PubMed · 11904214
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Amos Stoll. 2002. Plating for ACDF.. https://doi.org/10.1016/s0090-3019(01)00692-9
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BACKGROUND: A method is introduced using a newly developed palatal distractor, which allows rapid transversal widening in cases of maxillary compression. METHODS: After osteotomy of the palate parallel to the sutura palatina mediana as well as to the lateral walls of the maxillary sinuses, the applied distractor permitted a transversal widening of 7.5 mm within 3 weeks. During the 3-month period of retention, multibanded orthodontic therapy could be performed. DISCUSSION: Because of the short treatment period, absence of recurrence, and easy handling for the patient this method is recommended for clinical use.
Thirty-five patients with 36 displaced distal femoral fractures (16 AO-type C2 and 19 AO-type C3) were treated with an anterior approach and double plating and followed for an average of 7 (3-44) months. Bone grafting with allograft and demineralized bone matrix was used. Postoperative therapy included immediate ROM and non-weight bearing for 12 weeks. Two patients died during hospitalization and one was lost to follow-up. Reductions were near anatomic in all but three patients. Uneventful healing by 16 weeks occurred in 24/36 fractures. Double plating via the anterolateral approach minimized stripping of the medial side and improved controlled access to the distal femur.
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