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[Resorbable osteosynthesis material in craniosynostosis].

D Weingart1, R Bublitz, R Michilli

  • 1Klinik für Kiefer- und Gesichtschirurgie, Plastische Operationen, Katharinenhospital, Klinikum Stuttgart, Kriegsbergstrasse 60, 70174 Stuttgart. weingart.mkg@katharinenhospital.de

Mund-, Kiefer- Und Gesichtschirurgie : MKG
|July 4, 2001
PubMed
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Resorbable plates and screws made of polylactic and polyglycolic acid offer a stable and reliable alternative to titanium for craniofacial surgery in children, with no adverse tissue reactions observed over four years.

Area of Science:

  • Biomaterials Science
  • Pediatric Surgery
  • Craniofacial Surgery

Background:

  • Resorbable plates and screws (82% polylactic acid, 18% polyglycolic acid) were evaluated for craniofacial surgery.
  • Assessed stability and tissue response as alternatives to titanium.

Purpose of the Study:

  • To evaluate the long-term efficacy and safety of resorbable osteosynthesis materials in pediatric craniofacial surgery.
  • To determine if resorbable materials are a viable alternative to titanium fixation.

Main Methods:

  • Thirty patients with craniosynostosis treated with resorbable plates/screws were followed.
  • Evaluated forehead shape, stability, plate visibility/palpability, and tissue reactions.

Main Results:

Related Experiment Videos

  • The osteosynthesis material was simple and reliable to handle.
  • Fixations remained stable for up to 4 years and 1 month post-surgery.
  • No adverse tissue reactions were observed, though one case had insufficient bone strength for screw fixation.
  • Conclusions:

    • Resorbable materials show promise for segment stabilization in pediatric craniofacial surgery.
    • Long-term favorable results support their use as a titanium alternative.