Comparison of Resorbable Plating Systems

Abstract

Introduction Several bioresorbable plating systems have become standard in pediatric craniosynostosis reconstruction. A comparison of these systems is needed to aid surgeons in the preoperative planning process. We aim to evaluate one institution’s experience using Resorb X® by KLS Martin and Delta Resorbable Fixation System by Stryker (Stryker Craniomaxillofacial, Kalamazoo, MI). Methods A sample of patients with single-suture nonsyndromic craniosynostosis treated at St. Louis Children’s Hospital between 2007 and 2014 using either Resorb-X or Delta bioresorbable plating systems were reviewed. Only patients with pre-operative, immediate and long-term 3D photographic images or computed tomography scans were included. A comparison of plating system outcomes was performed to determine the need for clinic and emergency room visits, imaging obtained, and incidence of subsequent surgical procedures due to complications. Results Forty-six patients (24 Resorb-X and 22 Delta) underwent open repair with bioabsorbable plating for single suture craniosynostosis. The mean age at each imaging time point was similar between the two plating systems (p>0.717). Deformity-specific measures for sagittal (cranial index), metopic (inter-frontotemporale) and unicoronal (frontal asymmetry) synostosis were equivalent between the systems at all time points (0.05<p<0.904). A single Delta patient developed bilateral scalp cellulitis and abscesses and subsequently required operative intervention and antibiotics. Conclusion Bioabsorbable plating for craniosynostosis in children is effective and has low morbidity. In our experience, we did not find a difference between the outcomes and safety profiles between Resorb-X and Delta.

Using 3D Printing and Mirror Image Modeling in Orbital Floor Reconstruction

“…1 A resorbable implant (SonicWeld RX, KLS Martin) was then heated and molded to the reconstructed orbital model. 2 The edges of the implant were trimmed to shape (Fig. 2) and inserted into the orbit for reconstruction (Fig.…”

Examining the Relationship Between Wound Complications and the Use of Resorbable Plates in Cranial Vault Reconstruction

“…20 Supplementary Digital Content, Table 6, http:// links.lww.com/SCS/C629 details commercially available resorbable plating systems and the ratio of their composition. [21][22][23][24][25] The safety of the Inion plating system has been previously examined in rabbit models, 26 however, the rate of complications associated with these plates in humans was previously unknown. Ahmad et al 27 described a 9% rate of wound complications associated with lactosorb resorbable plates in 146 patients over a 6-year period.…”

A tomada de decisão no uso de sistema de fixação absorvível em cirurgias bucomaxilofaciais: revisão sistemática

“…Já na craniossinostose, estipulou-se o período de 18 meses como o tempo médio necessário para a completa reabsorção por placas utilizando a Resorb-X ® e Delta. Entre o 6º e o 18º mês de recuperação foi notado através do tato a formação de fluidos decorrentes da reabsorção sob o couro cabeludo dos indivíduos 19 . Além disso, relatouse palpabilidade em pacientes magros 6 .…”