The use of external fixators and intermaxillary fixation in comminuted fractures of the facial skeleton

2011 ◽  
Vol 49 ◽  
pp. S111
Author(s):  
A. Venugopal ◽  
V. Bhatt ◽  
R. Williams ◽  
I. Sharp ◽  
S. Parmar ◽  
...  
Keyword(s):  
External Fixators ◽  
Facial Skeleton ◽  
Intermaxillary Fixation ◽  
Comminuted Fractures

scholarly journals The Use of Risdon Cables in Pediatric Maxillofacial Trauma: A Technique Revisited

2012 ◽  
Vol 5 (2) ◽  
pp. 107-109 ◽  
Author(s):  
Matthew Madsen ◽  
Paul S. Tiwana ◽  
Brian Alpert
Keyword(s):  
Primary Teeth ◽  
Maxillofacial Trauma ◽  
Facial Skeleton ◽  
Intermaxillary Fixation ◽  
Pediatric Fractures ◽  
Arch Bar ◽  
Tooth Buds ◽  
Future Growth

Although less common than adult fractures, fractures of the pediatric maxillofacial skeleton present unique challenges. Different considerations including variations of anatomy including tooth buds, dental variations, as well as considerations for future growth must be addressed. When traditional techniques to treat adult fractures are applied for securing intermaxillary fixation (IMF) such as arch bars, difficulty arises because the primary teeth are shorter and conventional arch bar techniques may slip off intra or postoperatively. We present a technique to achieve both IMF as well as interdental stability using a Risdon cable. Although this technique is not new, we present it as our preferred method for treating pediatric fractures of the facial skeleton where IMF must be accomplished.

scholarly journals 748 Case Series: Experience of Using External Fixation as An Adjunct in The Management of MRONJ Affecting the Mandible

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
A Shaw ◽  
R J J Pilkington ◽  
A Wilson ◽  
M Nugent
Keyword(s):  
External Fixation ◽  
Case Series ◽  
Gunshot Wounds ◽  
External Fixators ◽  
Duration Of Treatment ◽  
Pathological Fractures ◽  
Length Of Treatment ◽  
Simple Alternative ◽  
Comminuted Fractures

Abstract Introduction External fixation was first described by Malgaigne and Rigaud in 1870 for use on long bones, then adapted for OMFS in 1934 and used for treating comminuted fractures. In recent times, popularity of external fixators has decreased with the use of mini-plates, often only used in major trauma, for example gunshot wounds. This is a case series of patients who have been treated by external fixation for medication related osteonecrosis (MRONJ) of the jaw and could be a fairly simple alternative to major reconstructive surgery in such cases. This method of treatment has been particularly useful during the Covid-19 pandemic as a non-aerosol generating procedure. Method A single centre, retrospective study of 5 cases between December 2018 - December 2020. The MRONJ cases were graded using the AAOMS classification. All cases treated with external fixation of mandible were included. Pre-operative condition, medical history, treatment complications, pain management, length of treatment and follow-up results were recorded. Results Of the 5 cases treated for MRONJ, 4 of these had pathological fractures. All were AAOMS stage 3. The mean duration of treatment was 78 days, with regular clinical reviews monitoring progress. Of these cases, 4 cases healed well with significant improvement or closure of intraoral and extra-oral wounds. Conclusions In this small case series the technique has shown positive results; being well received by patients and allowing function while in situ. It allows treatment of pathological fractures as well as stabilising the mandible as a preventative measure whilst debriding severely atrophic mandibles.

A Review of 116 Clinical Cases Treated with External Fixators

1997 ◽  
Vol 10 (04) ◽  
pp. 173-182 ◽  
Author(s):  
J. Franch ◽  
J. Cairó ◽  
J. Font
Keyword(s):  
Functional Recovery ◽  
Delayed Union ◽  
Healing Time ◽  
Open Fractures ◽  
External Fixators ◽  
Primary Method ◽  
Non Union ◽  
Comminuted Fractures ◽  
The Mean ◽  
Clinical Cases

