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Functional Reconstruction of the Mandible

Experimental Foundations and Clinical Experience

  • Roland R. Schmoker

Table of contents

  1. Front Matter
    Pages I-VIII
  2. Introduction

    1. Front Matter
      Pages 1-1
    2. Roland R. Schmoker
      Pages 1-21
  3. Experimental Studies

    1. Front Matter
      Pages 23-23
    2. Roland R. Schmoker
      Pages 23-57
    3. Roland R. Schmoker
      Pages 58-69
    4. Roland R. Schmoker
      Pages 69-77
  4. Clinical Application

    1. Front Matter
      Pages 79-79
    2. Roland R. Schmoker
      Pages 79-98
    3. Roland R. Schmoker
      Pages 98-102
    4. Roland R. Schmoker
      Pages 103-104
  5. Back Matter
    Pages 105-120

About this book

Introduction

Since 1958 the Association for the Study of Internal Fixation (ASIF) has worked to establish the experimental and biomechanical prin­ ciples of the operative treatment of fractures. It has been proven that immediate, pain-free mobilization, made possible by stable internal fixation, is the key to restoring function in a fractured extremity. The same principles were applied in 1972173 by Roland Schmoker, who developed a universal plate and sophisticated instrument set designed initially for the treatment of comminuted fractures of the mandible. To extend the applications of his plate to reconstructions after ex­ tensive tumor resections, he supplemented the device with tem­ poromandibular joint prostheses and anchoring elements for the at­ tachment of dentures. He first tested the functional stability of these implants experimentally in sheep. Later he found that the minipig had a more human-like jaw shape and masticatory action, and so he tested the implants in 37 mini pigs that underwent extensive mandibular re­ sections without bone grafting, using sequential dye injections and postoperative weight gain to chart the progress of osseous regener­ ation. Seven other animals were not operated and served as controls.

Keywords

biomechanics bone fixation fracture implant joint reconstruction treatment tumor

Authors and affiliations

  • Roland R. Schmoker
    • 1
  1. 1.Spezialarzt FMH für Plastische und Wiederherstellungs-Chirurgie LindenhofspitalBernSwitzerland

Bibliographic information

  • DOI https://doi.org/10.1007/978-3-642-71756-7
  • Copyright Information Springer-Verlag Berlin Heidelberg 1987
  • Publisher Name Springer, Berlin, Heidelberg
  • eBook Packages Springer Book Archive
  • Print ISBN 978-3-642-71758-1
  • Online ISBN 978-3-642-71756-7
  • Buy this book on publisher's site
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Pharma