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[The use of resorbable osteosynthesis materials].

W Völkel1, F Pabst, E Klemm

  • 1Klinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Plastische Operationen, Krankenhaus Dresden-Friedrichstadt, Akademisches Lehrkrankenhaus der Technischen Universität Dresden. voelkel-wo@khdf.de

Laryngo- Rhino- Otologie
|October 30, 2010
PubMed
Summary

Resorbable implants with ultrasonic fixation offer stable, easy-to-use osteosynthesis for head and neck surgery, showing a low complication rate in reconstructive procedures.

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Area of Science:

  • Orthopedic Surgery
  • Biomaterials Science
  • Head and Neck Surgery

Background:

  • Metallic and resorbable implants are available for fracture fixation and osteoplastic surgery.
  • Selection of implant material depends on specific indications, considering advantages and disadvantages.

Purpose of the Study:

  • Evaluate the efficacy and safety of resorbable implants with ultrasonic fixation in head and neck surgery.
  • Compare outcomes of LactoSorb® and Resorb X® with SonicWeld Rx-System®.

Main Methods:

  • Retrospective analysis of patients operated on since 1999 using resorbable materials.
  • Utilized LactoSorb® (1999-2006) and Resorb X® plates/meshs with SonicWeld Rx-System® (2007 onwards).

Main Results:

  • 52 cases involved LactoSorb® and Resorb X® with SonicWeld Rx-System®.
  • Two cases experienced foreign body reactions leading to fistulas.
  • One case reported plate fracture post-fixation.

Conclusions:

  • Resorbable materials with ultrasonic pin osteosynthesis provide stable mechanical connections and easy handling.
  • Low complication rates support their use in traumatologic and osteoplastic reconstructions.
  • Ultrasonic fixation offers a viable alternative for head and neck reconstructive surgery.