Simplification on the reduction of comminuted mandibular fractures for stable internal fixation

Abstract

Background: The fractures of the comminuted type have a prevalence of 30 to 50% when related to the ones affecting the mandibular bone. They are characterized by the presence of multiple bone fragments involving several lines of fracture, resulting in small fragments within the same area. Usually resulting from high-energy trauma, they cause large displacements, tooth loss, as well as associated lesions in soft tissues. Cases Reports: This article aimed to report two cases addressing the simplification method in the reduction of comminuted fractures treated by the method of open reduction and functionally stable fixation, which emphasized the importance of establishing a sequence of reduction maneuvers and application of osteosynthesis for a functional, occlusal and aesthetic result of the lower facial third. Conclusion: The simplification of mandibular comminuted fractures proves to be an excellent ally when one intends to reduce difficulties of reduction of the fracture and the dental occlusion on the transoperative, as well as to facilitate the application of 2.4 reconstruction plates.