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A Cheap Hand-Made Mandibular External Fixator?

Thomas Wojcik1, Romain Nicot, Joel Ferri

  • 1*University Lille Nord de France, UDSL, PRES †INSERM U 1008, Controlled Drug Delivery Systems and Biomaterials ‡Cervico Facial Surgery Department, Centre Oscar Lambret §Oral and Maxillofacial Department, Roger Salengro Hospital, CHU Lille, France.

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|August 12, 2016
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Maxillofacial surgeons can use a low-cost external mandibular fixator for complex fractures, offering an alternative to conventional devices. This technique provides guidance for implementation and discusses suitable indications for ballistic or comminuted traumas.

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Area of Science:

  • Maxillofacial Surgery
  • Orthopedic Trauma
  • Biomedical Engineering

Background:

  • External mandibular fixators are crucial for managing complex facial fractures, especially those resulting from ballistic trauma or comminution.
  • Conventional external fixators can be costly and may not always be accessible in all clinical settings.

Purpose of the Study:

  • To present a novel, cost-effective, craft external fixator inspired by the Joe Hall Morris fixation technique.
  • To provide practical guidance and highlight potential pitfalls for the implementation of this alternative fixation method.

Main Methods:

  • Description of a custom-designed external fixator based on established principles.
  • Detailed surgical technique and implementation advice for applying the craft fixator.
  • Discussion of clinical scenarios and patient selection for this device.

Main Results:

  • The craft external fixator serves as an affordable alternative to conventional devices for mandibular fracture management.
  • The authors share practical tips to ensure successful application and minimize complications.
  • The study outlines the specific indications where this device is most suitable.

Conclusions:

  • A craft external fixator offers a viable, economical solution for complex mandibular fractures.
  • Proper technique and careful patient selection are key to successful outcomes with this device.
  • This approach expands treatment options for maxillofacial trauma, particularly in resource-limited environments.