The patient a baby 4 months age felt with his
mother and the head was accidentally pushed by her elbow 10 days ago
without loss of consciousness, but got pig pong depressed fracture
of the right parietal bone.
Elevation of the depressed fracture was done.
After completing the reduction and closure, the bone regained
another time the depression, for what scrubbing was done another
time. During that the depression reduced by itself? Anyhow, the
wound was reopened and further reduction, so as to make new cracks
and over-reduction was done.
1. It is preferable to perform the surgery during
the first 2-5 days after surgery to achieve easy reduction. After
that, the bone start to adopt the new configuration and reduction
could be liable to return to depressed configuration as in this
2. In case of 30 days delay, reduction could be
impossible by this method of elevation, and reflection of the bone
up-down could be the only solution.