Str., 92-213 Lodz, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9126-4931","authenticated-orcid":false,"given":"Szymon","family":"Tyszkiewicz","sequence":"additional","affiliation":[{"name":"Department of Maxillofacial Surgery, Medical University of Lodz, 251 Pomorska Str., 92-213 Lodz, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9200-2828","authenticated-orcid":false,"given":"Marcin","family":"Kozakiewicz","sequence":"additional","affiliation":[{"name":"Department of Maxillofacial Surgery, Medical University of Lodz, 251 Pomorska Str., 92-213 Lodz, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,12,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1038\/s41536-024-00377-9","article-title":"Early Resistance Rehabilitation Improves Functional Regeneration Following Segmental Bone Defect Injury","volume":"9","author":"Williams","year":"2024","journal-title":"npj Regen. Med."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1007\/s00198-023-06922-4","article-title":"Evaluation of mobility recovery after hip fracture: A scoping review of randomized controlled studies","volume":"35","author":"Taraldsen","year":"2024","journal-title":"Osteoporos. Int."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Brzeszczy\u0144ski, F., Hamilton, D., Dziedzic, A., Synder, M., and Bo\u0144czak, O. (2025). Sarcopenia Abdominal Muscle Mass Index Assessment Informs Surgical Decision-Making in Displaced Fractures of the Femoral Neck. J. Clin. Med., 14.","DOI":"10.3390\/jcm14082573"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1302\/0301-620X.104B3.BJJ-2021-1052.R1","article-title":"The Effect of Sarcopenia on Outcomes Following Orthopaedic Surgery: A Systematic Review","volume":"104-B","author":"Duckworth","year":"2022","journal-title":"Bone Jt. J."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"989","DOI":"10.1093\/advances\/nmaa015","article-title":"Skeletal muscle disuse atrophy and the rehabilitative role of protein in recovery from musculoskeletal injury","volume":"11","author":"Howard","year":"2020","journal-title":"Adv. Nutr."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Kozakiewicz, M., and Pruszy\u0144ska, P. (2023). Lateral pterygoid muscle alteration in patients treated surgically due to mandibular head fractures. J. Clin. Med., 12.","DOI":"10.3390\/jcm12144789"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1038\/s41413-022-00240-x","article-title":"Hallmarks of peripheral nerve function in bone regeneration","volume":"11","author":"Tao","year":"2023","journal-title":"Bone Res."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1055\/s-0036-1584824","article-title":"Update on postsurgical scar management","volume":"30","author":"Commander","year":"2016","journal-title":"Semin. Plast. Surg."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Ganse, B. (2024). Methods to accelerate fracture healing: A narrative review from a clinical perspective. Front. Immunol., 15.","DOI":"10.3389\/fimmu.2024.1384783"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"51","DOI":"10.7181\/acfs.2024.0074","article-title":"War-Related Maxillofacial Injuries in Ukraine: A Retrospective Multicenter Study","volume":"26","author":"Prysiazhniuk","year":"2025","journal-title":"Arch. Craniofac. Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"78","DOI":"10.4103\/ams.ams_73_17","article-title":"Retrospective Study of Facial Fractures","volume":"8","author":"Kaura","year":"2018","journal-title":"Ann. Maxillofac. Surg."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"71","DOI":"10.29252\/wjps.10.1.71","article-title":"A 6-Year Epidemiological Study of Mandibular Fractures in Traumatic Patients in North of Iran: Review of 463 Patients","volume":"10","author":"Farzan","year":"2021","journal-title":"World J. Plast. Surg."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1097\/TA.0000000000000369","article-title":"Pattern of maxillofacial fractures: A 5-year analysis of 8,818 patients","volume":"77","author":"Motamedi","year":"2014","journal-title":"J. Trauma Acute Care Surg."