Safety Profile of Wire Osteosynthesis in Craniosynostosis Surgery

Autor: Patricio Andrades, John H. Grant, Todd E. Thurston, Peter D. Ray, Reid A. Phillips
Rok vydání: 2009
Předmět:
Zdroj: Journal of Craniofacial Surgery. 20:1154-1158
ISSN: 1049-2275
DOI: 10.1097/scs.0b013e3181abb285
Popis: With the advent of resorbable systems, most surgeons have stopped using wires for craniofacial fixation. Although numerous large retrospective reports regarding craniofacial surgery have been published, no documentation exists regarding the disadvantages or complications associated with wires. We review our experience with 47 consecutive patients with bicoronal and unicoronal craniosynostosis where wire osteosynthesis alone was used. Nine patients (19.1%) developed wire-related complications, but only 5 patients (10.6%) required reoperations. No other complications were observed including growth restrictions, implant migration, or interference with radiographic imaging. These results are comparable to those reported in the literature for other fixation systems and demonstrate that wires are a safe means of fixation of the cranial vault in infancy.
Databáze: OpenAIRE