Jisander S
Department of Oral and Maxillofacial Surgery, University Hospital, Lund, Sweden.
J Oral Maxillofac Surg. 1998 Jan;56(1):34-7. doi: 10.1016/s0278-2391(98)90913-2.
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.
本报告回顾了采用未截骨的前臂复合骨皮瓣，通过拉力螺钉技术稳定骨移植进行即刻下颌骨重建的结果。
6例按上述方法进行重建的患者术后平均随访21个月（范围13至36个月）。
实现了良好的初始稳定性，愈合过程顺利。术后12个月的影像学检查发现，所有患者均有骨愈合且节段无移位。
拉力螺钉技术提供了良好的初始稳定性，并允许功能应力传递至移植物。
