| Bioabsorbable self-reinforced plates and screws in craniomaxillofacial surgery. | |
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MedLine Citation:
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PMID: 15472398 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Bioabsorbable fixation devices have been used in craniomaxillofacial (CMF) surgery since the early 70's. In our departments the experimental use started in the 80's with self-reinforced (SR) polylactide devices. The first clinical operations were carried out in 1991. Since that time, we have used different types of self-reinforced bioabsorbable devices in the fixation of several hundreds of osteotomies and fractures. Patients' acceptance has been generally excellent and very few complications occurred during this follow-up of over 10 years. The complications have been minor and have not affected the end results of the operations. In only one oncologic patient, the devices needed to be removed and replaced with a rigid reconstruction plate. The minor complications consisted mainly of a few infections, dehiscence of the wound and plate exposure together with granulation tissue in the operation field. No implant-specific complications were recorded. However, there is a learning curve for the surgeon, as there is with all new methods introduced. Based on our experience, self-reinforced bioabsorbable devices are safe to be used in several indications in the craniomaxillofacial skeleton, also in load-shearing situations. |
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Authors:
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Riitta Suuronen; Risto Kontio; Nureddin Ashammakhi; Christian Lindqvist; Pekka Laine |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Review |
Journal Detail:
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Title: Bio-medical materials and engineering Volume: 14 ISSN: 0959-2989 ISO Abbreviation: Biomed Mater Eng Publication Date: 2004 |
Date Detail:
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Created Date: 2004-10-08 Completed Date: 2005-04-14 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9104021 Medline TA: Biomed Mater Eng Country: Netherlands |
Other Details:
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Languages: eng Pagination: 517-24 Citation Subset: IM |
Affiliation:
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Department of Oral and Maxillofacial Surgery, Helsinki University Central Hospital, PO Box 263, FIN-00029 HUS, Helsinki, Finland. riitta.suuronen@iki.fi |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Absorbable Implants* Animals Bone Plates* Bone Screws* Facial Bones / abnormalities, injuries, surgery Humans Maxilla / abnormalities, injuries, surgery Oral Surgical Procedures / instrumentation*, methods* Physician's Practice Patterns Practice Guidelines as Topic Reconstructive Surgical Procedures / instrumentation*, methods* Skull / abnormalities, injuries, surgery Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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