Ultrasound aided pin fixation of biodegradable osteosynthetic materials in cranioplasty for infants with craniosynostosis

Summary Aim Biodegradable osteosynthesis materials are often used for fixation of bone fragments when repairing craniosynostoses. When compared with titanium plates they have the disadvantage of difficult handling and time-consuming thread cutting. A new method of using resorbable pins inserted with...

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Bibliographic Details
Published in:Journal of cranio-maxillo-facial surgery 2007-06, Vol.35 (4), p.218-221
Main Authors: Eckelt, Uwe, Nitsche, Matthias, Müller, Annett, Pilling, Eckart, Pinzer, Thomas, Roesner, Dietmar
Format: Article
Language:English
Subjects:
Absorbable Implants
Biocompatible Materials - chemistry
Biological and medical sciences
Bone Nails
Bone Plates
bone welding
Child, Preschool
Cranial Sutures - surgery
craniosynostoses
Craniosynostoses - surgery
Dentistry
Diseases of the osteoarticular system
Follow-Up Studies
Frontal Bone - surgery
Humans
Infant
Malformations and congenital and or hereditary diseases involving bones. Joint deformations
Medical sciences
Occipital Bone - surgery
Otorhinolaryngology. Stomatology
Polyesters - chemistry
Reconstructive Surgical Procedures - instrumentation
Reconstructive Surgical Procedures - methods
resorbable materials
Skull - surgery
Surgery
Surgical Mesh
Time Factors
Ultrasonics
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Summary:Summary Aim Biodegradable osteosynthesis materials are often used for fixation of bone fragments when repairing craniosynostoses. When compared with titanium plates they have the disadvantage of difficult handling and time-consuming thread cutting. A new method of using resorbable pins inserted with the aid of ultrasound (bone welding) and not requiring thread cutting was applied in patients for the first time. Method In eight patients with craniosynostoses, the biodegradable material Resorb-X® was fixed with resorbable pins inserted with the aid of ultrasound. The patients were followed up for 12 months. Results Pin fixation was stable in all cases. The time required for applying the osteosynthesis materials was reduced by about 50% since handling of the material was easier and no thread cutting was required. Conclusions Due to fixation in cortical as well as cancellous bone ultrasound aided fixation using resorbable osteosynthesis materials is more stable than screw fixation. The time required for application is considerably shortened as no thread cutting is required.
ISSN:1010-5182
1878-4119
DOI:10.1016/j.jcms.2007.04.005