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.bjoms.2017.04.013","article-title":"Small-diameter compression screws completely embedded in bone for rigid internal fixation of the condylar head of the mandible","volume":"56","author":"Kozakiewicz","year":"2018","journal-title":"Br. J. Oral Maxillofac. Surg."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Agier, P., Kozakiewicz, M., Tyszkiewicz, S., and Gabryelczak, I. (2025). Risk of Permanent Dysfunction of Facial Nerves After Open Rigid Internal Fixation in the Treatment of Mandibular Condylar Process Fracture. Med. Sci., 13.","DOI":"10.3390\/medsci13030121"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1055\/s-0034-1393726","article-title":"Retrospective study of facial nerve function following temporomandibular joint arthroplasty using the endaural approach","volume":"8","author":"Liu","year":"2015","journal-title":"Craniomaxillofac. Trauma Reconstr."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Xu, X., Zhu, F., Yang, C., Xu, B., Yuan, Z., Zhang, W., and Shi, J. (2022). OCCS Classification and Treatment Algorithm for Comminuted Mandibular Fractures Based on 109 Patients and 11 Years Experiences: A Retrospective Study. J. Clin. Med., 11.","DOI":"10.3390\/jcm11216301"},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Agier, P., Kozakiewicz, M., and Szymor, P. (2025). Salivary Fistula as a Complication After the ORIF of a Mandibular Condylar Process Fracture: A Single-Centre Retrospective Study. J. Funct. Biomater., 16.","DOI":"10.3390\/jfb16090326"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"96","DOI":"10.7180\/kmj.25.107","article-title":"Postoperative scar management","volume":"40","author":"Shin","year":"2025","journal-title":"Kosin Med. J."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Agier, P., Szczeci\u0144ski, D., and Kozakiewicz, M. (2025). Endoscope-Assisted or Skin Approached Osteosynthesis of Mandibular Condylar Fracture\u2014A Comparison. J. Funct. Biomater., 16.","DOI":"10.3390\/jfb16100382"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"9","DOI":"10.4103\/tjps.tjps_9_19","article-title":"Indications for Transoral Endoscopic-Assisted Methods in Condylar Process Fractures","volume":"28","author":"Akdag","year":"2020","journal-title":"Turk. J. Plast. Surg."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1007\/s12663-020-01398-9","article-title":"Endoscopically Assisted Treatment of Condylar Base and Neck Fractures: A Single Institution Analysis of Outcomes and Complications","volume":"20","author":"Neuhaus","year":"2021","journal-title":"J. Maxillofac. Oral Surg."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1016\/j.aanat.2007.02.024","article-title":"On the Development, Morphology and Function of the Temporomandibular Joint in the Light of the Orofacial System","volume":"189","author":"Gedrange","year":"2007","journal-title":"Anat. Anz."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Kozakiewicz, M., Zieli\u0144ski, R., Krasowski, M., and Okulski, J. (2019). Forces Causing One-Millimeter Displacement of Bone Fragments of Condylar Base Fractures of the Mandible after Fixation by All Available Plate Designs. Materials, 12.","DOI":"10.3390\/ma12193122"},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Sikora, M., Ch\u0119ci\u0144ski, M., Nowak, Z., Ch\u0119ci\u0144ska, K., Olszowski, T., and Chlubek, D. (2021). The Use of Titanium 3D Mini-Plates in the Surgical Treatment of Fractures of the Mandibular Condyle: A Systematic Review and Meta-Analysis of Clinical Trials. J. Clin. Med., 10.","DOI":"10.3390\/jcm10163604"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1016\/j.cden.2022.11.003","article-title":"Temporomandibular Joint: Review of Anatomy and Clinical Implications","volume":"67","author":"Iturriaga","year":"2023","journal-title":"Dent. Clin. N. Am."},{"key":"ref_27","unstructured":"Standring, S. (2016). Gray\u2019s Anatomy: The Anatomical Basis of Clinical Practice, Elsevier. [41st ed.]."