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5Fixation (comminution with defect)

Le Fort I

Buttressing of the defect side

Bone graft is used to fill the defect and the buttresses are restored by plates.

The lateral buttress is plated first, followed by the medial buttresses. The lateral segment is repaired in the following order:

  • Contour the plate to the buttress area.
  • Insert the bone graft.
  • Position the plate.
  • Fix the bone graft to the plate while the surgeon or an assistant keeps the graft in place.