Lag screw fixation of composite radial forearm grafts in the reconstruction of mandibular discontinuities

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
S Jisander

Abstract

This report reviews the results of immediate mandibular reconstruction performed with unosteotomized composite osteocutaneous forearm flaps using a lag screw technique for stabilization of the bone graft. Six patients, reconstructed as described, were followed-up for a mean period of 21 months postoperatively (range, 13 to 36 months). Good initial stability was achieved, and healing was uneventful. At radiographic examination 12 months postoperatively, bony healing without dislocation of the segments was found in all patients. The lag screw technique provides good initial stability and allows functional stresses to be transmitted to the graft.

References

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