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A novel fixation method for panfacial fracture using an Ilizarov-type external fixator
Masakatsu Hihara1, Takuma Yagura2, Masayasu Takegawa1
1Department of Plastic and Reconstructive Surgery, Kansai Medical University, Osaka, Japan.
Trauma Case Reports
|July 12, 2019
Summary
This study introduces the Ilizarov-type external fixator as a novel solution for severe panfacial fractures. This method offers a less invasive approach compared to traditional internal fixation, successfully treating complex facial bone fractures.
Area of Science:
- Orthopedic Surgery
- Maxillofacial Trauma
- Biomedical Engineering
Background:
- Internal plate fixation is standard for facial fractures but challenging with severe comminution.
- Achieving occlusal stability and preventing infection are key concerns with internal fixation.
- Avascular bone fragments and implants increase infection risk in severe facial fractures.
Observation:
- Internal fixation is difficult with severely comminuted facial fractures due to fragment management.
- Internal fixation carries infection risks from foreign bodies and avascular bone fragments.
Findings:
- External fixation using an Ilizarov-type external fixator was successfully employed for a severe panfacial fracture.
- The Ilizarov-type external fixator offers low invasiveness, adaptability, adjustability, and cost-effectiveness.
Implications:
- Ilizarov-type external fixation presents a viable, less invasive treatment option for severe panfacial fractures.
- This technique may reduce complications associated with internal fixation in complex facial trauma.
- Further research can explore the broader application of Ilizarov-type fixators in maxillofacial trauma.
Keywords:
Bone extending devicesComminuted facial fractureExternal fixation devicesIlizarov-type external fixatorImplant infectionPanfacial fractureMore Related Videos
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