An intermaxillary fixation screw traction wire: an aid for facial bone fracture repair.
We have devised a new technique to improve stabilization of fractured facial bone fractures (frontal sinus fractures, zygomatic fractures, mandibular condyle fractures) by intermaxillary fixation screw traction wires (stainless steel wires through intermaxillary fixation screws). A retrospective study evaluating intermaxillary fixation screw traction wires was performed. We have used this technique for 3 cases of frontal sinus fractures, 9 cases of zygomatic fractures, and 7 cases of mandibular condyle fractures. After dissection of a fractured site, a hole is drilled on the fractured bone where it does not interfere with positioning the plate across the fracture line. After an intermaxillary fixation screw is inserted, a stainless steel wire is tied through a hole in the screw head. By the aid of wire for traction, the displaced fractured bone is easily aligned to the proper position. Plates and screws are applied readily on the predetermined area. A retrospective study on 19 patients using intermaxillary fixation screw traction wires was performed. The diagnoses and associated complications of the cases were recorded. No associated complication as a result of using this technique was identified. The use of intermaxillary fixation screw traction wire enhances stabilization and visualization without possible risk for surrounding soft tissue injury using, a sharp traction device like a bone hook. An intermaxillary fixation screw traction wire is an useful aid for visualization and stabilization during facial bone fracture reduction, particularly where exposure is difficult such as in the condylar region of the mandible. And unlike a classic traction wire, the intermaxillary fixation screw traction wire has almost no risk of having it loosened from the screw.
Kim
Myung-Good
MG
Department of Plastic and Reconstructive Surgery, Seoul National University Boramae Hospital, Seoul, Korea. goodkorea@hotmail.com
Yoo
Roh-Eul
RE
Chang
Hak
H
Kwon
Sung-Tack
ST
Baek
Rong-Min
RM
Minn
Kyung-Won
KW
D000293:Adolescent; D000328:Adult; D001864:Bone Wires; D005260:Female; D006801:Humans; D016268:Internal Fixators; D008297:Male; D008440:Maxillary Fractures / Q000601:surgery*; D008875:Middle Aged; D012189:Retrospective Studies; D014143:Traction