},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Runci Anastasi, M., Cascone, P., Anastasi, G.P., Santoro, G., Nicita, F., Picciolo, G., Favaloro, A., Rizzo, G., and Cutroneo, G. (2021). Articular Disc of a Human Temporomandibular Joint: Evaluation through Light Microscopy, Immunofluorescence and Scanning Electron Microscopy. J. Funct. Morphol. Kinesiol., 6.","DOI":"10.3390\/jfmk6010022"},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Trindade, D., Cordeiro, R., Jos\u00e9, H.C., \u00c2ngelo, D.F., Alves, N., and Moura, C. (2021). Biological Treatments for Temporomandibular Joint Disc Disorders: Strategies in Tissue Engineering. Biomolecules, 11.","DOI":"10.3390\/biom11070933"},{"key":"ref_30","unstructured":"Jones, O. (2025, September 29). The Temporomandibular Joint. TeachMeAnatomy, 19 January 2023. Available online: https:\/\/teachmeanatomy.info\/head\/joints\/temporomandibular\/."},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Hickman, T.T., Rathan-Kumar, S., and Peck, S.H. (2022). Development, Pathogenesis, and Regeneration of the Intervertebral Disc: Current and Future Insights Spanning Traditional to Omics Methods. Front. Cell Dev. Biol., 10.","DOI":"10.3389\/fcell.2022.841831"},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Black, J., and Hastings, G. (1998). Fibrocartilage. Handbook of Biomaterial Properties, Springer.","DOI":"10.1007\/978-1-4615-5801-9"},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Abbass, M.M.S., Rady, D., El Moshy, S., Ahmed Radwan, I., Wadan, A.-H.S., D\u00f6rfer, C.E., and El-Sayed, K.M.F. (2024). The Temporomandibular Joint and the Human Body: A New Perspective on Cross Talk. Dent. J., 12.","DOI":"10.3390\/dj12110357"},{"key":"ref_34","unstructured":"Okeson, J.P. (2019). Management of Temporomandibular Disorders and Occlusion, Elsevier Health Sciences."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Kozakiewicz, M., Agier, P., and Pruszy\u0144ska, P. (2025). Plate Breakage After Mandibular Condylar Fracture Osteosynthesis. J. Funct. Biomater., 16.","DOI":"10.20944\/preprints202509.0787.v1"},{"key":"ref_36","first-page":"214","article-title":"Revision Surgery with Refixation after Mandibular Fractures","volume":"17","author":"Steffen","year":"2024","journal-title":"Craniomaxillofac. Trauma Reconstr."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Pruszy\u0144ska, P., Kozakiewicz, M., Szymor, P., and Wach, T. (2024). Personalized Temporomandibular Joint Total Alloplastic Replacement as a Solution to Help Patients with Non-Osteosynthesizable Comminuted Mandibular Head Fractures. J. Clin. Med., 13.","DOI":"10.3390\/jcm13175257"},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Ahmed, A., Hassett, L.C., and Fillmore, W.J. (2023). Treatment of Temporomandibular Joint Ankylosis with Total Prosthetic Joint Reconstruction: A Case Series and Scoping Review of the Literature. Front. Oral Maxillofac. Med., 5.","DOI":"10.21037\/fomm-22-15"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1111\/ors.12473","article-title":"Temporomandibular disorders: A review of current concepts in aetiology, diagnosis and management","volume":"13","author":"Kapos","year":"2020","journal-title":"Oral Surg."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1055\/s-0029-1215872","article-title":"Posttraumatic temporomandibular joint disorders","volume":"2","author":"Giannakopoulos","year":"2009","journal-title":"Craniomaxillofac. Trauma Reconstr."},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Stelea, C.G., Agop-Forna, D., Dragomir, R., Ancu\u0163a, C., T\u00f6rok, R., Forna, N.C., and Iordache, C. (2021). Recovery of Post-Traumatic Temporomandibular Joint after Mandibular Fracture Immobilization: A Literature Review. Appl. Sci., 11.","DOI":"10.3390\/app112110239"},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Minervini, G., Franco, R., Marrapodi, M.M., Crimi, S., Badnjevi\u0107, A., Cervino, G., Bianchi, A., and Cicci\u00f9, M. (2023). Correlation between temporomandibular disorders (TMD) and posture evaluated through the Diagnostic Criteria for Temporomandibular Disorders (DC\/TMD): A systematic review with meta-analysis. J. Clin. Med., 12.","DOI":"10.3390\/jcm12072652"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1186\/s13005-024-00450-0","article-title":"Impact of manual therapy on body posture\u20143-D analysis with rasterstereography: Pilot study","volume":"20","author":"Harhoff","year":"2024","journal-title":"Head Face Med."