Functional Reconstruction of the Mandible

1. Front Matter

   Pages I-VIII

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2. Introduction

   1. Front Matter

      Pages 1-1

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   2. Introduction

      • Roland R. Schmoker

      Pages 1-21

3. Experimental Studies

   1. Front Matter

      Pages 23-23

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   2. Materials and Methods

      • Roland R. Schmoker

      Pages 23-57

   3. Results

      • Roland R. Schmoker

      Pages 58-69

   4. Discussion

      • Roland R. Schmoker

      Pages 69-77

4. Clinical Application

   1. Front Matter

      Pages 79-79

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   2. Materials, Methods, and Results

      • Roland R. Schmoker

      Pages 79-98

   3. Discussion

      • Roland R. Schmoker

      Pages 98-102

   4. Conclusions

      • Roland R. Schmoker

      Pages 103-104

5. Back Matter

   Pages 105-120

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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.

• biomechanics
• bone
• fixation
• fracture
• implant
• joint
• reconstruction
• treatment
• tumor
• conservative orthopedics

• Spezialarzt FMH für Plastische und Wiederherstellungs-Chirurgie Lindenhofspital, Bern, Switzerland

  Roland R. Schmoker

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