The Useful Method on Temporary Fixation with Screw-wire Technique.

Kim, Myung Hoon; Kwon, Yong Seok; Heo, Jung; Lee, Keun Cheol; Kim, Seok Kwun

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2008;35(2):181-186.
Published online March 1, 2008.

The Useful Method on Temporary Fixation with Screw-wire Technique.

Myung Hoon Kim, Yong Seok Kwon, Jung Heo, Keun Cheol Lee, Seok Kwun Kim

Department of Plastic and Reconstructive Surgery, College of Medicine, Dong-A University, Busan, Korea. yongskee@dau.ac.kr

Abstract

PURPOSE
Until now, many kinds of treatment modalities for facial bone fractures have been proposed. Among them, the semi-rigid fixation using miniplates has become the most popular procedure due to its simplicity and good clinical results. However, achieving anatomic reduction of bone fragments with miniplates may be difficult because of inadequate instrumentation for fracture fragment stabilization. We examined the use of inter-maxillary fixation screws or titanium screws tied with stainless steel wire to assist in positioning of fractured segment. METHODS: We used this method for reduction in 50 cases of facial bone fractures. Inter-maxillary fixation screws or titanium screws tied with stainless steel wire were used to assist in aligning bony segment. Postoperative radiologic and clinical follow-ups were performed.
RESULTS
Radiologic follow-up showed correct reduction and fixation in all cases. Nonnunion and malunion were not shown. Clinical follow-up showed an satisfactory results.
CONCLUSION
By using Inter-maxillary fixation screws tied with stainless steel wire, it was shown that reducing the bony segment to their preinjury position is easy to perform and it enables us to make more accurate reduction, ensure wider visual field.

Keywords: Facial bone fracture; Open reduction; Screw; Wire