},{"key":"ref_44","first-page":"101","article-title":"Studies on function and dysfunction of the masticatory system. II. Index for anamnestic and clinical dysfunction and occlusal state","volume":"67","author":"Helkimo","year":"1974","journal-title":"Sven. Tandlak. Tidskr."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"1453","DOI":"10.1016\/S0140-6736(07)61602-X","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for Reporting Observational Studies","volume":"370","author":"Altman","year":"2007","journal-title":"Lancet"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1016\/j.bjoms.2009.08.036","article-title":"Nomenclature\/Classification of Fractures of the Mandibular Condylar Head","volume":"48","author":"Loukota","year":"2010","journal-title":"Br. J. Oral Maxillofac. Surg."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1007\/s00784-018-2459-1","article-title":"Classification Proposal for Fractures of the Processus Condylaris Mandibulae","volume":"23","author":"Kozakiewicz","year":"2019","journal-title":"Clin. Oral Investig."},{"key":"ref_48","first-page":"44","article-title":"The Comprehensive AOCMF Classification System: Condylar Process Fractures\u2014Level 3 Tutorial. Craniomaxillofac","volume":"7","author":"Neff","year":"2014","journal-title":"Trauma Reconstr."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1055\/s-0038-1677459","article-title":"The Comprehensive AO CMF Classification System for Mandibular Fractures: A Multicenter Validation Study","volume":"12","author":"Mittermiller","year":"2019","journal-title":"Craniomaxillofac. Trauma Reconstr."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1177\/019459988509300202","article-title":"Facial Nerve Grading System","volume":"93","author":"House","year":"1985","journal-title":"Otolaryngol.\u2013Head Neck Surg."},{"key":"ref_51","doi-asserted-by":"crossref","unstructured":"Kozakiewicz, M., and Walczyk, A. (2023). Current Frequency of Mandibular Condylar Process Fractures. J. Clin. Med., 12.","DOI":"10.3390\/jcm12041394"},{"key":"ref_52","first-page":"e30492","article-title":"Review of Various Clinical Assessment Indices and Orthodontic Management for Temporomandibular Joint Disorders","volume":"14","author":"Kumar","year":"2022","journal-title":"Cureus"},{"key":"ref_53","first-page":"146","article-title":"Evaluation of the effectiveness of manual techniques and dynamic taping in the reduction of postoperative complications after surgical treatment of orthognathic defects","volume":"19","author":"Tyszkiewicz","year":"2019","journal-title":"Fizjoter. Pol."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"128","DOI":"10.56984\/8ZG1A6t5I","article-title":"The Assessment of the Early Rehabilitation\u2019s Impact on the Level of Disorders Occurring and the Process of Reinnervation, on the Example of Facial Twigs of the Motor Nerve in Patients with Craniofacial Injuries","volume":"22","author":"Tyszkiewicz","year":"2022","journal-title":"Fizjoter. Pol."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"104","DOI":"10.56984\/8ZG0DF2DA","article-title":"Ultrasonography in Physiotherapy and Rehabilitation: A Physiotherapist\u2019s Curriculum Introduction","volume":"23","author":"Kostrzewa","year":"2023","journal-title":"Fizjoter. Pol."},{"key":"ref_56","unstructured":"Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences, Lawrence Erlbaum Associates. [2nd ed.]."},{"key":"ref_57","unstructured":"Field, A. (2018). Discovering Statistics Using IBM SPSS Statistics, Sage Publications. [5th ed.]."},{"key":"ref_58","unstructured":"Conover, W.J. (1999). Practical Nonparametric Statistics, Wiley. [3rd ed.]."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1111\/edt.12857","article-title":"Trends in Mandibular Fractures in the USA: A 20-Year Retrospective Analysis","volume":"39","author":"Adik","year":"2023","journal-title":"Dent. Traumatol."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"2361","DOI":"10.1016\/j.joms.2015.04.032","article-title":"The Epidemiology of Mandibular Fractures in the United States, Part 1: A Review of 13,142 Cases from the US National Trauma Data Bank","volume":"73","author":"Afrooz","year":"2015","journal-title":"J. Oral Maxillofac. Surg."