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  • Title: The clinical application of a new absorbable fixation clamp in craniotomy closure. A technical note after first experiences with 29 patients.
    Author: Lemcke J, Meier U, Al-Zain F.
    Journal: Acta Neurochir (Wien); 2009 Oct; 151(10):1231-4. PubMed ID: 19730781.
    Abstract:
    BACKGROUND: Several efforts have been made to provide safe and convenient systems for craniotomy closure. In the past, the only alternative to suture fixation was metal implants. In order to afford a bone flap fixation without leaving durable implants an absorbable fixation system has been developed by Aesculap. METHODS: In a prospective clinical evaluation we analysed intraoperative handling, position of the bone flap and stability of the connection. The planarity of the bone flaps were analysed in CT-scans on average 2 days after operation. RESULTS: Between September 2006 and October 2007 we performed craniotomy closures with the absorbable craniofix system in 29 patients. The intraoperative handling is easy when using up to 3 craniofix clamps. To ensure stability, 3 or in some cases 2, clamps are needed. Smaller bone flaps with an equal thickness of the bone tend to show a better position in the CT. We observed no complications. CONCLUSIONS: The absorbable fixation clamp is safe and convenient in small craniotomies which are properly fixed with 3 clamps. More than 3 clamps are unwieldly to use.
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