Rigid Fixation using Bioabsorbable Mesh and Screws in Facial Bone Fracture.

Shin, Dong Hyeok; Kim, Deok Jung; Kim, Soo Young; Hwang, Eun A; Choi, Hyun Gon; Kim, Soon Heum; Uhm, Ki Il

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2010;37(5):717-720.
Published online September 1, 2010.

Rigid Fixation using Bioabsorbable Mesh and Screws in Facial Bone Fracture.

Dong Hyeok Shin, Deok Jung Kim, Soo Young Kim, Eun A Hwang, Hyun Gon Choi, Soon Heum Kim, Ki Il Uhm

Department of Plastic & Reconstructive Surgery, School of Medicine, Konkuk University, Seoul, Korea. hyungonmd@yahoo.co.kr

Abstract

PURPOSE
Absorbable plate and screw fixation is widely used technique for internal rigid fixation in craniomaxillofacial surgery. However, there are some potential problems associated with the use of plate. The purpose of this study is to evaluate the feasibility of bone fixation in facial fracture using absorbable mesh in place of absorbable plate. METHODS: The records of 55 patients with zygomaticomaxilla fractures treated by open reduction, performed by the author from February 2008 to May 2009, were retrospectively reviewed. Patients were selected to receive absorbable mesh fixation. The incidence of all complications including infection, hypoesthesia, and deformity was examined. Analysis with postoperative computed tomography follow-up demonstrates degree of reduction.
RESULTS
Forty-six patients met criteria for inclusion in the study. All patients went on to satisfactory healing without complication. Postoperative computed tomography revealed good bony alignment similarly non affected side.
CONCLUSION
This study demonstrates that the rigid internal fixation of fractured bone fragments using absorbable mesh is more effective than absorbable plate, especially in comminuted fracture of maxilla.

Keywords: Surgical fixation devices; Absorbable implant; Facial fracture