Absorbable sutures for the achievement of stable osteosynthesis in surgery for craniosynostosis
Autor: | Frantisek Horn, Dana Kuniakova, Michal Petrík, Michal Kabat, Ioannis A. Tsolakis, Jennifer Pinzon, E. Kilipiris |
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Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
medicine.medical_treatment Bone healing Osteotomy Craniosynostosis 03 medical and health sciences Craniosynostoses Fracture Fixation Internal 0302 clinical medicine Cranial vault Absorbable Implants medicine Humans 030212 general & internal medicine Postoperative Period Vicryl Craniofacial surgery Osteosynthesis Sutures business.industry Infant Newborn Infant Cranial Sutures medicine.disease Surgery Child Preschool Neurology (clinical) Foreign body business 030217 neurology & neurosurgery |
Zdroj: | Neurologia i neurochirurgia polska. 53(2) |
ISSN: | 0028-3843 |
Popis: | Aim of the study. The goal of the present study was to analyse the exclusive use of absorbable suture material (Vicryl) in the fixation of transposed bone segments in cranial vault reshaping without modification of the osteotomy design. Clinical rationale for the study. In the surgical correction of craniosynostosis, bone fixation using osteosynthesis is a key step. Absorbable osteosynthesis is a widespread tool in cranial vault remodelling, but only a limited number of studies have described the use of absorbable sutures in the treatment of patients with craniosynostosis. Materials and methods. In 72 children with various types of craniosynostosis, up to 24 months of age, osteosynthesis was conducted exclusively with Vicryl sutures. All patients were evaluated for the stability of postoperative results, and foreign body reactions were examined as part of the routine clinical and radiological follow-up ranging from 1 to 36 months. Results. All examined children exhibited stable postoperative conditions with immediate stability of all remodelled cranial vaults. 2D and 3D radiological examinations demonstrated good bony union in all cases. Significant foreign body reactions were not observed and bone healing was noted at all sites. Conclusion and clinical implications. The exclusive application of absorbable suture material enables stable and cost-effective osteosynthesis in craniofacial surgery without altering the osteotomy design. |
Databáze: | OpenAIRE |
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