SummaryOne hundred and sixteen clinical cases (113 dogs) in which the external skeletal fixation was applied as the primary method of stabilization were reviewed. The 116 clinical cases were divided into the following groups: open fractures (41 cases); gunshot fractures (8 cases); comminuted fractures (11 cases); fractures affecting immature animals (11 cases); trans-articular application of external fixators (16 cases); corrective osteotomies (4 cases) and “simple” fractures (25 cases). History and signs of the animal (breed, age and weight), location and treatment of the fracture, healing time and functional recovery were evaluated in each case and discussed for every group. The mean healing time in the different groups ranged from 4.6 wks (immature animal’s fractures) to 13 wks (gunshot fractures). With reference to the functional recovery, in 14 cases (12.1%) the results were poor, in 57 cases (49.1%) the results were good and in 45 cases (38.3%) the results were excellent. The main complications observed were delayed union, non-union and osteomyelitis.One hundred and sixteen clinical cases of fractures (113 dogs) were treated with a »Meynard« external fixator. The cases were divided in 7 groups: open fractures, gunshot fractures, comminuted fractures, fractures affecting immature animals, trans-articular application of external fixators, corrective osteotomies and »simple« fractures. Each case is reviewed and a discussion is provided for each group.

Distraction Osteogenesis in the Treatment of Craniofacial Anomalies: Applications and Outcomes

2020 ◽  
Vol 5 (6) ◽  
pp. 1469-1481 ◽  
Author(s):  
Joseph A. Napoli ◽  
Carrie E. Zimmerman ◽  
Linda D. Vallino
Keyword(s):  
Distraction Osteogenesis ◽  
Bone Growth ◽  
Upper Airway ◽  
Craniofacial Anomalies ◽  
Craniofacial Skeleton ◽  
Facial Skeleton ◽  
Psychosocial Impairment ◽  
And Function ◽  
Correct Structure

Purpose Craniofacial anomalies (CFA) often result in growth abnormalities of the facial skeleton adversely affecting function and appearance. The functional problems caused by the structural anomalies include upper airway obstruction, speech abnormalities, feeding difficulty, hearing deficits, dental/occlusal defects, and cognitive and psychosocial impairment. Managing disorders of the craniofacial skeleton has been improved by the technique known as distraction osteogenesis (DO). In DO, new bone growth is stimulated allowing bones to be lengthened without need for bone graft. The purpose of this clinical focus article is to describe the technique and clinical applications and outcomes of DO in CFA. Conclusion Distraction can be applied to various regions of the craniofacial skeleton to correct structure and function. The benefits of this procedure include improved airway, feeding, occlusion, speech, and appearance, resulting in a better quality of life for patients with CFA.

Multiple Osteomas of Facial Skeleton: A Component of Gardner’s Syndrome

2008 ◽  
Vol 1 (2) ◽  
pp. 86-90
Author(s):  
Erdinç AYDIN ◽  
Seda TÜRKOĞLU ◽  
İsmail KIRBAŞ ◽  
Figen ÖZÇAY
Keyword(s):  
Gardner's Syndrome ◽  
Facial Skeleton ◽  
Gardner’S Syndrome

Long-Term Outcomes after Colton Type I and II Fractures of the Olecranon

2019 ◽  
Vol 13 (1) ◽  
pp. 208-216
Author(s):  
Thord von Schewelov ◽  
Fredrik Hertervig ◽  
Per-Olof Josefsson ◽  
Jack Besjakov ◽  
Ralph Hasserius
Keyword(s):  
Joint Space ◽  
Type I ◽  
Type Ii ◽  
Men And Women ◽  
Radiographic Outcomes ◽  
Fracture Event ◽  
Comminuted Fractures ◽  
Fracture Types ◽  
Transverse Fractures ◽  
Olecranon Fractures

Background: It is unclear if the outcomes differ in different subtypes of olecranon fractures. Objective: Evaluate the outcomes of different Colton types of olecranon fractures, and if outcomes differ in dominant and non-dominant arms and in men and women. Methods: We evaluated primary journals and radiographs in 40 men and 55 women with isolated olecranon fractures and classified fractures according to Colton. Mean 19 years after fracture event, we re-examined subjective, clinical and radiographic outcomes in the former patients, using the uninjured arms as controls. Results: 89% of patients with Colton type I fractures reported at follow-up no subjective differences between the elbows, 84% with type II oblique/transverse fractures and 84% with type II comminuted fractures (p=0.91). The uninjured to former fractured arm differences in elbow range of motion and strength were no different in the 3 fracture types, the proportions of individuals with radiographic elbow degenerative changes were greater in type II than in type I factures (p<0.001), and there were no differences between the proportions of individuals with reduced joint space in the 3 groups (p=0.40). The outcomes were no different if the fractures had occurred in the dominant or non-dominant arms (p=0.43), or in men or women (p=0.43). Conclusion: There were no different outcomes after Colton type I, type II oblique/transverse or type II comminuted fractures, no different outcomes between fractures in dominant or non-dominant arms and no different outcomes in men and women.

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