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Resorbable bone fixation: its potential role in cranio-maxillofacial trauma.

B L Eppley1, C D Prevel, A M Sadove

  • 1Division of Plastic Surgery, Indiana University Medical Center, 702 Barnhill Drive, Rm. 3540, Indianapolis, IN 46202-5200, USA.

The Journal of Cranio-Maxillofacial Trauma
|April 1, 1996
PubMed
Summary

Biodegradable bone fixation devices offer promise for cranio-maxillofacial trauma but face development hurdles. Initial clinical use in patients shows potential for resorbable polymer systems in facial fracture management.

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Area of Science:

  • Biomaterials Science
  • Orthopedic Surgery
  • Craniofacial Surgery

Background:

  • Biodegradable bone fixation devices are desirable for cranio-maxillofacial (CMF) trauma, offering fracture support and subsequent resorption.
  • Current clinical applications for resorbable polymers in the craniofacial skeleton are limited despite their appeal.

Purpose of the Study:

  • To review the challenges in developing resorbable polymer bone fixation systems.
  • To describe the initial clinical application of a resorbable polymer system in CMF trauma patients.
  • To discuss the combined use of resorbable polymers and metal fixation for facial fractures.

Main Methods:

  • Literature review of obstacles in resorbable polymer bone fixation development.
  • Case series describing the initial clinical use of a resorbable polymer fixation system.

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  • Discussion of treatment strategies combining resorbable and metal fixation.

    • Main Results:

    • Significant obstacles exist in developing clinically viable resorbable polymer bone fixation for the craniofacial skeleton.
    • Initial clinical use of a resorbable polymer system in CMF trauma patients demonstrated feasibility.
    • The potential role of resorbable systems alongside metal fixation in managing facial fractures was explored.

    Conclusions:

    • Despite challenges, resorbable polymer bone fixation holds potential for CMF trauma treatment.
    • Further development is needed to overcome obstacles for widespread clinical adoption.
    • Combined resorbable and metal fixation strategies may offer versatile solutions for facial fracture management.