Surgical treatment of posttraumatic defects of the skull in children
A. M. Mytnikov , L. B. Ivanov , G. S. Eshankulov , P. I. Zolkin , V. V. Korablyov , S. Yu. Schedrinskaya
N.N. Priorov Journal of Traumatology and Orthopedics ›› 1994, Vol. 1 ›› Issue (3) : 35 -37.
Surgical treatment of posttraumatic defects of the skull in children
The authors analyze many-year experience gained in the treatment of children with posttraumatic defects and depressed fractures of the bones of cranial vault at Department of Nemotraumatology of the Moscow Research Institute of Pediatrics and Childhood Surgery and the results of various cranioplastic operations in 141 children aged 1 month to 15 years. Autocranioplasty was earned out in 50 children (reposition in 11, replantation in 37, secondary autoplasty with preserved transplant in 2). Cranioplasty with allotransplants was carried out in 77 patients. Polymeric expiants for cranioplasty were used in 4 cases, carbon ones in 10. Ligature method for transplant fixation was resorted to in 52 patients, compression one in 47, reposition and replantation without supplementary fixation in 42 cases. The best remote results were attained after plasty by the compression method with autobone, allotransplants, and carbon expiants.
posttraumatic defects / cranial trauma / depressed skull fractures / cranioplasty / children / autologous bone / allografts / carbon explants
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