Internal Fixation of the Mandible: A Manual of Ao/Asif Principles (Paperback, Softcover Repri)

I: Basic Principles.- 1 Goals of the AO/ASIF Technique.- 2 The Stability Principle.- 2.1 Instability and Its Consequences.- 2.2 Experimental Investigations of Stability and Instability.- 2.3 Significance of the Stability Principle.- 2.3.1 Indirect (Secondary) and Direct (Primary) Bone Healing.- 3 Biomechanics.- 3.1 Anatomic Aspects of Biomechanics.- 3.1.1 Form and Structure of the Mandible.- 3.1.2 Muscular Apparatus of the Mandible.- 3.1.3 Implications for the Biomechanics of Internal Fixation.- 3.2 Biomechanics of Fracture Treatment: Experimental Background (B. Rahn).- 3.2.1 Mechanisms of Stabilization.- 3.2.1.1 Stabilization by Splinting.- 3.2.1.2 Stabilization by Compression.- 3.2.2 Special Situation in the Mandible.- 3.2.3 Bone Healing.- 3.2.3.1 Indirect Bone Healing.- 3.2.3.2 Direct Bone Healing.- 3.2.3.3 Plate-Induced Porosis, "Stress Protection".- 3.2.3.4 Disturbed Healing Process.- 3.2.4 Implant Design.- 4 Principles of the ASIF Technique.- 4.1 Interfragmental Compression for Functionally Stable Internal Fixation.- 4.1.1 Static Compression.- 4.1.1.1 Static Compression with a Prestressed Plate (DCP).- 4.1.1.2 Eccentric Dynamic Compression Plate (EDCP) for Creating Uniform Pressure on the Oral Side.- 4.1.1.3 Overbending the Plate to Improve Compression on the Lingual Side.- 4.1.1.4 Static Compression with a Lag Screw.- 4.1.2 Dynamic Compression.- 4.1.2.1 Application of the Tension Band Principle in the Mandible.- 4.1.2.2 Tension Band Plate and Tension Band Splint.- 4.1.2.3 Experimental Studies of the Tension Band Splint.- 4.1.2.4 Tension Band Plate.- 4.1.2.5 Plate and Tension Band System.- 4.1.2.6 Interfragmental Compression Without a Tension Band.- 4.1.2.7 Applications of the EDCP.- 4.1.2.8 Applications of the Reconstruction Plate.- 4.2 Principle of Surgical Splinting.- 4.2.1 Internal Splinting.- 4.2.1.1 Buttressing.- 4.2.1.2 Bridging.- 4.2.1.3 Internal Bone Splinting Combined with Interfragmental Compression.- 4.2.2 External Splinting: External Fixator.- 4.2.2.1 Principle, Design, and Advantages.- 4.2.2.2 Clinical Significance.- 4.2.2.3 Indications.- 4.2.2.4 Historical Aspects of External Fixation.- 4.2.2.5 Biomechanics of External Fixation.- 4.2.2.6 One-Bar External Fixator.- 4.2.2.7 Indications for External Fixation.- 5 ASIF Instrumentation.- 5.1 Instrument Sets for Mandibular Surgery.- 5.2 Materials.- 5.2.1 Materials for Mandibular Implants.- 5.2.2 Materials for Instruments.- 5.3 Mandibular Instruments.- 5.3.1 Reduction and Compressing Instruments.- 5.3.2 Instruments for Screw Insertion.- 5.3.2.1 Instruments for Direct Screw Insertion.- 5.3.2.2 Instruments for Transbuccal Screw Insertion.- 5.3.2.3 Small Air Drill with Quick Coupling.- 5.3.2.4 Instruments for Bending and Twisting.- 5.4 Mandibular Implants.- 5.4.1 Mandibular Plates.- 5.4.1.1 Linear System: DCP and EDCP.- 5.4.1.2 Universal Plate System: Reconstruction Plate.- 5.4.1.3 Principles of Plate Bending.- 5.4.2 Mandibular Screws.- 5.4.2.1 Cortex Screw.- 5.4.2.2 Emergency Screw.- 5.4.2.3 Technique of Screw Insertion.- 5.4.3 Wire as a Fixation Material.- 5.5 Wire Acrylic Splint (Schuchardt Splint).- 5.5.1 Functions: Reduction, Retention, Tension Band.- 5.5.2 Materials and Instrumentation.- 5.5.3 Splinting Technique.- 5.5.3.1 Placement of the Arch Bar.- 5.5.3.2 Wiring the Arch Bar to the Teeth.- 5.5.3.3 Stiffening the Arch Bar.- 6 Preoperative, Intraoperative, and Postoperative Guidelines.- 6.1 Organizational Requirements.- 6.2 Priorities in the Care of Multiple Trauma Patients.- 6.3 Timing of Operation.- 6.3.1 Plan of Operation.- 6.3.2 Preparation of the Operative Field.- 6.4 Postoperative Care.- 6.5 Atraumatic Operating Technique.- 6.5.1 Handling of the Soft Tissues.- 6.5.1.1 Value of the Scalpel Technique.- 6.5.2 Prevention of Infection.- 6.5.3 Handling of the Bone.- 6.6 Antibiotic Prophylaxis (General).- 6.7 Interaction Between the Implant and Tissue.- 6.7.1 Mechanical Interactions.- 6.7.2 Chemical-Physiologic Interactions.- 6.7.3 Observations in Mandibula