Evaluation of the Biodegradable Plates (PG910/PDO) for Reconstruction of Various Sizes of Orbital Floor Defects in the Blow-Out Fractures

摘要

The aim of our study was to evaluate the biodegradable plates (PG910/PDO) for reconstruction of various sizes of the orbital floor defects in the blow-out fractures. We included patients who had an impure blow-out fracture. All patients had a recent trauma and also the surgical intervention was done between 1 and 10 days after trauma. The amount of the orbital floor defect was measured in each case through computed tomography scan. In the surgical intervention, a biodegradable plate was used for the reconstruction of the orbital floor defect along with titanium miniplates used for bone fixation in orbital rim. Due to aesthetic reasons, all patients underwent secondary surgery including removal of titanium miniplates after 18 months. The orbital floor was reevaluated during the removal of the miniplates. The clinical evaluation of remnant defects and biodegradable plates (presence of complete or partial resorption) were documented for each patient. In our study a total of 15 patients (10 males and 5 females) underwent the orbital floor reconstruction using biodegradable miniplates. The size of the orbital floor defects was meanly 3.51 ± 1.29 cm². Results demonstrated that 4 out of 15 patients had a remnant defect after resorption of the biodegradable plate. In 10 out of 15 patients, the biodegradable plates completely replaced with fibrous tissues after 18 months. Remaining five patients had partial resorption of plates. There was not any relationship between the defect size and the remnant defects (p > 0.05). A significant relationship was seen between the defect size and the plates' resorption rate (p < 0.001). There is a significant relationship between the resorption rate and the remnant defect. The risk to have remnant defects have been increased as the plates had incomplete resorption. The use of biodegradable plates is an appropriate option for reconstruction of the orbital floor defects. The defect size does not have any effect on the stability of the plate. However, incomplete plate resorption increases the risk of remnant defects in the orbital floor. The larger defects lead to slow degradation of biodegradable plates.