TY - JOUR
TI - Absorbable sutures for the achievement of stable osteosynthesis in surgery for craniosynostosis
AU - Horn, F.
AU - Kilipiris, E.
AU - Pinzon, J.
AU - Tsolakis, I.
AU - Kabat, M.
AU - Petrik, M.
AU - Kuniakova, D.
JO - Neurologia I Neurochirurgia Polska / Polish Journal of Neurology and Neurosurgery
PY - 2019
VL - 53
TODO - 2
SP - 150-155
PB - Via Medica SP Zoo
SN - 0028-3843
TODO - 10.5603/PJNNS.a2019.0014
TODO - cefalexin, Article;  bicoronal synostosis;  child;  computer assisted tomography;  craniofacial synostosis;  female;  follow up;  foreign body reaction;  fracture healing;  hospital discharge;  hospitalization;  human;  infant;  intraoperative period;  length of stay;  major clinical study;  male;  osteosynthesis;  patient satisfaction;  postoperative period;  retrospective study;  skull radiography;  surgical technique;  synostosis;  unicoronal synostosis;  wound healing;  wound infection;  biodegradable implant;  cranial suture;  craniofacial synostosis;  newborn;  preschool child;  suture, Absorbable Implants;  Child, Preschool;  Cranial Sutures;  Craniosynostoses;  Fracture Fixation, Internal;  Humans;  Infant;  Infant, Newborn;  Postoperative Period;  Sutures
TODO - Aim of the study. The goal of the present study was to analyse the exclusive use of absorbable suture material (Vicryl) in the fixation of transposed bone segments in cranial vault reshaping without modification of the osteotomy design. Clinical rationale for the study. In the surgical correction of craniosynostosis, bone fixation using osteosynthesis is a key step. Absorbable osteosynthesis is a widespread tool in cranial vault remodelling, but only a limited number of studies have described the use of absorbable sutures in the treatment of patients with craniosynostosis. Materials and methods. In 72 children with various types of craniosynostosis, up to 24 months of age, osteosynthesis was conducted exclusively with Vicryl sutures. All patients were evaluated for the stability of postoperative results, and foreign body reactions were examined as part of the routine clinical and radiological follow-up ranging from 1 to 36 months. Results. All examined children exhibited stable postoperative conditions with immediate stability of all remodelled cranial vaults. 2D and 3D radiological examinations demonstrated good bony union in all cases. Significant foreign body reactions were not observed and bone healing was noted at all sites. Conclusion and clinical implications. The exclusive application of absorbable suture material enables stable and cost-effective osteosynthesis in craniofacial surgery without altering the osteotomy design. © 2019 Polish Neurological Society.
ER -