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"51","DOI":"10.14740\/jcs387","article-title":"Maxillofacial Fractures: A Three-Year Survey","volume":"9","author":"Adesina","year":"2019","journal-title":"J. Curr. Surg."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"39","DOI":"10.2147\/CCIDE.S501492","article-title":"A Retrospective Study on Correlation of Facial Fractures and Type of Trauma in Patients Admitted in Department of Maxillofacial Surgery of Stomatology National and Specialized Hospital, Kabul, Afghanistan","volume":"17","author":"Sharif","year":"2025","journal-title":"Clin. Cosmet. Investig. Dent."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"338","DOI":"10.18295\/squmj.12.2023.095","article-title":"Complications of Open Reduction and Internal Fixation of Mandibular Condyle Fractures in Oman","volume":"24","author":"Bakathir","year":"2024","journal-title":"Sultan Qaboos Univ. Med. J."},{"key":"ref_64","first-page":"1054","article-title":"Outcomes of Physical Therapy in Patients with Temporomandibular Disorder: A Retrospective Review","volume":"58","author":"Fisch","year":"2020","journal-title":"Br. J. Oral Maxillofac. Surg."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1016\/j.oooo.2017.12.021","article-title":"Predictors of Arthrocentesis Outcome on Joint Effusion in Patients with Disk Displacement without Reduction","volume":"125","author":"Grossmann","year":"2018","journal-title":"Oral Surg. Oral Med. Oral Pathol. Oral Radiol."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1001\/archoto.2010.237","article-title":"Temporomandibular Joint Dysfunction after Mandibular Fracture in Children: A 10-Year Review","volume":"137","author":"Leuin","year":"2011","journal-title":"Arch. Otolaryngol. Head Neck Surg."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1016\/j.jcms.2015.02.004","article-title":"Long-Term Results of ORIF of Condylar Head Fractures of the Mandible: A Prospective 5-Year Follow-Up Study of Small-Fragment Positional-Screw Osteosynthesis (SFPSO)","volume":"43","author":"Kolk","year":"2015","journal-title":"J. Craniomaxillofac. Surg."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"1902","DOI":"10.1016\/j.joms.2021.04.018","article-title":"Volumetric Evaluated Bone Resorption after Open Reduction and Internal Fixation of Condylar Head Fractures of the Mandible","volume":"79","author":"Johner","year":"2021","journal-title":"J. Oral Maxillofac. Surg."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"664e","DOI":"10.1097\/PRS.0000000000010009","article-title":"Comparative Benefits of Open versus Closed Reduction of Condylar Fractures: A Systematic Review and Meta-Analysis","volume":"151","author":"Jazayeri","year":"2023","journal-title":"Plast. Reconstr. Surg."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"1082","DOI":"10.55730\/1300-0144.5887","article-title":"Open Surgical Approach to Fractures of the Mandibular Condyle: Surgical Technique and Associated Complications","volume":"54","author":"Geyik","year":"2024","journal-title":"Turk. J. Med. Sci."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"89","DOI":"10.17219\/dmp\/128092","article-title":"Rehabilitation in the Treatment of Mandibular Condyle Fractures","volume":"58","author":"Rzewuska","year":"2021","journal-title":"Dent. Med. Probl."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"197","DOI":"10.4103\/ams.ams_99_22","article-title":"Functional Rehabilitation after Mandibular Fracture\u2014A Systematic Review","volume":"12","author":"Petronis","year":"2022","journal-title":"Ann. Maxillofac. Surg."},{"key":"ref_73","first-page":"5","article-title":"The Need for Physiotherapy Intervention for Mandibular Condyle Fracture Patients: A Needs Analysis","volume":"70","author":"Barnes","year":"2015","journal-title":"S. Afr. Dent. J."},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"1","DOI":"10.5604\/01.3001.0016.2732","article-title":"Recommendations for Modern Perioperative Care for Elective Surgery: Consensus of Panel of Experts","volume":"95","author":"Klek","year":"2023","journal-title":"Pol. Przegl. Chir."},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1111\/eos.12364","article-title":"Guided Bone Regeneration: Materials and Biological Mechanisms Revisited","volume":"125","author":"Elgali","year":"2017","journal-title":"Eur. J. Oral Sci."