Titanium Clamps for Refixation of Bone Fragments in the Repair of Depressed Skull Fractures: Technical Note

The rigid fixation of bone fragments in the repair of depressed skull fractures can be a problem, especially if not all fragments are replaceable. Usually, in these cases mini- or microplates are used. The Craniofix® titanium clamp (Aesculap, Germany) was developed for the fixation of bone flaps after osteoplastic craniotomy. It consists of a screw holding together two 10-mm diameter metallic disks with concaved teeth pressing bone flap and cranium between the two disks. We used this system for the operative treatment of two patients with depressed skull fracture. A rigid fixation of the bone fragments was achieved in both cases. The postoperative three-dimensional CT scan showed a good fragment alignment. From the report of two cases we show that this system is a useful tool in the fixation of bone fragments in the repair of depressed skull fractures.

Key words:

Depressed Skull Fracture - Titanium Clamp - Cranioplasty

References

• 1 Blankenship J B, Chadduck W M, Boop F A. Repair of compound-depressed skull fractures in children with replacement of bone fragments.  Pediatr Neurosurg. 1990-1991;  16 (6) 297-300
• 2 Janett B, Miller J D. Infection after depressed fracture of skull.  J Neurosurg. 1972;  36 333-339
• 3 Kriss F C, Taren J A, Kahn E A. Primary repair of compound skull fractures by replacement of bone fragments.  J Neurosurg. 1969;  30 698-702
• 4 Reinert S, Fritzenmeier C U, Luhr H G, Lentrodt J. Das Mikroplattensystem: Ein neues Instrumentarium zur Osteosynthese am kindlichen Schädel.  Dtsch Zahnärztl Z. 1990;  45 801-803
• 5 Shellock F G, Shellock B S. Cranial bone flap fixation clamps: compatibility at MR Imaging.  Radiology. 1998;  207 822-825

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