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A new adhesive technique for internal fixation in midfacial surgery |
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| Authors: | Kira Endres Rudolf Marx Joachim Tinschert Dieter Christian Wirtz Christian Stoll Dieter Riediger Ralf Smeets |
| Institution: | 1.University Hospital Aachen, Dental Prosthetics Clinic,Medical Materials R&D Laboratory,Aachen,Germany;2.CC&A Medical Components Ltd,Aachen,Germany;3.University Clinic Bonn, Clinic for Orthopaedics and Accident Surgery,Bonn,Germany;4.University Hospital Charité Berlin, Ruppiner Kliniken GmbH,Plastic Surgery Clinic for the Teeth, Mouth, Jaw and Face,Neuruppin,Germany;5.Departement for oral and maxillofacial surgery,University Hospital Aachen,Aachen,Germany |
| Abstract: | BackgroundThe current surgical therapy of midfacial fractures involves internal fixation in which bone fragments are fixed in their anatomical positions with osteosynthesis plates and corresponding screws until bone healing is complete. This often causes new fractures to fragile bones while drilling pilot holes or trying to insert screws. The adhesive fixation of osteosynthesis plates using PMMA bone cement could offer a viable alternative for fixing the plates without screws. In order to achieve the adhesive bonding of bone cement to cortical bone in the viscerocranium, an amphiphilic bone bonding agent was created, analogous to the dentin bonding agents currently on the market. |
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