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.
Neurosurgical Department of the University of Cologne, Germany. Heinrich.Ebel@t-online.de
H
H
Ebel
G
G
Schillinger
C
C
Walter
H G
HG
Brockhagen
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N
Klug
D000328:Adult; D003399:Craniotomy / Q000295:instrumentation*; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D020204:Skull Fracture, Depressed / Q000000981:diagnostic imaging / Q000601:surgery*; D013525:Surgical Instruments; D014025:Titanium; D014057:Tomography, X-Ray Computed
D014025:Titanium