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Bone Flap Fixation

Khanna Telescopic burr hole covers (KTC) placed in the craniotomy burr holes fixate the bone flap and prevent bone flap sinking

Cranial Decompression

Increase in intracranial pressure from brain swelling or intracranial hemorrhage exerts pressure on the bone flap which migrates outwards enabled by the telescopic plates and increases intracranial volume

 

 

 

Technique Variation
dynamic hybrid.jpg

Bone flap fixation on one side with a telescopic plate and the other side with a dynamic plate. A technique modification useful for very curved bone flaps

Krafft P, Tafel I, Khanna A, Han P, Khanna R: Dynamic Craniotomy With Khanna NuCrani Plates as an Alternative to Craniotomy With Fixed Plates in Traumatic Brain Injury. Neurosurgery:10.1227/neu.0000000000003244, November 4, 2024. PMID: 39495022. DOI: 10.1227/neu.0000000000003244
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Khanna R, Munz M, Baxter S, Han P. Dynamic Craniotomy With NuCrani Reversibly Expandable Cranial Bone Flap Fixation Plates: A Technical Report. Oper Neurosurg (Hagerstown). 2023 Jan 1;24(1):94-102. doi: 10.1227/ons.0000000000000438. Epub 2022 Oct 18. PMID: 36519883. https://doi.org/10.1227/ons.0000000000000438
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