From rigid bone plate fixation to stable dynamic osteosynthesis in mandibular and craniomaxillo-facial surgery: Historical evolution of concepts and technical developments

Autor: Isabelle Barthélémy, F. Bekara, N. Pham Dang
Přispěvatelé: Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier)
Rok vydání: 2019
Předmět:
Zdroj: Journal of Stomatology, Oral and Maxillofacial Surgery
Journal of Stomatology, Oral and Maxillofacial Surgery, Elsevier Masson, 2019, 120 (3), pp.229-233. ⟨10.1016/j.jormas.2019.01.011⟩
ISSN: 2468-7855
Popis: Historically, extensive observation of limb fracture healing led to a consensus that only complete rigid immobilization could guarantee recovery. This agreement was arrived at because for a long time progress in treatment was driven by clinicians and did not stem from the application of biological research. The clinical approach was based on immobilization of the fracture by rigid osteosynthesis plates and bicortical screws. Subsequently, after extrapolation of the ideas of Lane, the concept of rigid compressive osteosynthesis rapidly gained in acceptance. It was not until the second half of the 20th century that maxillofacial surgeons concluded that the principles of osteosynthesis should be based on biomechanical studies and not only on clinical observation. The concept of stable dynamic osteosynthesis stems from basic research. This paper traces the evolution of concepts in maxillofacial osteosynthesis.
Databáze: OpenAIRE