Ewers R, Schilli W
Int J Oral Surg. 1979 Dec;8(6):462-6. doi: 10.1016/s0300-9785(79)80086-1.
The implantation of a bone graft into the mandible was simulated in photoelastic model tests. Problems posed by the lingual and alveolar areas untouched by the plate are discussed. The tests showed that in both problem areas enough interfragmentary pressure can be built up using a five-hold DC (dynamic compression) plate with a short implant and two four-hole DC plates with a long implant, whenever the metal plates have dynamic compression holes (DC), are prebent and the screws are in converging position. This is a prerequisite for a rapid revascularization of the implanted bone graft and primary bone healing. These tests and our clinical experience showed that with small implants using a five-hold plate and with long implants using two four-hole plates, and physiologically stressing the bone implant, the principles of stable compression osteosynthesis without intermaxillary immobilization have proved themselves.
在光弹性模型试验中模拟了骨移植体植入下颌骨的过程。讨论了接骨板未触及的舌侧和牙槽区域所带来的问题。试验表明，在这两个问题区域，无论何时金属接骨板带有动力加压孔（DC）、预先弯曲且螺钉处于汇聚位置，使用带有短植入体的五孔DC（动力加压）接骨板以及带有长植入体的两个四孔DC接骨板，都能够建立足够的骨折块间压力。这是植入骨移植体快速血管化和一期骨愈合的前提条件。这些试验以及我们的临床经验表明，对于小植入体使用五孔接骨板，对于长植入体使用两个四孔接骨板，并对骨植入体施加生理应力，已证明了无需颌间固定的稳定加压骨接合术原则的有效性。
