previous section: 4/6 page: 4/5 next

4Fixation (comminution without defect)

Le Fort I

Pearl: predrilling of comminuted fragments
Fixation of comminuted fragments to the plate is a demanding procedure which can be facilitated by predrilling the bony fragment outside the operational field. Therefore:

  • Mark (or remember) the plate hole position on the surface of the fragment
  • Remove the bony fragment
  • Drill a pilot hole into the bony fragment