Application of extended H plate to open reduction internal fixation of the mandibular condyle

Fractures of the condyle are among the most common of mandibular fractures. They have traditionally been managed by closed reduction except in cases of severe displacement. Recent data suggest that a broader class of patients with condyle fractures may benefit from open reduction internal fixation (ORIF). We present a case of a condylar neck fracture managed by ORIF via the retromandibular approach using the extended H plate from the Synthes LCP handset. This patient subsequently had restoration of his pre-operative occlusion with return to normal masticatory function. Use of the extended H plate when performing ORIF provides three-dimensional stabilisation of the fracture segments avoiding the need for post-operative fixation and allowing more rapid return to function.