0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

INTERNAL WIRE PIN FIXATION IN COMPLICATED FRACTURES OF JAW AND FACIAL BONES

James Barrett Brown, M.D.; Minot P. Fryer, M.D.
JAMA. 1954;155(9):828-829. doi:10.1001/jama.1954.03690270024008.
Text Size: A A A
Published online

ABSTRACT

Internal wire pin fixation of a severe facial fracture at the time of the primary repair is an important procedure in efforts to avoid the use of complicated external appliances and to at least keep to a minimum the necessity for secondary reconstructive procedures. As a fundamental rule facial wounds should be closed as soon as possible to avoid infection and fibrosis and permanent fixation out of position of small bone fragments and to align soft tissue features before distortion and shrinkage.

Soft tissue lacerations and tears are accurately closed with deep fixation sutures and with small sutures placed close to the edge of the wound after adequate cleansing and débridement. Any possibly viable tissue is never cut away. Known points are approximated, and, when none are apparent, the wound is closed at the center, and repeated bisection of the open area is done with sutures; the wound is not

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();