Clinical evaluation of the polypropylene-polyester knit used as a cranioplasty material

Abstract

Codubix knitted polypropylene-polyester implant proved to be useful and a safe cranioplastic material.

Early cranioplasty vs. late cranioplasty for the treatment of cranial defect: A systematic review

“…Nevertheless, the autologous bone flap cranioplasty also has the tendency of a high complication rate in pediatric traumatic brain injury patients [24]. Although newer synthetic materials is expensive and has a higher presumed risk of infection and rejection, newer synthetic materials with computer-assisted 3D molding technique has been widely used in recent time and provided superior cosmetic results [3,10,25,35]. A meta-analysis also reported that there is no significant difference in infection rate between autogenous grafts and allografts [39].…”

Intraoperative template-molded bone flap reconstruction for patient-specific cranioplasty

“…Numerous synthetic materials, such as titanium [32], polymethyl methacrylate (PMMA) [13,28], carbon [41], polyetheretherketone (PEEK) [2], hydroxyapatite (HA) [42], ceramics [27], and osteoconductive bioresorbable materials [8], have been applied to correct skull defects after permanent removal of the bone flap. PMMA is the most frequently used material to restore normal skull contour and shape [28,37].…”

Custom made bioceramic implants in complex and large cranial reconstruction: A two-year follow-up

“…Nevertheless, acrylic materials do not have a good biological profile; some of them are characterised by low biocompatibility and a high failure rate (Prolo et al, 1979;Poetker et al, 2004;Andrzejak et al, 2005;Mastrogiacomo et al, 2005). Another drawback of acrylic resins has always been the exothermic reaction and potentially toxic nature of in situ polymerisation because the heating process and monomer release can damage the surrounding soft tissue (D'Urso et al, 2000).…”

“…After removal, bone flaps are commonly placed in the abdominal wall of the patients which requires additional surgery or they are preserved by deep-freezing; however, they are often unusable at the moment of re-implantation, thus leading to the need for artificial bone substitutes (Andrzejak et al, 2005). A recent study, focussing on factors influencing bone graft infection after delayed cranioplasty, showed that the outcome is related to preservation procedures and is particularly time-related.…”