Acta Neurochirurgica

, Volume 147, Issue 9, pp 973–976 | Cite as

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

  • S. Andrzejak
  • J. Fortuniak
  • G. Wróbel-Wiśniewska
  • M. Zawirski
Technical Evaluation


The paper presents clinical evaluation of the polypropylene-polyester knit used as a cranioplasty material.

Material. Between year 1980 and 2002 275 cranioplastic procedures using the polypropylene-polyester plates Codubix were carried out in the Department of Neurosurgery of the Medical University of Łódź. There were 146 patients who primarily sustained head injuries and 129 non-traumatic patients with craniectomies carried out for various other reasons. In the majority of cases, i.e. in 158 patients, cranioplasty was performed later than 6 months after the primary surgery. The largest implant measured 430 cm2.

Results. Excellent and good outcome was achieved in 92% of the patients whereas the rate of local infection was 8%.

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

Keywords: Cranioplasty; knitted polypropylene-polyester prosthesis Codubix. 


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  1. Abbott, KH 1953Use of frozen cranial bone flaps for autogenous and homologous grafts.J Neurosurg10380388PubMedGoogle Scholar
  2. Cabenela, ME, Coventry, MB, MacCarty, CS,  et al. 1970The fate of patients with methyl methacrylate cranioplasty.J Bone Joint Surg52B340353Google Scholar
  3. Delashaw JB Jr, Persing JA (1996) Repair of cranial defects. In: Youmans JR (ed). Neurological surgery. 4th edn, vol. 3. Philadelphia, W. B. SaundersGoogle Scholar
  4. Durham, SR, McComb, JG, Levy, ML 2003Correction of large >25 cm(2)) cranial defects with “reinforced” hydroxyapatite cement: technique and complications.Neurosurgery52842845CrossRefPubMedGoogle Scholar
  5. Eppley, BL, Hollier, L, Stal, S 2003Hydroxyapatite cranioplasty: 2. Clinical experience with a new quick-setting material.J Craniofac Surg14209214CrossRefPubMedGoogle Scholar
  6. Flannery, T, McConnell, RS 2001Cranioplasty: why throw the bone flap out?Br J Neurosurg15518520CrossRefPubMedGoogle Scholar
  7. Hammon, WM, Kempe, LG 1971Methyl methacrylate cranioplasty: Thirteen years’experience with 417 patients.Acta Neurochir (Wien)256977CrossRefGoogle Scholar
  8. Kotwica, Z, Zawirski, M, Andrzejak, S, Papierz, W 1991Chmielowski cranioplasty of an extremely large cranial defect caused by transitional meningioma with a knitted polypropylene-polyester Prothesis “codubix”.Acta Neurochir (Wien)112147150CrossRefGoogle Scholar
  9. Kreider, GN 1920Repair of cranial defect by new method.JAMA641024Google Scholar
  10. Laidlaw J (2000) Cranioplasty. In: Kaye AH, Black P (eds) Operative neurosurgery vol. 1. Harcourt Publishers LimitedGoogle Scholar
  11. Liu JK, Gottfried ON, Cole CD, Dougherty WR, Couldwell WT (2004) Porous polyethylene implant for cranioplasty and skull base reconstruction. Neurosurg Focus 15: 16(3)Google Scholar
  12. Meel, BL 2004Fatal systemic allergic reaction following acrylic cranioplasty: a case report.J Clin Forensic Med11205207CrossRefPubMedGoogle Scholar
  13. Poetker, DM, Pytynia, KB, Meyer, GA, Wackym, PA 2004Complication rate of transtemporal hydroxyapatite cement cranioplasties: a case series review of 76 cranioplasties.Otol Neurotol25604609CrossRefPubMedGoogle Scholar
  14. Sanan, A, Haines, JS 1997Repairing holes in the head: a history of cranioplasty.Neurosurgery40588603CrossRefPubMedGoogle Scholar
  15. Saringer, W, Nobauer-Huhmann, I, Knosp, E 2002Cranioplasty with individual carbon fibre reinforced polymere (CFRP) medical grade implants based on CAD/CAM technique.Acta Neurochir (Wien)14411931203CrossRefGoogle Scholar
  16. Wurm, G, Tomancok, B, Holl, K, Trenkler, J 2004Prospective study on cranioplasty with individual carbon fiber reinforced polymer (CFRP) implants produced by means of stereolithography.Surg Neurol62510521CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag/Wien 2005

Authors and Affiliations

  • S. Andrzejak
    • 1
  • J. Fortuniak
    • 1
  • G. Wróbel-Wiśniewska
    • 1
  • M. Zawirski
    • 1
  1. 1.Department of NeurosurgeryMedical University of LodzLodzPoland

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