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At least 487 records · Page 27Linked to original sources
PubMed1976

Percutaneous internal fixation of fractures of the proximal phalanges.

A rational methods for management of the fractures of the proximal phalanges is presented. By this technique fracture healing and recovery of movement take place concurrently rather than consecutively thereby the morbidity is greatly reduced. It leads to early and complete rehabilitation of the patient in a short period.

Adult↗
PubMed1984

A simplified method for the internal fixation of fractures of the mandibular condyle.

The morbidity following conservative management of fracture dislocations of the mandibular condyle is considered, and the theoretical advantages of open reduction discussed. The various methods described in the past are reviewed and a new technique is described whereby a Kirschner wire is drilled into the condylar fragment and then inlaid into the ramus. Advantages over previous methods include easy manipulation of the fragment and lack of danger to the facial nerve.

Fracture Fixation, Internal↗
PubMed1988

Intraoral open reduction with rigid internal fixation of mandibular subcondylar fractures.

Open reduction of subcondylar fractures achieves precise anatomic alignment of bony fragments and may prevent the postoperative sequelae seen with some closed reductions. Using an extraoral approach, a fracture can be easily seen and manipulated. An intraoral approach avoids large facial scars, facial nerve injury, and allows visualization of the occlusion during the procedure. Cases for this technique should be carefully selected.

Bone Plates↗
PubMed1991

Infection after rigid internal fixation of mandibular fractures: a clinical and radiologic study.

Of 214 patients with mandibular fractures treated following the AO/ASIF principle of rigid fixation, 13 patients (6.1%) developed postoperative infection. The yearly percentage decreased remarkably during the study period. When rigid fixation became a routine method, the infection rate was as low as the corresponding figure for cases treated with nonstable techniques and maxillomandibular fixation (MMF). All but one of the infected fractures were in the angular region of the mandible. Teeth had been extracted from the fracture line in 9 of the 10 dentulous patients. It was concluded that erroneous techniques had been used in almost all infected cases, because compression could not be achieved when there was an irregular fracture line, an atrophic edentulous mandible, or inadequate stability due to removal of a tooth in the line of fracture. In five patients, successful reoperation was performed using a reconstruction plate. Detailed radiologic examination was useful in assessment of infection and in follow-up.

Adolescent↗
PubMed1992

Bone hole diameter as a function of drill guide length and drilling method in rigid internal fixation.

This study examines drill guide length and drilling method to see which technique produces the most accurate hole diameter. Two hundred twenty-five holes were produced in fresh porcine mandibles and then measured with a micrometer. A long guide, a short guide, and no guide were used with a drill press, a pneumatic drill, and a manual drill. Using a 2-mm drill bit, the overall average diameter was 2.03 mm and the overall range was 1.85 mm to 2.60 mm. Statistical analysis of the data indicates the drilling method and the guide length made no difference in the hole diameter at the 95% level (P = .05).

Analysis of Variance↗
PubMed1993

Internal fixation of scaphoid injuries using the Herbert screw through a dorsal approach.

This prospective study reports on the use of the Herbert screw for fixation of fractures and nonunions of the scaphoid through a dorsal approach. In cases of delayed union and nonunion, screw fixation was combined with bone grafting. Twenty-five patients were treated in this manner, and union rates of 100% for acute fractures and 87% for delayed union and nonunion were achieved. We believe that the dorsal approach provides ready access to the scaphoid, enabling placement of the screw in the best possible position to provide fracture fixation.

Adult↗
PubMed2005

Postoperative radiographs after open reduction and internal fixation of the mandible: are they useful?

Mandibular fractures are common in oral and maxillofacial departments in the UK. The aim of this study was to find out the national practice in preoperative and postoperative radiographic investigations for fractured mandibles and to audit their diagnostic capacity, including specificity and sensitivity to short-term complications. The audit took place over a 4-month period and involved 100 patients across the Northern region. Ninety percent of patients were reviewed up to discharge and five of these patients developed a short-term postoperative complication. The postoperative radiograph was diagnostic in only one of the five cases. Overall, postoperative radiographs had a sensitivity of 20% and a specificity of 5% in their ability to predict short-term postoperative complications.

Adolescent↗
PubMed2005

Internal fixation of comminuted cartilaginous fracture of the larynx with mini-plates.

Acute laryngeal trauma is an uncommon injury. Such trauma is not generally encountered by oral and maxillofacial surgeons. We illustrate a patient who sustained a severe penetrating laryngeal injury. His subsequent management was optimised by the joint intra-operative surgical collaboration between otorhinolaryngology and maxillofacial disciplines.

Aged, 80 and over↗