open access

Vol 53, No 2 (2019)
Research paper
Published online: 2019-03-11
Submitted: 2019-01-22
Accepted: 2019-01-22
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Absorbable sutures for the achievement of stable osteosynthesis in surgery for craniosynostosis

Frantisek Horn, Evangelos Kilipiris, Jennifer Pinzon, Ioannis Tsolakis, Michal Kabat, Michal Petrik, Dana Kuniakova
DOI: 10.5603/PJNNS.a2019.0014
·
Pubmed: 30855700
·
Neurol Neurochir Pol 2019;53(2):150-155.

open access

Vol 53, No 2 (2019)
Research paper
Published online: 2019-03-11
Submitted: 2019-01-22
Accepted: 2019-01-22

Abstract

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.

Abstract

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.

Get Citation

Keywords

craniosynostosis, craniofacial surgery, osteosynthesis, absorbable sutures, cranial vault reconstruction

About this article
Title

Absorbable sutures for the achievement of stable osteosynthesis in surgery for craniosynostosis

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 53, No 2 (2019)

Pages

150-155

Published online

2019-03-11

DOI

10.5603/PJNNS.a2019.0014

Pubmed

30855700

Bibliographic record

Neurol Neurochir Pol 2019;53(2):150-155.

Keywords

craniosynostosis
craniofacial surgery
osteosynthesis
absorbable sutures
cranial vault reconstruction

Authors

Frantisek Horn
Evangelos Kilipiris
Jennifer Pinzon
Ioannis Tsolakis
Michal Kabat
Michal Petrik
Dana Kuniakova

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