},{"key":"ref_76","first-page":"80","article-title":"Fractures of the Condylar Process of the Mandible\u2014The Use of Comprehensive Manual Therapy in the Reduction of Postoperative Complications","volume":"22","author":"Tyszkiewicz","year":"2022","journal-title":"Fizjoter. Pol."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"16","DOI":"10.2519\/jospt.1982.4.1.16","article-title":"Cyriax\u2019s Friction Massage: A Review","volume":"4","author":"Chamberlain","year":"1982","journal-title":"J. Orthop. Sports Phys. Ther."},{"key":"ref_78","doi-asserted-by":"crossref","unstructured":"Pitsillides, A., and Stasinopoulos, D. (2019). Cyriax Friction Massage\u2014Suggestions for Improvements. Medicina, 55.","DOI":"10.3390\/medicina55050185"},{"key":"ref_79","doi-asserted-by":"crossref","unstructured":"Pienkohs, S.P., Meisgeier, A., Herrmann, J., Graf, L., Reichert, C.S., Trento, G., and Neff, A. (2023). Factors Affecting the Duration of Surgery in the Management of Condylar Head Fractures. J. Clin. Med., 12.","DOI":"10.3390\/jcm12227172"},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1111\/edt.12871","article-title":"Treatment of Extracapsular Fractures of the Mandibular Condylar Process: A Retrospective Evaluation of 377 Cases","volume":"39","author":"Maurer","year":"2023","journal-title":"Dent. Traumatol."},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/j.iac.2010.09.010","article-title":"The Impact of Psychological Stress on Wound Healing: Methods and Mechanisms","volume":"31","author":"Gouin","year":"2011","journal-title":"Immunol. Allergy Clin. N. Am."},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"722","DOI":"10.1089\/sur.2017.089","article-title":"Prolonged Operative Duration Increases Risk of Surgical Site Infections: A Systematic Review","volume":"18","author":"Cheng","year":"2017","journal-title":"Surg. Infect."},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1177\/2632327319882801","article-title":"Weight Changes (in kg) in Mandible Fracture Patients after IMF: A Prospective Study","volume":"1","author":"Lone","year":"2019","journal-title":"Traumaxilla"},{"key":"ref_84","doi-asserted-by":"crossref","first-page":"3","DOI":"10.4103\/0975-5950.196146","article-title":"Role of Nutrition in Oral and Maxillofacial Surgery Patients","volume":"7","author":"Giridhar","year":"2016","journal-title":"Natl. J. Maxillofac. Surg."},{"key":"ref_85","doi-asserted-by":"crossref","first-page":"1043","DOI":"10.1007\/s001980070026","article-title":"Bone Mineral Density and Body Composition in Underweight and Normal Elderly Subjects","volume":"11","author":"Coin","year":"2000","journal-title":"Osteoporos. Int."},{"key":"ref_86","unstructured":"Zierle-Ghosh, A., and Jan, A. (2025, August 30). Physiology, Body Mass Index, StatPearls [Internet], Available online: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK535456\/."},{"key":"ref_87","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1016\/j.ahj.2007.11.043","article-title":"Albumin Levels Predict Survival in Patients with Systolic Heart Failure","volume":"155","author":"Horwich","year":"2008","journal-title":"Am. Heart J."},{"key":"ref_88","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1111\/coa.14244","article-title":"Impact of the Prognostic Nutritional Index on the Development of Sialocele or Salivary Fistula After Parotidectomy","volume":"50","author":"Paksoy","year":"2024","journal-title":"Clin. Otolaryngol."},{"key":"ref_89","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1016\/j.arth.2013.06.003","article-title":"Understanding Readmission after Primary Total Hip and Knee Arthroplasty: Who\u2019s at Risk?","volume":"29","author":"Saucedo","year":"2014","journal-title":"J. Arthroplast."},{"key":"ref_90","doi-asserted-by":"crossref","first-page":"1312","DOI":"10.1111\/anae.16573","article-title":"Association between BMI and Postoperative Pulmonary Complications in Adults Undergoing Non-Cardiac, Non-Obstetric Surgery: A Retrospective Cohort Study","volume":"80","author":"Qin","year":"2025","journal-title":"Assoc. Anaest."