[Skip to Content]
[Skip to Content Landing]
Article
December 1947

INTEROSSEOUS WIRING IN THE TREATMENT OF FRACTURES OF THE MANDIBLE

Author Affiliations

TORONTO, CANADA
From the Division of Plastic Surgery, Toronto General Hospital, and the Division of Plastic Surgery, Christie Street Hospital, Department of Veterans' Affairs, Toronto. The illustrations are from the Medical Arts Department, Christie Street Hospital.

Arch Surg. 1947;55(6):660-667. doi:10.1001/archsurg.1947.01230080671003
Abstract

INTEROSSEOUS wiring as a method of treatment in suitable fractures of the mandible has not been used as extensively as, in my opinion, its value justifies. Its use in the past has indeed been discouraged because of the complications that may follow. It is proposed to discuss, in this communication, the use of the method in the treatment of forty-eight fractures in 46 patients. Eighteen of these patients were soldiers injured by enemy action.

Wire suture of the fractured mandible is applicable in fractures of the edentulous mandible, fractures having an edentulous posterior fragment, multiple fractures (for stabilization of the main fracture), bilateral fracture through the mental foramina with downward displacement of the central fragment, gun (or shell) wounds (for stabilization when a portion is missing) and in fractures at the base of the condyle with displacement.

Incision is made below the mandibular line. No attempt is made to protect

First Page Preview View Large
First page PDF preview
First page PDF preview
×