Ankylosed joint replacement with custom total joint prosthesis and custom miniplates.


  • Douglas Voss de Oliveira Universidade Federal do Pará
  • José Thiers Carneiro Junior Universidade Federal do Pará
  • Eber Coelho Paraguassu São Leopoldo Mandic
  • Luis Raimundo Serra Rabelo Universidade Federal do Maranhão



Total Joint Replacement; ankylosis of the temporomandibular joint tmj; ; orthognathic surgery; Surgical Fixation Devices; custom-made miniplates.


When managing a severely ankylosed joint in a patient with a history of multiple previous operations since the development phase, it is necessary besides the total joint replacement also the orthognathic surgery. Miniplates and total joint custom-made prosthesis are the state of arts in accuracy and precision; therefore use them concurrently in a complex surgery, such this, is a suitable treatment option. A 44-year-old male patient with bilateral  temporomandibular joint ankylosis where the TMJ architecture was completely replaced by a large bone mass was treated through orthognathic surgery with customized cutting guides and customized material for maxilla, jaw and chin fixation, in addition to the installation of two complete custom-made joint-prosthesis in one-stage surgery. This is the first report in the literature using custom Miniplates and Joint-Prosthesis for treatment of Ankylosis. The treatment was successful and the patient benefited from adequate aesthetics and function.


Brunso J., Franco M., Constantinescu T., Barbier L., Santamaría J.A. & Alvarez J. (2016). Custom-machined miniplates and bone-supported guides for orthognathic surgery: A new surgical procedure. Journal of Oral and Maxillofacial Surgery, 74(1): 1061-e1.

Johnson N.R., Roberts M.J., Doi S.A. & Batstone M.D. (2017). Total temporomandibular joint replacement prostheses: a systematic review and bias-adjusted meta-analysis. International journal of oral and maxillofacial surgery 46(1): 86-92.

Júnior J.T.C., de Oliveira D.V. & Goodday R. (2018). Maxillary stability following Le Fort I osteotomy using prebent plates and wire fixation in patients undergoing surgery for OSAS. Journal of Cranio-Maxillofacial Surgery 46(1): 1448-1454.

Manemi R.V., Fasanmade A. & Revington P.J. (2009). Bilateral ankylosis of the jaw treated with total alloplastic replacement using the TMJ concepts system in a patient with ankylosing spondylitis. British Journal of Oral and Maxillofacial Surgery, 47(1): 159-161.

Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica.

Sembronio S., Tel A., Costa F., Isola M. & Robiony M. (2019). Accuracy of custom-fitted temporomandibular joint alloplastic reconstruction and virtual surgical planning. International journal of oral and maxillofacial surgery. DOI: 10.1016/j.ijom.2019.01.024.

Sidebottom A.J. & Gruber E. (2019). One-year prospective outcome analysis and complications following total replacement of the temporomandibular joint with the TMJ Concepts system. Br J Oral Maxillofac Surg 51(1): 620–4.




How to Cite

OLIVEIRA, D. V. de; CARNEIRO JUNIOR, J. T.; PARAGUASSU, E. C.; RABELO, L. R. S. Ankylosed joint replacement with custom total joint prosthesis and custom miniplates. Research, Society and Development, [S. l.], v. 9, n. 6, p. e15963095, 2020. DOI: 10.33448/rsd-v9i6.3095. Disponível em: Acesso em: 31 jan. 2023.



Health Sciences