Within the present study, a 19-year-old female who sustained an isolated lateral malleolar fracture was treated with open reduction and intramedullary Mg screw … -. Epub 2015 Mar 17. Polim Med. Bethesda, MD 20894, Copyright Both of these were more common in the metal group. After screw removal surgery, 25 of 27 (93%) patients with at least 12 months of follow-up had complete resolution of screw site symptoms, 18 of 23 (78%) evaluable patients returned to sports, while 8 of 27 (30%) patients underwent additional surgeries, 7 of which were unrelated to the screw procedure. AOSSM has not conducted an independent investigation on the OPD and disclaims any liability or responsibility relating thereto. Epub 2016 Apr 27. Administration. However the superficial nature of this area leads to high complication rates requiring removal of metalwork. There were some complications for both groups but a greater number of problems in the metal screw group. 2020 May;8(3):426-431. doi: 10.22038/abjs.2019.39026.2038. Bio-Compression screws are an excellent solution for a variety of complications such as hardware prominence, postoperative imaging, and arthrodesis of small bones in the wrist or fingers. The subpopulation with screw-related symptoms or complications were identified through chart review. Screw breakage during insertion has been reported with bioabsorbable screws in up to 10% of cases. Complications related to implant use in the pediatric and adolescent population have not been well studied. Complications of Rotator Cuff Surgery in Which Bioabsorbable Anchors Are Used November 2003, VOLUME 181 NUMBER 5 ... Radiography can detect calcified or osseous bodies but not bioabsorbable screws. Arthroscopy. The shafts of the remaining 2 screws had completely absorbed, leaving the unabsorbed screw heads as intra-articular loose bodies in the knee. This site needs JavaScript to work properly. Keywords: Six months after surgery, the patient had an acute episode of pain with effusion. To minimize the chance of graft advancement, it is important to maintain constant tension on the passing sutures during screw insertion. Autologous osteochondral mosaicplasty in osteochondritis dissecans of the patella in adolescents. Huang YM, Huang CC, Tsai PI, Yang KY, Huang SI, Shen HH, Lai HJ, Huang SW, Chen SY, Lin FH, Chen CY. has received educational support from Kairos Surgical. The rate of clinical sequelae from bioabsorbable tibial interference screws was surprisingly high, with symptoms arising after approximately 1 of 10 ACLRs in adolescents. Complication rates can be high especially in complex hand trauma. For upper extremity surgery, the Bio-Compression Screw may be inserted either percutaneously or in an open procedure. Careers. Kaplan-Meier curve estimate of the cumulative probability of screw removal surgery over time.…, Kaplan-Meier curve showing estimation for…. 2020 Nov 17;8(11):2325967120963050. doi: 10.1177/2325967120963050. The purpose of this study was to deter- Bethesda, MD 20894, Copyright [Osteochondritis dissecans occurring in the patella and medial femoral condyle in the same knee]. Complications of Rotator Cuff Surgery in Which Bioabsorbable Anchors Are Used November 2003, VOLUME 181 NUMBER 5 ... Radiography can detect calcified or osseous bodies but not bioabsorbable screws. The knee: internal fixation techniques for osteochondritis dissecans. Please enable it to take advantage of the complete set of features! Most cases reported on poly-L-lactic acid-based screws. See this image and copyright information in PMC. The median follow-up period was 32.0 months. Most patients were able to return to sports after screw removal surgery. 2010;26(12):1710–1713. Arthroscopic Bioabsorbable Screw Fixation of Unstable Osteochondritis Dissecans in Adolescents: Clinical Results, Magnetic Resonance Imaging, and Second-Look Arthroscopic Findings. Multivariable logistic regression was used for adjusted analysis of any screw-related problem. Chun KC, Kim KM, Jeong KJ, Lee YC, Kim JW, Chun CH. The purpose of this retrospective study is to compare the clinical and radiological outcomes of MM fractures fixed with either bioabsorbable Mg screws or conventional titanium screws. However, such screws have been reported to have increased risks of inflammation, infection, and failed surgery. LEVEL OF EVIDENCE: III retrospective comparative study. The reported literature