Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Fractures: Bone Repair

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
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...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Improving Hospital-to-Skilled Nursing Facility Transitions: Resident-Led Implementation and Evaluation of an EHR-Embedded Discharge Checklist.

Joint Commission journal on quality and patient safety·2026

Same author

From rehabilitation to performance: reframing vestibular-ocular interventions to optimise sports performance.

British journal of sports medicine·2026

Same author

Reduction of systemic hypertension following cerebral revascularization surgery for children with moyamoya.

Journal of neurosurgery. Pediatrics·2026

Same author

Calcitonin gene-related peptide induces headache attacks in people with idiopathic intracranial hypertension.

Brain : a journal of neurology·2026

Same author

Consensus statement from the 2025 Delphi panel on cerebral microdialysis in critical care.

Critical care (London, England)·2026

Same author

Major Traumatic and Severe Thermal Injuries Lead to Immediate and Persistent Elevations in Circulating Concentrations of Resistin That Are Associated with Poor Clinical Outcomes and Impaired Innate Immune Responses.

Biomolecules·2026

Search research articles

Related Experiment Video

Updated: Mar 30, 2026

A Large Lateral Craniotomy Procedure for Mesoscale Wide-field Optical Imaging of Brain Activity

A Large Lateral Craniotomy Procedure for Mesoscale Wide-field Optical Imaging of Brain Activity

Published on: May 7, 2017

Surgery for Acute Subdural Hematoma: Replace or Remove the Bone Flap?

Georgios Tsermoulas¹, Omid Shah¹, Haren Eranga Wijesinghe¹

¹Department of Neurosurgery, Queen Elizabeth Hospital, Birmingham, UK.

World Neurosurgery

|November 3, 2015

Summary

This summary is machine-generated.

Removing the bone flap during acute subdural hematoma surgery did not improve patient outcomes. Replacing the bone flap is recommended when feasible, with further research needed on skull decompression benefits.

Keywords:

Acute subdural hematoma Brain edema Craniotomy Decompressive craniectomy Traumatic brain injury

More Related Videos

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Published on: October 20, 2017

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Published on: October 15, 2021

Related Experiment Videos

Last Updated: Mar 30, 2026

A Large Lateral Craniotomy Procedure for Mesoscale Wide-field Optical Imaging of Brain Activity

A Large Lateral Craniotomy Procedure for Mesoscale Wide-field Optical Imaging of Brain Activity

Published on: May 7, 2017

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Published on: October 20, 2017

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Published on: October 15, 2021

Area of Science:

Neurosurgery
Trauma Surgery
Critical Care Medicine

Background:

Surgical management of acute subdural hematoma (ASDH) involves decisions regarding bone flap management: fixation, riding, or removal.
Decompressive craniectomy aims to reduce intracranial pressure but may impact outcomes.

Purpose of the Study:

To assess whether removing the bone flap (decompressive craniectomy) improves outcomes in patients undergoing surgery for ASDH compared to bone flap replacement.

Main Methods:

Observational study of 99 consecutive ASDH patients from July 2011 to June 2014.
Patients were divided into decompressive craniectomy (bone flap removed) or craniotomy (bone flap replaced) groups.
Analysis of functional status, intracranial hypertension control, and reoperations at 6 months.

Main Results:

Decompressive craniectomy patients had more severe injuries and higher rates of predicted and observed poor outcomes (69% vs. 57% and 59% vs. 37%, respectively).
Intracranial hypertension control and reoperation rates were similar between groups.
Subgroup analysis showed no significant difference between decompressive craniectomy and riding flap craniotomy.

Conclusions:

Bone flap removal in ASDH surgery is not associated with improved patient outcomes.
Bone flap replacement is recommended when brain conditions permit.
Further research is needed to clarify the role of skull decompression in ASDH management.