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Technique for costochondral graft placement

G R Evans1, N Clark, P N Manson

  • 1Department of Reconstructive and Plastic Surgery, University of Texas M.D. Anderson Cancer Center, Houston.

The Journal of Craniofacial Surgery
|November 1, 1994
PubMed
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This study explores a new technique for costochondral grafts in severe condylar head fractures. The method uses a Synthes AO mesh plate for rigid fixation, proving effective in acute trauma cases.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Orthopedic Surgery
  • Trauma Surgery

Background:

  • Costochondral grafts are debated for acute trauma.
  • Severe condylar head fractures present treatment challenges.

Purpose of the Study:

  • To evaluate a novel technique for costochondral graft fixation in acute condylar head fractures.
  • To assess the efficacy of a new Synthes AO mesh plate system.

Main Methods:

  • A new technique utilizing a Synthes AO mesh plate with microscrews (0.8 mm) and 1.5-mm fixation was applied.
  • The technique was used in two patients with severe condylar head fractures.

Main Results:

  • The technique provided superb rigid fixation.

Related Experiment Videos

  • The fixation method demonstrated versatility for acute and chronic graft replacements.

    • Conclusions:

    • This novel fixation technique offers a viable solution for severe condylar head fractures.
    • The Synthes AO mesh plate system shows promise for costochondral graft reconstruction in various settings.