Impact tolerances of the rigidly fixated maxillofacial skeleton

Jaime R Garza, R. V. Baratta, K. Odinet, S. Metzinger, D. Bailey, R. Best, R. Whitworth, M. L. Trail

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

A study was designed to determine how soon an athlete who undergoes rigid fixation of a facial fracture can return to full competition. The impact resistance of a rigidly fixated malar complex fracture was studied and compared with that of an intact malar complex. Twelve fresh human cadaver heads were used. A custom-designed impact device was used to deliver a blow of a specific energy to each intact malar complex. The subsequent fractures were rigidly fixated at three points using titanium miniplates and screws. A second impact of identical energy was delivered. The forces generated and the subsequent displacement of hard and soft tissues were recorded after each impact. It was concluded from this study that an impact to a rigidly fixated malar complex fracture produced less force and greater displacement of hard and soft tissues than an impact of identical energy to an intact malar complex. The potential for sustaining more severe maxillofacial injuries after an initial facial fracture should be seriously considered. The results suggest that sufficient time should be allowed for the bony healing of a facial fracture to occur, even after rigid fixation, before an athlete can resume full contact activities.

Original languageEnglish (US)
Pages (from-to)212-216
Number of pages5
JournalAnnals of Plastic Surgery
Volume30
Issue number3
StatePublished - 1993
Externally publishedYes

Fingerprint

Skeleton
Athletes
Maxillofacial Injuries
Titanium
Cadaver
Head
Equipment and Supplies

ASJC Scopus subject areas

  • Surgery

Cite this

Garza, J. R., Baratta, R. V., Odinet, K., Metzinger, S., Bailey, D., Best, R., ... Trail, M. L. (1993). Impact tolerances of the rigidly fixated maxillofacial skeleton. Annals of Plastic Surgery, 30(3), 212-216.

Impact tolerances of the rigidly fixated maxillofacial skeleton. / Garza, Jaime R; Baratta, R. V.; Odinet, K.; Metzinger, S.; Bailey, D.; Best, R.; Whitworth, R.; Trail, M. L.

In: Annals of Plastic Surgery, Vol. 30, No. 3, 1993, p. 212-216.

Research output: Contribution to journalArticle

Garza, JR, Baratta, RV, Odinet, K, Metzinger, S, Bailey, D, Best, R, Whitworth, R & Trail, ML 1993, 'Impact tolerances of the rigidly fixated maxillofacial skeleton', Annals of Plastic Surgery, vol. 30, no. 3, pp. 212-216.
Garza JR, Baratta RV, Odinet K, Metzinger S, Bailey D, Best R et al. Impact tolerances of the rigidly fixated maxillofacial skeleton. Annals of Plastic Surgery. 1993;30(3):212-216.
Garza, Jaime R ; Baratta, R. V. ; Odinet, K. ; Metzinger, S. ; Bailey, D. ; Best, R. ; Whitworth, R. ; Trail, M. L. / Impact tolerances of the rigidly fixated maxillofacial skeleton. In: Annals of Plastic Surgery. 1993 ; Vol. 30, No. 3. pp. 212-216.
@article{8c808780b87f4b9cbab329d123f7f7cf,
title = "Impact tolerances of the rigidly fixated maxillofacial skeleton",
abstract = "A study was designed to determine how soon an athlete who undergoes rigid fixation of a facial fracture can return to full competition. The impact resistance of a rigidly fixated malar complex fracture was studied and compared with that of an intact malar complex. Twelve fresh human cadaver heads were used. A custom-designed impact device was used to deliver a blow of a specific energy to each intact malar complex. The subsequent fractures were rigidly fixated at three points using titanium miniplates and screws. A second impact of identical energy was delivered. The forces generated and the subsequent displacement of hard and soft tissues were recorded after each impact. It was concluded from this study that an impact to a rigidly fixated malar complex fracture produced less force and greater displacement of hard and soft tissues than an impact of identical energy to an intact malar complex. The potential for sustaining more severe maxillofacial injuries after an initial facial fracture should be seriously considered. The results suggest that sufficient time should be allowed for the bony healing of a facial fracture to occur, even after rigid fixation, before an athlete can resume full contact activities.",
author = "Garza, {Jaime R} and Baratta, {R. V.} and K. Odinet and S. Metzinger and D. Bailey and R. Best and R. Whitworth and Trail, {M. L.}",
year = "1993",
language = "English (US)",
volume = "30",
pages = "212--216",
journal = "Annals of Plastic Surgery",
issn = "0148-7043",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Impact tolerances of the rigidly fixated maxillofacial skeleton

AU - Garza, Jaime R

AU - Baratta, R. V.

AU - Odinet, K.

AU - Metzinger, S.

AU - Bailey, D.

AU - Best, R.

AU - Whitworth, R.

AU - Trail, M. L.

PY - 1993

Y1 - 1993

N2 - A study was designed to determine how soon an athlete who undergoes rigid fixation of a facial fracture can return to full competition. The impact resistance of a rigidly fixated malar complex fracture was studied and compared with that of an intact malar complex. Twelve fresh human cadaver heads were used. A custom-designed impact device was used to deliver a blow of a specific energy to each intact malar complex. The subsequent fractures were rigidly fixated at three points using titanium miniplates and screws. A second impact of identical energy was delivered. The forces generated and the subsequent displacement of hard and soft tissues were recorded after each impact. It was concluded from this study that an impact to a rigidly fixated malar complex fracture produced less force and greater displacement of hard and soft tissues than an impact of identical energy to an intact malar complex. The potential for sustaining more severe maxillofacial injuries after an initial facial fracture should be seriously considered. The results suggest that sufficient time should be allowed for the bony healing of a facial fracture to occur, even after rigid fixation, before an athlete can resume full contact activities.

AB - A study was designed to determine how soon an athlete who undergoes rigid fixation of a facial fracture can return to full competition. The impact resistance of a rigidly fixated malar complex fracture was studied and compared with that of an intact malar complex. Twelve fresh human cadaver heads were used. A custom-designed impact device was used to deliver a blow of a specific energy to each intact malar complex. The subsequent fractures were rigidly fixated at three points using titanium miniplates and screws. A second impact of identical energy was delivered. The forces generated and the subsequent displacement of hard and soft tissues were recorded after each impact. It was concluded from this study that an impact to a rigidly fixated malar complex fracture produced less force and greater displacement of hard and soft tissues than an impact of identical energy to an intact malar complex. The potential for sustaining more severe maxillofacial injuries after an initial facial fracture should be seriously considered. The results suggest that sufficient time should be allowed for the bony healing of a facial fracture to occur, even after rigid fixation, before an athlete can resume full contact activities.

UR - http://www.scopus.com/inward/record.url?scp=0027481513&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027481513&partnerID=8YFLogxK

M3 - Article

C2 - 8494302

AN - SCOPUS:0027481513

VL - 30

SP - 212

EP - 216

JO - Annals of Plastic Surgery

JF - Annals of Plastic Surgery

SN - 0148-7043

IS - 3

ER -