Clinical and radiological evaluation following surgical treatment of condylar neck fractures with lag screws

Eckelt, Uwe; Hlawitschka, M.

doi:10.1016/s1010-5182(99)80035-3

Cited by 56 publications

(28 citation statements)

References 18 publications

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“…Out of 15 patients, no patient in our study developed postoperative infection, whereas in a study done by Eckelt and Hlawitschka 16 on 230 patients with mandibular condylar fractures, they found wound infection in 3 patients, resulting in reduced mouth opening followed by lag screw fixation. Similarly, Niederdellmann et al 15 observed 4 cases of wound infection in 18 cases treated for mandibular angle and parasymphyseal fractures with lag screw osteosynthesis, which were managed by opening incision and inserting an iodoform gauze.…”

Section: Discussioncontrasting

confidence: 61%

Evaluation of Titanium Lag Screw Osteosynthesis in the Management of Mandibular Fractures

Bansal¹,

Mishra²,

Jaiswal³

et al. 2017

World Journal of Dentistry

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Introduction:The management of facial trauma is one of the most important and demanding aspects of maxillofacial surgery. Mandible is the most movable and prominent bone of facial skeleton. The management of the injuries to the maxillofacial complex remains a challenge for oral and maxillofacial surgeons. The aim of mandibular fracture treatment is the restoration of anatomical form and function with particular care to establish occlusion. The lag screw technique was fi rst introduced to maxillo facial surgery by Brons and Boering in 1970, who cautioned that at least two lag screws are necessary to prevent rotational movement of the fragments in oblique fractures of mandible.

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Section: Discussioncontrasting

confidence: 61%

Evaluation of Titanium Lag Screw Osteosynthesis in the Management of Mandibular Fractures

Bansal¹,

Mishra²,

Jaiswal³

et al. 2017

World Journal of Dentistry

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“…14 Fractures of fixing materials have been described in the literature. 31 It is hypothesized that the main reason is improper reduction. 32 Lag screw fixation is very stable 7 and reduction is much simpler compared to plate application.…”

Section: Discussionmentioning

confidence: 99%

“…1. The high condylar neck fracture examined in this study is located just below the head fracture type C [35] marked by a green line in the top left (A) and marked in line with the highest neck fracture (B) in the top right [10], and below: C -ORIF by dedicated plate [31], D -ORIF by headless bone screws [25] 3) the contact between the screws and bony segments was defined as a bonded type in the threaded region and a sliding one in the non-threaded screw core (lag screw action), 4) the contact between the surfaces of the 2 segments was defined according to Xin.…”

Section: Methodsmentioning

confidence: 99%

Treatment of high fracture of the neck of the mandibular condylar process by rigid fixation performed by lag screws: Finite element analysis

Kozakiewicz¹,

Świniarski²

2017

Dent. Med. Probl.

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“…XX w. Wtedy to w traumatologii szczękowo-twarzowej dokonał się przełom związany z wprowadzeniem do leczenia złamań zminiaturyzowanych płytek [4,5] i poznaniem najkorzystniejszych miejsc umieszczania ich w kości [6]. W różnych udoskonaleniach i modyfikacjach minipłytki są stosowane do dziś, a producenci na podstawie badań biomechanicznych i klinicznych opracowali nawet standardowe zestawy do leczenia poszczególnych rodzajów złamań [7,8,9].…”

Section: Wczorajunclassified

Osteosynthesis techniques used for mandibular sagittal split osteotomy – history of orthognathic procedures and modern practice

Nowak

Trybek

2017

Pomeranian J Life Sci

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Choosing an appropriate fixation technique after maxillary or mandibular osteotomy is one of the key factors affecting the success of orthognathic surgery. In line with the development of new surgical methods and techniques, the surgeons' approach to the fixation of bone fragments has evolved accordingly, varying from non-fusion to different osteosynthesis techniques. Advances in medical sciences and medical technologies, have changed our attitudes to bone fragment reduction in orthopaedics and traumatology, and also in maxillofacial surgery. The pivotal underlying principle which determines bone healing -that is proper positioning so as to ensure appropriate contact area and immobilisation so as to ensure osteosynthesis -has remained unchanged for centuries. However, over the years, patient comfort and the predictability of treatment outcomes have vastly improved. The paper provides an overview of the techniques and methods used for the fixation of osteotomized fragments after bilateral sagittal split osteotomy since its introduction by Hugo Obwegeser up to the present day. Keywords: osteosynthesis; orthognathic surgery; bilateral sagittal split osteotomy; BSSO; bone fixation. ABSTRAKT W chirurgii ortognatycznej jednym z czynników warunkujących powodzenie leczenia jest zastosowanie odpowiednich zespoleń po wykonaniu zabiegu osteotomii szczęki lub żuchwy. Podobnie jak zmieniały się metody i techniki operacyjne, tak również ewaluowało podejście chirurgów do sposobów zespalania odłamów kostnych od pozostawiania ich bez zespalania do stosowania różnych technik osteosyntezy. Rozwój medycyny i technologii medycznej pozwolił zmienić podejście do unieruchamiania odłamów kostnych nie tylko w ortopedii i traumatologii, ale również przy planowych kostnych zabiegach korekcyjnych. Naczelna zasada warunkująca gojenie kości -czyli jej prawidłowe ustawienie, tak aby zapewnić właściwą powierzchnię przylegania, oraz unieruchomienie, aby umożliwić zrost -pozostała od wieków niezmienna, natomiast dzięki postępowi możliwe stało się zwiększenie komfortu pacjenta i przewidywalności efektów leczenia. W artykule przedstawiono techniki i sposoby zespalania odła-mów osteotomijnych po wykonaniu strzałkowej osteotomii gałęzi żuchwy, począwszy od pierwszych zabiegów wykonywanych przez Hugo Obwegesera, aż do dzisiaj.

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Clinical and radiological evaluation following surgical treatment of condylar neck fractures with lag screws

Cited by 56 publications

References 18 publications

Evaluation of Titanium Lag Screw Osteosynthesis in the Management of Mandibular Fractures

Evaluation of Titanium Lag Screw Osteosynthesis in the Management of Mandibular Fractures

Treatment of high fracture of the neck of the mandibular condylar process by rigid fixation performed by lag screws: Finite element analysis

Osteosynthesis techniques used for mandibular sagittal split osteotomy – history of orthognathic procedures and modern practice

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