부산대학교 도서관

Background: Traditionally, surgical management of compound depressed calvarial fractures entails elevation and removal of all bone fragments with delayed cranioplastic repair of the defect. Objective: To assess the advantages and disadvantages of early one stage elevation, debridement and plastic repair of compound depressed fractures. Methods: 25 patients with ages ranging from4 to 47 years were included. All patients were treated for compound calvarial fractures by early one stage elevation, debridement and cranioplastic repair to assess the advantages and disadvantages of the early cranioplastic repair. Results: only two patients showed early post-operative signs of superficial wound infection that were adequately controlled by local wound care and systemic antimicrobial therapy and after an average follow up of 6.5 months no cases of infection necessitating re-operation or prolonged antimicrobial therapy were encountered. Conclusion: Early single stage elevation, debridement and cranioplastic repair of compound calvarial fractures is a valid treatment scenario that can be adopted whenever possible with no added risk of infection. [ABSTRACT FROM AUTHOR]