complications of bioabsorbable anchors implanted about the shoulder include glenoid osteolysis, synovitis, and chondrolysis. Complications The unique complication of these implants is the delayed inflammatory reaction or sterile inflammatory foreign body reaction. has received consulting fees from OrthoPediatrics, Smith & Nephew, Ossur, and Stryker; speaking fees from Smith & Nephew; royalties from OrthoPediatrics; and honoraria from Stryker. The shafts of the remaining 2 screws had completely absorbed, leaving the unabsorbed screw heads as intra-articular loose bodies in the knee. 23. Anti-biotic releasing Bioabsorbable screws to reduce implant related infection. ... osseous bodies but not bioabsorbable screws. … 2007;15(4):378–380. Abouassaly M, Peterson D, Salci L, Farrokhyar F, D'Souza J, Bhandari M, Ayeni OR. Craniomaxillofacial Applications for Bioabsorable Magnesium. One or more of the authors has declared the following potential conflict of interest or source of funding: D.E.K. Long-term absorption of poly-L-lactic acid interference screws. Arthroscopy 1999; 15:317-320. Migration is a possible complication of “bioabsorbable” interference screws. -, Arama Y, Salmon LJ, Sri-Ram K, Linklater J, Roe JP, Pinczewski LA. 11,25,29 These reports led to the development and popularization of bioabsorbable interference screws. In 44 (4.8%) cases, no surgery was required; in 45 (4.9%) cases, surgery for a screw-related problem occurred at a median of 24 months postoperatively. To overcome concerns and complications with permanent metal and absorbable polymer implants, nanoMAG developed its proprietary BioMg ® bioabsorbable alloy to be used in craniomaxillofacial and other implant applications.. BioMg ® is a magnesium alloy, containing small additions of calcium and zinc, … None of the children with bioabsorbable implants needed further surgery. complications following tendon transf ers of the foot and ankle using bioabsorbable poly-L-lactide interfer ence screws. The mean cross-sectional area enlargement was 38% in group I and 15% in group II (p = 0.017). Clinical and Radiographic Outcomes After Fixation of Chondral Fragments of the Knee in 6 Adolescents Using Autologous Bone Pegs. Level of Evidence: Level IV, case series. Crossref, Medline, Google Scholar; 37 Lajtai G, Balon R, Humer K, Aitzetmuller G, Unger F, Orthner E. Resorbable interference screws: histologic study 4.5 years postoperative. Compression screws and Kirschner wires also show comparable satisfactory outcomes. The most common surgical indication was pain at the tibial screw site (42/45, 93%), followed by intra-articular screw issues (3/45, 7%). Bacterial wound infection occurred in 4% and failure of fixation occurred in 4%. 2016 Mar;8(1):57-64. doi: 10.4055/cios.2016.8.1.57. FOIA Complications of Rotator Cuff Surgery in Which Bioabsorbable Anchors Are Used OBJECTIVE. Ogura T, Sakai H, Asai S, Fukuda H, Takahashi T, Kanisawa I, Yamaura I, Tsuchiya A, Forney M, Winalski CS, Takahashi K. Orthop J Sports Med. 4 – 6 To minimize the risk of lacerating the passing suture, at least one suture can be passed through the tendon at the … Macarini L, Murrone M, Marini S, Mocci A, Ettorre GC. The purpose of this retrospective study is to report and evaluate functional outcomes of polyethylene tension-band and bioabsorbable Magnesium alloy screw … The 3 cases presented describe loosening or failure of bioabsorbable screws in the treatment of osteochondritis dissecans (OCD). 2017 Jan;41(1):197-202. doi: 10.1007/s00264-016-3198-z. Bioabsorbable interference screw failure in anterior cruciate ligament reconstruction: A case series and review of the literature. Extrusion of tibial tunnel bioabsorbable screw 15 months after anterior cruciate ligament reconstruction. Tibial and pretibial cyst formation after anterior cruciate ligament reconstruction with bioabsorbable interference screw fixation. Interference screw fixation using bioabsorbable implants has become the most common form of tibial-sided graft fixation in anterior cruciate ligament reconstruction (ACLR). In conclusion, if the advantages of bioabsorbable magnesium screws outweigh the drawbacks of increased costs and a higher surgical demand, this implant might serve as possible chevron osteotomy fixation method. Results of the search 2014 Jun;22(6):1216-24. doi: 10.1007/s00167-013-2531-y. 7 Regardless of the disadvantages of metallic screws, they still offer excellent clinical outcomes and their use for tibial fixation was found to be the single … -, Barber FA, Dockery WD. Clin Sports Med. In contrast, six complications (15%) were seen in group II (p = 0.046). Methods: Serious complications such as re-fracture, infection, nerve, and vascular injuries may occur during the dissection of fibrotic tissues. In the current literature, there is only one case report on the use of magnesium bio-absorbable screws in ankle fractures. 