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Related Experiment Videos

Tacks: a new technique for craniofacial fixation.

S R Cohen1, R E Holmes, P Amis

  • 1Craniofacial Surgical Service, Children's Hospital of San Diego, University of California at San Diego, USA. scohen@sdfaces.com

The Journal of Craniofacial Surgery
|November 17, 2001
PubMed
Summary

New biodegradable tacks offer secure craniofacial fixation without tapping. This method, using polylactic acid tacks in 100 patients, showed excellent performance and stability with minimal complications.

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Area of Science:

  • Craniofacial Surgery
  • Biomaterials
  • Orthopedic Implants

Background:

  • Biodegradable fixation in craniofacial surgery reduces risks associated with metallic implants.
  • Current biodegradable systems often require pre-drilling and tapping, adding complexity.
  • A novel biodegradable tack fixation system addresses limitations of existing methods.

Purpose of the Study:

  • To describe a new method of rigid, biodegradable fixation using polylactic acid tacks.
  • To evaluate the safety and efficacy of these biodegradable tacks in craniofacial surgery.
  • To assess the handling, insertion, and stability of the biodegradable tack system.

Main Methods:

  • Development of biodegradable tacks from a 70:30 ratio of L and DL polylactic acid (L,DL-PLA).

Related Experiment Videos

  • Application of tack fixation in 100 patients undergoing various craniofacial procedures.
  • Clinical follow-up ranging from 16 to 28 months to assess outcomes and complications.

    • Main Results:

    • Tack fixation was successfully applied in diverse craniofacial surgeries, including craniosynostosis and trauma.
    • Excellent performance, handling, and stability were observed with the biodegradable tacks.
    • A low complication rate (7%) was reported, with no apparent relation to the tack system itself.

    Conclusions:

    • Biodegradable tacks provide a viable and effective alternative for rigid fixation in craniofacial surgery.
    • The tack system simplifies the fixation process, offering ease of use for surgeons and staff.
    • While effective, traditional screw fixation may still be preferred for high-load osteotomies.