Case report| Volume 21, ISSUE 8, P1009.e1-1009.e3, August 2005

Fixation of a Talar Osteochondral Fracture with Cyanoacrylate Glue


      Cyanoacrylate glue was invented by Ardis in 1949 and was first used in surgery in 1959 by Coover. By further modifications, a nonhistotoxic form, butyl-2-cyanoacrylate, which had strong tissue binding properties even in nondry environments, was developed. Its use in the fixation of fractures and osteotomies is still under investigation and has had promising results in treatment of craniofacial and mandibular injuries. We fixed a talar osteochondral fracture with cyanoacrylate. After 3 months, magnetic resonance imaging showed an anatomically reduced and intact chondral surface. The clinical result was excellent. We believe cyanoacrylate glue may form an alternative means of fixation for osteochondral and, possibly, for chondral fractures.

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        • Shermak M.A.
        • Wong L.
        • Inoue N.
        • et al.
        Fixation of the craniofacial skeleton with butyl-2-cyanoacrylate and its effects on histotoxicity and healing.
        Plast Reconstr Surg. 1998; 102: 309-318
        • Amarante M.T.J.
        • Constantinescu M.A.
        • O’Connor D.
        • Yaremchuk M.J.
        Cyanoacrylate fixation of the craniofacial skeleton.
        Plast Reconstr Surg. 1995; 95: 639-646
        • Shermak M.A.
        • Wong L.
        • Inoue N.
        • et al.
        Butyl-2-cyanoacrylate fixation of mandibular osteotomies.
        Plast Reconstr Surg. 1998; 102: 319-324
        • Ahn D.K.
        • Sims D.
        • Randolph M.A.
        • et al.
        Craniofacial skeletal fixation using biodegradable plates and cyanoacrylate glue.
        Plast Reconstr Surg. 1997; 99: 1508-1515
        • Gosain A.K.
        • Song L.
        • Corrao M.A.
        • Pintar F.A.
        Biomechanical evaluation of titanium, biodegradable plate and screw, and cyanoacrylate glue fixation systems in craniofacial surgery.
        Plast Reconstr Surg. 1998; 101: 582-591
        • Kim Y.O.
        Use of cyanoacrylate in facial bone fractures.
        J Craniofac Surg. 1997; 8: 229-234