2014. Craniomaxillofacial Applications for Bioabsorable Magnesium. Clinical success appears comparable to reported results with other methods of meniscal repair. 2014 Apr;33(2):313-9. doi: 10.1016/j.csm.2013.12.001. At its base, bioabsorbable material was created to address potential problems with synthetic implants of all kinds, including but not limited to growth disturbance, migration of the implant, rigidity, and infection, since the body generally resorbs the material over time. eCollection 2020 Nov. Keyhani S, Soleymanha M, Verdonk R, Abbasian M. Arch Bone Jt Surg. Careers. Pitfalls associated with fixation of osteochondritis dissecans fragments using bioabsorbable screws. Few studies describe complications associated with PLLA bioabsorbable screws, particularly extra-articular screw migration. Bioabsorbable lag screw fixation of knee osteochondritis dissecans in the skeletally immature. Epub 2013 May 17. Reoperation for these symptoms was performed in approximately 5% of the knees in the study, at a median 2 years postoperatively. Epub 2014 Feb 28. J Bone Joint Surg Am. Study design: M.S.K. There were 925 ACLR procedures in 858 patients (mean age, 15.7 years; range, 10-18 years) who met inclusion criteria. Kaplan-Meier curve estimate of the cumulative probability of screw removal surgery over time. There is limited clinical experience with the reliability of bioabsorbable screws in hip surgery. Watson JN, McQueen P, Kim W, Hutchinson MR. Knee. With the aim of avoiding these disadvantages, and in response to patient requests, screws made from materials that dissolve over time (bioabsorbable screws) were introduced. Arthroscopic examination revealed 2 of the 4 screws backed out, causing cartilage damage to the corresponding tibial plateau. Three-Dimensional Printed Porous Titanium Screw with Bioactive Surface Modification for Bone-Tendon Healing: A Rabbit Animal Model. The rate of clinical sequelae from bioabsorbable tibial interference screws was surprisingly high, with symptoms arising after approximately 1 of 10 ACLRs in adolescents. Prevention and treatment information (HHS). Unable to load your collection due to an error, Unable to load your delegates due to an error. However, bioabsorbable screws pose various demerits such as low mechanical strength, risk of fracture during insertion, undesired biological response to incomplete absorption that may lead to bone tunnel widening, and loss of tissue continuity. Methods: A retrospective chart review was used to identify patients in whom either of the 2 senior authors had performed a tendon transfer of the foot and ankle using a bioabsorbable interference screw … Unpredictable and inconsistent degradation of the screws is believed to be the mechanism for screw back-out and cartilage damage. This review outlines various clinical adverse effects of biodegradable screws in both … Rare complications occurred that involved implant migration and transient inflammatory responses. Do newer-generation bioabsorbable screws become incorporated into bone at two years after ACL reconstruction with patellar tendon graft? Complications of Rotator Cuff Surgery in Which Bioabsorbable Anchors Are Used OBJECTIVE. This site needs JavaScript to work properly. MRI and MR arthrography are superior to CT and CT arthrography for detection of loose bodies [3, 4]. Arthroscopy. 8600 Rockville Pike Complications related to metal screws such as pain, graft injury at time of insertion, magnetic resonance imaging (MRI) incompatibility, need for a second operation for screw removal, and technical challenges with revision surgery have been reported. Arthroscopy. 