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Ping pong fractures: treatment using a new medical device
Ramiro López-Elizalde1, Tania Leyva-Mastrapa, José Antonio Muñoz-Serrano
1Neurosurgery Department, Dr. Juan I. Menchaca Civil Hospital, Universidad de Guadalajara, Salvador de Quevedo y Zubieta No. 750 S L, C P 44340, Guadalajara, Jalisco, Mexico. ramirolopezelizalde@hotmail.com
Purpose:
The aim of this study was to assess the use of a new medical device to elevate depressed skull fractures (DSFs) in newborns and minor infants.
Methods:
Nine patients (ranging from 1 day to 9 months of age) with simple DSF underwent skull elevation by a new elevator medical device. This medical device comprises two elements: a pediatric resuscitator (CPR mask) connected to a 50-ml syringe. Pediatric CPR face mask is placed on the depressed region and negative pressure is generated through syringe plunger elevation until fracture reduction is observed.
Results:
Fracture reduction was confirmed in eight of nine patients by computed tomography scan without underlying brain damage and associated complications. Skull asymmetry was eliminated recovering normal shape. Up to now, there are no neurological concerns. Another treatment was chosen to be applied for one patient who did not respond to manipulation.
Conclusion:
The new device is a safe, affordable, and effective choice in the treatment of simple depressed skull fractures in newborns and minor infants.
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Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
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Assessment:
1. Clinical Evaluation:
History: