Subscribe to RSS
DOI: 10.1055/s-2000-11380
Titanium Clamps for Refixation of Bone Fragments in the Repair of Depressed Skull Fractures: Technical Note
Publication History
Publication Date:
31 December 2000 (online)
![](https://www.thieme-connect.de/media/min/200004/lookinside/thumbnails/10.1055-s-2000-11380-1.jpg)
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
Corresponding Author
Dr. med H Ebel
Neurochirurgische KlinikUniversität Köln
Joseph-Stelzmann-Str. 950924 KölnGermany
Phone: Phone:+49-221-4784142
Fax: Fax:+49-221-4785921
Email: E-mail:Heinrich.Ebel@t-online.de