Cranioplasty Using Titanium Miniplates for the Repair of a Comminuted Fracture : Report of Two Cases

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  • Nakagawa Setsuko
    Departments of Neurosurgery, and Oral and Maxillofacial Surgery, Saga Medical School
  • Abe Masamitsu
    Departments of Neurosurgery, and Oral and Maxillofacial Surgery, Saga Medical School
  • Tsuji Takehisa
    Departments of Neurosurgery, and Oral and Maxillofacial Surgery, Saga Medical School
  • Tabuchi Kazuo
    Departments of Neurosurgery, and Oral and Maxillofacial Surgery, Saga Medical School
  • Goto Masaaki
    Departments of Neurosurgery, and Oral and Maxillofacial Surgery, Saga Medical School
  • Katsuki Takeshi
    Departments of Neurosurgery, and Oral and Maxillofacial Surgery, Saga Medical School

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Other Title
  • 粉砕骨折に対するチタンミニプレートを用いた頭蓋骨形成術

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To repair simple depressed fractures of the skull, wire ligatures are usually sufficient. However, complex depressed fractures of the skull in which the bone is smashed into fragments are difficult to reconstruct by wiring. Therefore, since bone flaps tend to be fragile and may result in a deformed appearance, the authors have used bone fragments combined with titanium miniplates to repair depressed skull fracture in two cases. These miniplates were originally developed for maxillofacial surgery, and are biologically quite stable. In the cases we describe, bone flaps that were smashed into fragments were sufficiently stabilized to resume the original cranial shape in a reconstruction using titanium miniplates. An extra advantage is that titanium miniplates rarely obscure intracranial structures on postoperative computed imaging. The cranioplasties were successful and the patients have had a favorable postoperative course.

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