ArticleFrontiers in oral health2026
Dislocation angle predicts complications following mandibular condylar fracture treatment: a retrospective cohort study.
Article in Frontiers in oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Mandibular condylar fractures are among the most common maxillofacial injuries, yet predictors of postoperative complications remain poorly defined. The role of radiographic dislocation angle as a prognostic factor has received limited attention. This study aimed to identify risk factors for complications following condylar fracture treatment, with particular focus on the predictive value of the dislocation angle. Methods: This retrospective cohort study included 184 patients with mandibular condylar fractures treated at a tertiary referral center between 2009 and 2022. Complications were analyzed according to treatment approach (surgical vs. conservative), and potential risk factors were evaluated using univariate and multivariate logistic regression. The dislocation angle was measured on preoperative imaging and stratified into categories (<60°, 60-89°, ≥90°). Results: The overall complication rate was 29.0% (49/169), predominantly comprising minor events (17.8%), with major complications occurring in only 7.7%. In the surgical subgroup with available angle measurements ( Conclusions: Preoperative dislocation angle is an independent predictor of complications following condylar fracture treatment. A preliminary threshold of approximately 60° may serve as a candidate parameter for risk stratification and patient counseling, pending prospective validation.
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