},{"key":"ref_91","doi-asserted-by":"crossref","first-page":"e636","DOI":"10.1097\/GOX.0000000000000645","article-title":"Relationship between BMI and postoperative complications with free flap in anterolateral craniofacial reconstruction","volume":"4","author":"Heo","year":"2016","journal-title":"Plast. Reconstr. Surg. Glob. Open"},{"key":"ref_92","first-page":"e9","article-title":"Nutrition, Anabolism, and the Wound Healing Process: An Overview","volume":"9","author":"Demling","year":"2009","journal-title":"Eplasty"},{"key":"ref_93","doi-asserted-by":"crossref","first-page":"4218472","DOI":"10.1155\/2017\/4218472","article-title":"Nutritional Aspects of Bone Health and Fracture Healing","volume":"2017","author":"Karpouzos","year":"2017","journal-title":"J. Osteoporos."},{"key":"ref_94","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1177\/0884533609358997","article-title":"Understanding the Role of Nutrition and Wound Healing","volume":"25","author":"Stechmiller","year":"2010","journal-title":"Nutr. Clin. Pract."},{"key":"ref_95","doi-asserted-by":"crossref","unstructured":"Xie, R.Z., Li, X.S., Zha, F.D., Zhou, Y.F., Chen, L., and Huang, Z.Y. (2025). Relationship Between Body Mass Index and Low Skeletal Muscle Mass in Adults Based on NHANES 2011\u20132018. Sci. Rep., 15.","DOI":"10.1038\/s41598-025-87176-4"},{"key":"ref_96","doi-asserted-by":"crossref","first-page":"287","DOI":"10.5114\/ms.2022.122385","article-title":"Handgrip Strength and Body Mass Index in Polish and Croatian Female University Students of Preschool and Primary Education","volume":"38","author":"Lelonek","year":"2022","journal-title":"Med. Stud."},{"key":"ref_97","doi-asserted-by":"crossref","unstructured":"Curtis, M., Swan, L., Fox, R., Warters, A., and O\u2019Sullivan, M. (2023). Associations between Body Mass Index and Probable Sarcopenia in Community-Dwelling Older Adults. Nutrients, 15.","DOI":"10.3390\/nu15061505"},{"key":"ref_98","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1177\/14574969221133198","article-title":"Markers of Sarcopenia Increase 30-Day Mortality Following Emergency Laparotomy: A Systematic Review","volume":"112","year":"2023","journal-title":"Scand. J. Surg."},{"key":"ref_99","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1016\/j.joms.2022.12.007","article-title":"Facial Trauma Operative Volume Demonstrates Consistent and Significant Yearly Periodicity","volume":"81","author":"Skladman","year":"2023","journal-title":"J. Oral Maxillofac. Surg."},{"key":"ref_100","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1002\/lio2.457","article-title":"The Association of Weather, Temperature, and Holidays on Pediatric Maxillofacial Trauma","volume":"5","author":"Rabbani","year":"2020","journal-title":"Laryngoscope Investig. Otolaryngol."},{"key":"ref_101","doi-asserted-by":"crossref","unstructured":"Nijakowski, K., Rzepczyk, S., Szczepaniak, M., Majewski, J., Jankowski, J., \u017baba, C., and Ok\u0142a, M. (2025). Characteristics of Bicycle-Related Maxillofacial Injuries between 2019\u20132023\u2014Retrospective Study from Pozna\u0144, Poland. J. Clin. Med., 14.","DOI":"10.3390\/jcm14176075"},{"key":"ref_102","doi-asserted-by":"crossref","first-page":"826","DOI":"10.1016\/j.bjoms.2024.07.009","article-title":"Electric Scooter-Related Oral and Maxillofacial Injuries in Oxfordshire","volume":"62","author":"Dhar","year":"2024","journal-title":"Br. J. Oral Maxillofac. Surg."},{"key":"ref_103","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1016\/j.ijom.2010.04.006","article-title":"Demographical and Clinical Aspects of Sports-Related Maxillofacial and Skull Base Fractures in Hospitalized Patients","volume":"39","author":"Elhammali","year":"2010","journal-title":"Int. J. Oral Maxillofac. Surg."},{"key":"ref_104","doi-asserted-by":"crossref","first-page":"e004165","DOI":"10.1136\/bmjopen-2013-004165","article-title":"Seasonal Variation in Musculoskeletal Extremity Injuries in School Children Aged 6\u201312 Followed Prospectively over 2.5 Years: A Cohort Study","volume":"4","author":"Jespersen","year":"2014","journal-title":"BMJ Open"},{"key":"ref_105","doi-asserted-by":"crossref","first-page":"S106","DOI":"10.1017\/cem.2020.322","article-title":"Colder, but No Less Safe: A Comparison of Bicycle-Related Traumas in Winter Compared to Summer Cyclists","volume":"22","author":"Davis","year":"2020","journal-title":"Can. J. Emerg. Med."