Ewers R, Härle F
Plast Reconstr Surg. 1985 Jan;75(1):25-31. doi: 10.1097/00006534-198501000-00006.
Theoretical considerations and photoelastic and mechanical experiments showed us the progression from metal wires to metal plates in different systems. In the midface there is no question about stabilization by miniplate systems. For mandibular fracture treatment, there is a discussion going on at present about the use of stable maxisystems versus less stable minisystems. Our clinical experience of 15 years indicates that there is no further demand for strict stable fixation of mandibular fractures, and we were encouraged to use less stable systems with similar good results, as our follow-up and statistical evaluation showed. To continue the simplification of osteosynthesis methods we are performing experiments with resorbable materials. Early results show fracture healing comparable with that found with plate-and-screw systems. Our clinical experience has shown that there is no longer any question about the ability of stable fracture treatment by means of osteosynthesis. However, there still is the question of how functional such fracture treatment might be.
理论思考以及光弹性和力学实验向我们展示了不同系统中从金属丝到金属板的发展历程。在面中部，微型钢板系统的稳定性毋庸置疑。对于下颌骨骨折治疗，目前正在讨论使用稳定的大型系统与稳定性较差的小型系统。我们15年的临床经验表明，下颌骨骨折不再需要严格的稳定固定，并且正如我们的随访和统计评估所示，我们受到鼓舞使用稳定性较差的系统，结果同样良好。为了继续简化骨固定方法，我们正在使用可吸收材料进行实验。早期结果显示骨折愈合情况与钢板螺钉系统相当。我们的临床经验表明，通过骨固定进行稳定骨折治疗的能力已不再有任何疑问。然而，这样的骨折治疗功能如何仍存在问题。
