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Authors of section


Edward Ellis III, Warren Schubert

Executive Editors

Zein Gossous, Uzair Luqman, Rafael Cypriano, Peter Aquilina, Irfan Shah, Florian M Thieringer

General Editor

Daniel Buchbinder

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ORIF, load bearing plate

1. Chronically infected simple fractures

In chronically infected simple fractures, resorption at the fracture site or debridement of the fracture gap may result in a small continuity defect and loss of buttressing of the mandibular fragments. A load-bearing plate must be used to ensure primary stability at the fracture site and uneventful fracture healing, with or without bone grafting.

General guidelines for these procedures is given here:

2. Fractures of severely atrophic mandibles

Body fractures in the severely atrophic mandible (< 10 mm mandibular height) will not provide adequate buttressing to allow the use of load-sharing hardware. A large load-bearing plate must be used to provide adequate fixation and uneventful healing.

A general guideline is given here: