New resorbable plate and screw system in pediatric craniofacial surgery

The Journal of Craniofacial Surgery
Robert J WoodAndrew J L Gear

Abstract

Early forms of resorbable fixation induced foreign body reactions requiring surgical removal of the fixation material. Most current plating systems attempt to circumvent this phenomenon by altering the composition of the α esters involved. ResorbX (KLS Martin, Jacksonville, FL), a plating system derived from 50:50 poly(D,L)lactide, boasts short resorption times, minimal foreign body reaction, and adequate strength for bony fixation. We present our experience with 134 patients undergoing correction of primary craniosynostosis, using ResorbX. One hundred thirty-four consecutive craniosynostosis patients underwent correction with calvarial remodeling by the senior author between April 2002 and March 2008. Five patients had 2-stage repairs. Postoperative analysis included plate visibility or palpability, head contour, and the incidence of complications. The mean age at repair was 17.0 months, with the median age being 9.0 months (range, 2.5-137 months). Postoperative follow-up visits were recorded at 3-month intervals from 0 to 24 months. Synostosis diagnoses were as follows: 43 metopic, 37 sagittal, 27 coronal, 5 lambdoid, and 27 multisutural synostosis. There were 3 complications requiring operative intervention. Three plates bec...Continue Reading

References

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Citations

Sep 10, 2013·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Christian FreudlspergerMichael Engel
Mar 28, 2016·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·C LinzT Schweitzer
Feb 27, 2015·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Niina SalokorpiWilly Serlo
Dec 3, 2016·The Journal of Craniofacial Surgery·Dennis C NguyenKamlesh B Patel
Jun 21, 2018·Archives of Craniofacial Surgery·Tae Ho KimHook Sun
Jun 27, 2015·The Journal of Craniofacial Surgery·Marco AnnunziataPier Paolo Poli
Jan 22, 2019·The Journal of Craniofacial Surgery·Hamidreza NatghianDavid Johnson
Jul 2, 2019·The Journal of Craniofacial Surgery·Leila MusaviJordan P Steinberg
Mar 10, 2016·Annals of Plastic Surgery·Samuel Lance, Granger Wong
Jul 11, 2020·The Journal of Craniofacial Surgery·Sang Oon BaekJun Yong Lee
Sep 11, 2019·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Jonathan RothShlomi Constantini
Jul 18, 2020·The Journal of Craniofacial Surgery·Youbai ChenYan Han

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