TY - JOUR
T1 - Small versus large plate fixation of mandibular fractures
AU - Alpert, B.
AU - Engelstad, M.
AU - Kushner, G. M.
PY - 1999
Y1 - 1999
N2 - Background and Objectives. Since the introduction of antibiotics in the late 1940s, open reduction and internal fixation (ORIF) gradually replaced various dental splints and devices as a means of providing additional reduction and fixation of mandibular fractures. Stainless steel wire has been recently replaced by plate-and-screw fixation. When properly utilized, this method provides convalescent function without maxillo-mandibular fixation (MMF). The purpose of this article is to review the evolution of small versus large plate fixation of mandibular fractures. Methods and Materials. In the context of reports in the literature and 26 years of clinical experience, the authors review the types of mandibular rigid fixation, healing of fractures, morbidity of fracture repair, indications for rigid fixation, and evolution of techniques of treatment. Results and/or Conclusions. Although numerous devices and techniques - bone clamps, intra- and extramedullary K-wires, metallic mesh, and other means - have been used and abandoned, modern plate and screw systems, if not the standard of care, have become widely accepted and used.
AB - Background and Objectives. Since the introduction of antibiotics in the late 1940s, open reduction and internal fixation (ORIF) gradually replaced various dental splints and devices as a means of providing additional reduction and fixation of mandibular fractures. Stainless steel wire has been recently replaced by plate-and-screw fixation. When properly utilized, this method provides convalescent function without maxillo-mandibular fixation (MMF). The purpose of this article is to review the evolution of small versus large plate fixation of mandibular fractures. Methods and Materials. In the context of reports in the literature and 26 years of clinical experience, the authors review the types of mandibular rigid fixation, healing of fractures, morbidity of fracture repair, indications for rigid fixation, and evolution of techniques of treatment. Results and/or Conclusions. Although numerous devices and techniques - bone clamps, intra- and extramedullary K-wires, metallic mesh, and other means - have been used and abandoned, modern plate and screw systems, if not the standard of care, have become widely accepted and used.
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M3 - Review article
C2 - 11951257
AN - SCOPUS:0032752638
SN - 1074-3219
VL - 5
SP - 33
EP - 39
JO - Journal of Cranio-Maxillofacial Trauma
JF - Journal of Cranio-Maxillofacial Trauma
IS - 3
ER -