Rigid skeletal fixation of fractures

Rigid skeletal fixation of facial fractures has evolved from the principles established in orthopedics. It has taken a long time to develop rigid internal fixation devices that provide stability combined with safety. The application of rigid skeletal fixation to the facial skeleton requires the surgeon to pay strict attention to detail, which may add a small time increment to the procedure. However, the benefits to patients of having early use of the jaws and exact placement of bony segments seem to outweigh the disadvantages. The future of this constantly developing field will almost certainly center around technologic innovations that will make the application of fixation devices easier. It is likely that future research will provide devices that are more biocompatible, and perhaps just over the horizon, devices that are bioresorbable.