Manual Of Internal Fixation In The Cranio Facial Skeleton

This manual provides comprehensive information on the surgical techniques in internal fixation of fractures, in restoring tumour defects, and osteotomies in the craniofacial skeleton. Through detailed and instructive drawings together with clinical situations shown on x-rays it offers important guidelines for the surgeon in the operating room. The techniques are based on the general principles developed and continuously refined by the AO/ASIF group. This manual constitutes the written guideline of the surgical techniques as taught in the AO/ASIF courses and workshops throughout the world.

Traditionally, each specialty involved in craniomaxillofacial trauma and orthognathic surgery had its own areas of interest and expertise. This introductory textbook is different in that it presents the combined and focused expertise and competence of the different specialties on the entire craniofacial skeleton. The principles described in this textbook represent the evolution of craniomaxillofacial buttress reconstruction over the last 60 years. In addition to standard procedures,techniques representing recent surgical advances and new developments are introduced as well. This textbook not only provides an overview on current concepts of craniomaxillofacial trauma care and orthognathic surgery, but also helps to understand the complexity of the craniofacial skeleton and its related soft tissues for an efficient and successful reconstruction of the face following trauma and congenital deformities.

Traditionally, each specialty involved in craniomaxillofacial trauma and orthognathic surgery had its own areas of interest and expertise. This introductory textbook is different in that it presents the combined and focused expertise and competence of the different specialties on the entire craniofacial skeleton. The principles described in this textbook represent the evolution of craniomaxillofacial buttress reconstruction over the last 60 years. In addition to standard procedures, techniques representing recent surgical advances and new developments are introduced as well. This textbook not only provides an overview on current concepts of craniomaxillofacial trauma care and orthognathic surgery, but also helps to understand the complexity of the craniofacial skeleton and its related soft tissues for an efficient and successful reconstruction of the face following trauma and congenital deformities.

The rigid internaI fixation of mandibular fractures has become a widely ac cepted practice among European surgeons. The caution or even outright re jection voiced at a congress of the German Society of Maxillofacial Sur 1970s is no longer prevalent. Through a process of geons held in the late critical review and implementation, rigid internaI fixation has become an established treatment modality at numerous centers, especially in Switzer land, the Federal Republic of Germany, and the Netherlands. By comparison, the method has received very little attention in North America and the Anglo-Saxon countries. By and large, surgeons in these countries continue to treat mandibular fractures by intermaxillary fixation, possibly supplemented by the use of interosseous wires. Many recent edi tions of surgical texts confirm this. Lately, however, there appears to be a surge of interest in methods of functionally stable internaI fixation, especially in the United States of America, and AO/ ASIF instruction courses are increasingly in demand. This book is intended to aid course participants in their lessons and practi cal exercises and also to guide the clinical practitioner in the application of AO/ ASIF principles. Basel, September 1988 B.SPIESSL VII Acknowledgments I have received help from many sources. The colleagues of the past 20 years who have contributed to the case material upon which this manual is based are too numerous to credit by name.

This advanced book of rigid fixation describes the scientific principles and applied techniques primarily for the AO/ASIF hardware system.

The atlas format of Craniomaxiollofacial Fracturesclearly shows how to manage fractures to the head, face and jaw bones with rigid internal fixation. All fractures, from the simple to the most complex, are covered. The book is ideal for physicians from various specialties who diagnose, treat or refer craniomaxillofacial trauma. It describes for the first time the classical fracture types most commonly encountered and their representations by standard radiographs and diagrams. The AO system is prominently featured throughout the atlas.

Functionally stable internal fixation is of particular relevance to maxillo facial surgery, because it obviates the discomforts and inconveniences of intermaxillary fixation. Given the biomechanics and biophysics of the skeletal system, the true im mobilization of bone can be achieved only through highly technical means. Willenegger speaks of an "advanced school" of bone surgery which, when fully realized, will enable excellent results to be achieved even in the most difficult fractures. To accomplish this goal, ongoing refinements are needed in surgical methods and technology. Advancing the state of operative tech nique has been a central concern of the Association for the Study of Inter nal Fixation since its establishment 25 years ago. For this reason, a major priority of the AOI ASIF has been to develop its own surgical instrumen tation. With the help of technical commissions comprised of experts from medi cine, research and manufacturing, the AOI ASIF has been able to develop and successfully test a line of surgical instruments whose trademark is known and respected the world over. For every specialty in traumatology and orthopaedics, including maxillofacial surgery, the AOIASIF has devel oped both a basic and a special instrument set designed to meet specific anatomic requirements.