},{"key":"ref_106","doi-asserted-by":"crossref","first-page":"e033988","DOI":"10.1136\/bmjopen-2019-033988","article-title":"Injury from Electric Scooters in Copenhagen: A Retrospective Cohort Study","volume":"9","author":"Blomberg","year":"2019","journal-title":"BMJ Open"},{"key":"ref_107","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1002\/tsm2.94","article-title":"Analyses of Injuries to Equestrians in a Swedish District over a 16-Year Period","volume":"2","author":"Meredith","year":"2019","journal-title":"Transl. Sports Med."},{"key":"ref_108","doi-asserted-by":"crossref","unstructured":"Vongsachang, H., Mihailovic, A., E, J.-Y., Friedman, D.S., West, S.K., Gitlin, L.N., and Ramulu, P.Y. (2021). The Impact of Weather and Seasons on Falls and Physical Activity among Older Adults with Glaucoma: A Longitudinal Prospective Cohort Study. Sensors, 21.","DOI":"10.3390\/s21103415"},{"key":"ref_109","first-page":"100670","article-title":"A Cooling Wound Dressing for Accelerating Healing under Sunlight","volume":"5","author":"Yu","year":"2024","journal-title":"Innovation"},{"key":"ref_110","doi-asserted-by":"crossref","first-page":"e70064","DOI":"10.1002\/ctm2.70064","article-title":"Cooling Wound Dressings: Prospects for Clinical Practice","volume":"14","author":"Chen","year":"2024","journal-title":"Clin. Transl. Med."},{"key":"ref_111","doi-asserted-by":"crossref","first-page":"79","DOI":"10.31373\/ejtcm\/130441","article-title":"Limitation of patients\u2019 rights during the COVID-19 pandemic in Poland","volume":"4","author":"Zimmermann","year":"2021","journal-title":"Eur. J. Transl. Clin. Med."},{"key":"ref_112","doi-asserted-by":"crossref","unstructured":"Bielecki-Kowalski, B., Kowalczyk, O., Podziewska, M., Agier, P., Kroc-Szczepkowska, A., and Kozakiewicz, M. (2024). The Evaluation of Oral Health in Patients Undergoing Dental Treatment during the COVID-19 Pandemic. J. Clin. Med., 13.","DOI":"10.3390\/jcm13237216"},{"key":"ref_113","doi-asserted-by":"crossref","unstructured":"Mularczyk-Tomczewska, P., \u017barnowski, A., Gujski, M., Jankowski, M., Bojar, I., Wdowiak, A., and Krakowiak, J. (2022). Barriers to Accessing Health Services during the COVID-19 Pandemic in Poland: A Nationwide Cross-Sectional Survey among 109,928 Adults in Poland. Front. Public Health, 10.","DOI":"10.3389\/fpubh.2022.986996"},{"key":"ref_114","doi-asserted-by":"crossref","unstructured":"\u015aliwczy\u0144ski, A., Jewczak, M., Furlepa, K., Go\u0142\u0119biak, I., Rze\u017anicki, A., Marczak, M., Ptak-Chmielewska, A., Olszewski, P., Orlewska, K., and Wierzba, W. (2024). Assessment of the Dynamics of Inpatient Health Care Delivery in Poland before and throughout the COVID-19 Pandemic. Sci. Rep., 14.","DOI":"10.1038\/s41598-024-62671-2"},{"key":"ref_115","doi-asserted-by":"crossref","unstructured":"Cha, H.-J., and Jeon, M.-K. (2024). Experience of Family Caregivers in Long-Term Care Hospitals During the Early Stages of COVID-19: A Phenomenological Analysis. Healthcare, 12.","DOI":"10.3390\/healthcare12222254"},{"key":"ref_116","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1177\/00034894241295475","article-title":"The Impact of COVID-19 and Socioeconomic Determinants on Appointment Non-Attendance in an Urban Otolaryngology Clinic: A Retrospective Analysis from a Safety Net Hospital","volume":"134","author":"Puyo","year":"2025","journal-title":"Ann. Otol. Rhinol. Laryngol."}],"container-title":["Dentistry Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2304-6767\/13\/12\/562\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T05:17:21Z","timestamp":1764998241000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2304-6767\/13\/12\/562"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,1]]},"references-count":116,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["dj13120562"],"URL":"https:\/\/doi.org\/10.3390\/dj13120562","relation":{},"ISSN":["2304-6767"],"issn-type":[{"value":"2304-6767","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,1]]}}}