Völkel W, Pabst F, Klemm E
Klinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Plastische Operationen, Krankenhaus Dresden-Friedrichstadt, Akademisches Lehrkrankenhaus der Technischen Universität Dresden.
Laryngorhinootologie. 2011 Jan;90(1):23-5. doi: 10.1055/s-0030-1265157. Epub 2010 Oct 28.
Different materials can be used for fixation of fractures or for osteoplastic operations in head and neck surgery. Especially metallic and resorbable implants are at the market now. Advantages and disadvantages of the different implants should be considered as decisive for different indications.
We retrospectively analyzed the patients since 1999 which we operated using such resorbable materials. From 1999 until 2006 we used LactoSorb(®). 2007 we introduced the Resorb X(®) plates and -meshs and the SonicWeld Rx-System(®). Here the plates or meshs will be fixed by an ultrasonically welded pin.
In 52 cases we implanted LactoSorb(®) and Resorb X(®) with the SonicWeld Rx-System(®). In 2 cases we saw a foreign body reaction that resulted in a fistula. In one case a plate broke after fixing.
The use of resorbable materials with ultrasonically welded pin osteosynthesis resulted in a stable mechanical connection, an easy intraoperative handling and a low rate of complications. Those materials can be used for traumatologic and osteoplastic reconstructions in head and neck surgery.
在头颈外科手术中，可使用不同材料进行骨折固定或骨整形手术。目前市场上尤其有金属和可吸收植入物。不同植入物的优缺点应被视为不同适应症的决定性因素。
我们回顾性分析了自1999年以来使用此类可吸收材料进行手术的患者。1999年至2006年我们使用LactoSorb®。2007年我们引入了Resorb X®接骨板和网片以及SonicWeld Rx-System®。在此，接骨板或网片通过超声焊接销固定。
我们用SonicWeld Rx-System®植入了52例LactoSorb®和Resorb X®。2例出现异物反应导致瘘管。1例在固定后接骨板断裂。
使用带超声焊接销骨固定术的可吸收材料可实现稳定的机械连接、术中操作简便且并发症发生率低。这些材料可用于头颈外科的创伤性和骨整形重建。
