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Resorbable plate fixation in pediatric craniofacial surgery

B L Eppley1, A M Sadove, R J Havlik

  • 1Division of Plastic Surgery, James Whitcomb Riley Hospital for Children, Indiana University Medical Center, Indianapolis 46202-5200, USA.

Plastic and Reconstructive Surgery
|July 1, 1997
PubMed
Summary

Resorbable bone plates made from polylactic and polyglycolic acid copolymers offer a safe and effective solution for pediatric craniofacial reconstruction. These implants showed no complications and complete bone healing in young patients.

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Area of Science:

  • Biomaterials Science
  • Pediatric Surgery
  • Craniofacial Surgery

Background:

  • Pediatric craniofacial deformities require innovative reconstructive solutions.
  • Traditional fixation methods may pose challenges in pediatric patients.

Purpose of the Study:

  • To evaluate the safety and efficacy of resorbable bone plates for pediatric craniofacial reconstruction.
  • To assess the resorption profile and clinical outcomes of these implants.

Main Methods:

  • Implantation of 912 resorbable plates (polylactic-polyglycolic acid copolymer) in 100 pediatric patients (4-15 months old).
  • Clinical assessment and radiographic evaluation at 6 months and 1 year postoperatively.
  • Monitoring for complications such as infection, soft-tissue reaction, instability, and osteolysis.

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Main Results:

  • Simple and rapid application with no special instrumentation required.
  • No observed complications including infection, soft-tissue reactions, reconstructive instability, or osteolysis.
  • Complete polymer resorption and normal bone healing confirmed in patients over 1 year postimplantation.
  • Four patients required screw removal between 9-18 months due to palpability or further surgery, with complete resorption noted.

Conclusions:

  • Resorbable polylactic-polyglycolic acid copolymer plates are safe and effective for pediatric craniofacial reconstruction.
  • The material demonstrates excellent biocompatibility and predictable resorption.
  • These implants represent a viable alternative for addressing congenital craniofacial anomalies in infants.