Rigid Fixation using Bioabsorbable Mesh and Screws in Facial Bone Fracture.
- Author:
Dong Hyeok SHIN
1
;
Deok Jung KIM
;
Soo Young KIM
;
Eun A HWANG
;
Hyun Gon CHOI
;
Soon Heum KIM
;
Ki Il UHM
Author Information
1. Department of Plastic & Reconstructive Surgery, School of Medicine, Konkuk University, Seoul, Korea. hyungonmd@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Surgical fixation devices;
Absorbable implant;
Facial fracture
- MeSH:
Absorbable Implants;
Congenital Abnormalities;
Facial Bones;
Follow-Up Studies;
Fractures, Comminuted;
Humans;
Hypesthesia;
Hypogonadism;
Incidence;
Maxilla;
Mitochondrial Diseases;
Ophthalmoplegia;
Retrospective Studies;
Surgical Fixation Devices
- From:Journal of the Korean Society of Plastic and Reconstructive Surgeons
2010;37(5):717-720
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Absorbable plate and screw fixation is widely used technique for internal rigid fixation in craniomaxillofacial surgery. However, there are some potential problems associated with the use of plate. The purpose of this study is to evaluate the feasibility of bone fixation in facial fracture using absorbable mesh in place of absorbable plate. METHODS: The records of 55 patients with zygomaticomaxilla fractures treated by open reduction, performed by the author from February 2008 to May 2009, were retrospectively reviewed. Patients were selected to receive absorbable mesh fixation. The incidence of all complications including infection, hypoesthesia, and deformity was examined. Analysis with postoperative computed tomography follow-up demonstrates degree of reduction. RESULTS: Forty-six patients met criteria for inclusion in the study. All patients went on to satisfactory healing without complication. Postoperative computed tomography revealed good bony alignment similarly non affected side. CONCLUSION: This study demonstrates that the rigid internal fixation of fractured bone fragments using absorbable mesh is more effective than absorbable plate, especially in comminuted fracture of maxilla.