2001 May;17(5):542-5. doi: 10.1053/jars.2001.22397. A total of fourteen complications (34%) occurred in group I. These potential complications should be kept in mind when forming a differential diagno- -, Appelt A, Baier M. Recurrent locking of knee joint caused by intraarticular migration of bioabsorbable tibial interference screw after arthroscopic ACL reconstruction. complications have been reported with BIS use, including foreign-body tissue reaction against screw remnants,10,11 intra-articular screw migration,12-16 cyst or abscess formation,17 breakage during surgery,18 and bone tunnel widening due to incomplete integration of the bioabsorbable material into bone.19 Clinical outcomes and complications have generally FOIA Knee Surg Sports Traumatol Arthrosc. We report two cases of bioabsorbable screw extrusion and Pseudomonas aeruginosa tibial tunnel infection in 17/18-year-old men, 2 and 4 years after ACL reconstruction, respectively. bioabsorbable screw appears to be a safe and effective device for meniscal repair. Arthroscopy. Accessibility Irregularity of the joint line and disruption of the growth plate causing growth to stop were the two main complications. Objective. Results: Over a 3-year period, 7 of 353 patients had complications with OBT with an incidence of 2.0%. 2015;43(8):1893–1901. Reoperation for these symptoms was performed in approximately 5% of the knees in the study, at a median 2 years postoperatively. MRI in ACL reconstructive surgery with PDLLA bioabsorbable interference screws: evaluation of degradation and osteointegration processes of bioabsorbable screws. Background: A cohort of 48 patients with MM fractures … In addition to favorable clinical results of bioabsorbable Mg screws, a few studies have also reported poor results and complications. Bioabsorbable versus titanium screws in anterior cruciate ligament reconstruction using hamstring autograft: a prospective, blinded, randomized controlled trial with 5-year follow-up. CONCLUSIONS: The clinical results associated with bioabsorbable screws and bone plugs were not significantly different. Screw migration is a possible complication related to some characteristics of the so-called ‘‘bioabsorbable’’ interfer-ence screws. Chadli L, Cottalorda J, Delpont M, Mazeau P, Thouvenin Y, Louahem D. Int Orthop. Of the 925 knees, 89 (9.6%) developed a screw-related problem. Arthroscopic examination revealed 2 of the 4 screws backed out, causing cartilage damage to the corresponding tibial plateau. MRI and MR arthrography are superior to CT and CT arthrography for detection of loose bodies [3, 4]. has received consulting fees from Smith & Nephew and educational support from Kairos Surgical. However, there are apparent clinical complications coupled with the usage of these bioabsorbable screws that result in many undesirable biological responses. Migration was noticed between 3 and 22 months postoperatively. Would you like email updates of new search results? B.E.H. Furthermore, the absence of a second surgery is of significant contribution to the psychology of patients. J Orthop Case Rep. 2020 Aug-Sep;10(5):27-29. doi: 10.13107/jocr.2020.v10.i05.1824. The overall complication rate was 10%. The use of bioabsorbable implants have been proposed to reduce many of these problems. Magnesium (Mg) bioabsorbable screws are new biomaterials used in fracture fixation. AOSSM checks author disclosures against the Open Payments Database (OPD). J Pediatr Orthop B. The following 2 outcomes were considered: screw-related symptoms and secondary surgery related to the screw. National Library of Medicine The purpose of this study was to document complications following tendon transfers of the foot and ankle using bioabsorbable poly-L-lactide interference screws. The hypothesis was that the use of a bioabsorbable screw in distal biceps tenodesis results in significant osteolysis of the radial bone. excluding tenotomy, revision cases, or fixation methods other than interference screw fixation. Six months after surgery, the patient had an acute episode of pain with effusion. Cipro-screw World’s first antibiotic releasing bioabsorbable fixation device 24. MRI and MR arthrography are superior to CT and … -, Barber FA, Dockery WD. In adjusted analysis, ACLR procedure performed by a "low-volume" ACL surgeon was the only significant predictor identified. Privacy, Help Drawbacks to the use of metallic screws include distortion of magnetic resonance imaging (MRI), lack of biologic incorporation and increased risk of graft laceration (although the development of dull threading has reduced this risk).
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