Surgical Solutions - March-May 2017 - 8
SURGICAL INSTRUMENTS
Intraoperative fixation of bon
ne blocks
bl k
- easy and eff
fficient
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A user report by:
Dr. med. Dr. med. dent Andres Stricker (M.D., D.D.S.)
Figure:
New innovative Bone Fixation
Forceps of Aesculap AG, Germany
The aesthetic success and long-term stability of any implant treatment crucially depends on the
quality and quantity of the osseous foundation. However, in many cases the ridge is often too
narrow in transversal direction, not allowing implant insertion without augmentative procedures.
In these situations simultaneous augmentation by guided bone regeneration (GBR) or,
alternatively, bone splitting, is indicated. However in cases of severe alveolar crest atrophy,
transplantation of autogenous bone blocks is still considered as the gold standard.
Here, in this technique, a transplant is grafted from a suitable autologous source location and fixated
at the deficient implantation region. After a healing period of three to four months, an optimally
ossified bone bed is created, allowing implant insertion in ideal three-dimensional alignment.
One of the most important criteria for a successful bone transplantation, however, is the safe and
predictable fixation of the transplant.
Due to the characteristics of the bone transplant and the deficient osseous support base, surgeons
often find it difficult to hold the transplant in the correct position while drilling the screw holes and,
immediately afterwards, inserting the osteosynthesis screws.
The application of the bone fixation forceps (Aesculap AG, Germany) significantly improves
intraoperatively the initial stability of the bone transplant. The image sequences presented here
demonstrate the ease of application and show how this instrument set facilitates bone
transplantations to a considerable extent.
Conclusion
This bone fixation forceps (Aesculap AG, Germany) enables the surgeon to perform bone
transplantations in an easier, more efficient and, consequently, less time-consuming manner by
providing initial fixation of the bone transplant on the deficient foundation. The two joints allow
proper compensation of spatial incongruencies so that the transplant is always held securely, without
slipping. The serration points ensure safe seating in the hard osseous bed.
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Table of Contents for the Digital Edition of Surgical Solutions - March-May 2017
Contents
Surgical Solutions - March-May 2017 - 1
Surgical Solutions - March-May 2017 - Contents
Surgical Solutions - March-May 2017 - 3
Surgical Solutions - March-May 2017 - 4
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