Biodegradable implants in fracture fixation

ISFR Symposium, Hong Kong, September 4 and 5, 1993

Publisher: Dept. of Orthopaedics and Traumatology, the Chinese University of Hong Kong, Publisher: River Edge, N.J., Publisher: World Scientific Pub. Co. in Hong Kong, Singapore

Written in English
Cover of: Biodegradable implants in fracture fixation |
Published: Pages: 283 Downloads: 641
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Subjects:

  • Internal fixation in fractures -- Congresses,
  • Polymers in medicine -- Biodegradation -- Congresses,
  • Orthopedic implants -- Congresses

Edition Notes

Statementeditor-in-chief Leung Kwok-sui ; editors, Hung Leung-kim, Leung Ping-chung ; organised jointly by Dept. of Orthopaedics and Traumatology, the Chinese University of Hong Kong and the International Society for Fracture Repair.
ContributionsLeung, Kwok-sui., Hung, Leung-kim., Leung, Ping-Chung, 1941-, Chinese University of Hong Kong. Dept. of Orthopaedics and Traumatology., International Society for Fracture Repair., Symposium on Biodegradable Implants for Fracture Fixation (1993 : Hong Kong)
Classifications
LC ClassificationsRD103.I5 B56 1994
The Physical Object
Paginationxxii, 283 p. :
Number of Pages283
ID Numbers
Open LibraryOL844268M
ISBN 10981021796X
LC Control Number95122340

Helling HJ, Prokop A, Schmid HU, Nagel M, Lilienthal J, Rehm KE. Biodegradable implants versus standard metal fixation for displaced radial head fractures: a prospective, randomized, multicenter study. J Shoulder Elbow Surg. ;–   Moreover, the use of biodegradable implants for pediatric fracture fixation is particularly appealing because it obviates implant removal. However, little is known regarding the use and effectiveness of biodegradable implants in pediatric patients [9, 23, 24].   This suggestion changed over time to remove metal screws only, if complications occur. To further reduce the rate of revision surgery, biodegradable implants have been introduced [16]. The rate of metal implant removal in osteochondral fractures, even in knee joints after patella dislocation, is not exactly known [16, 17]. The purposes of this study are to compare the outcomes of the biodegradable implants for the fixation of ankle fracture and those of metallic implants, and to assess the problems of the biodegradable implants. Null hypothesis is that the clinical outcomes of biodegradable plate and screws for ankle fracture are not different from those of.

Biodegradable polylactide-glycolide copolymer implants for fracture fixation were developed and tested in rabbits. In a prospective clinical study 44 patients with a displaced fracture of the ankle were randomly allocated to two groups; one was treated with conventional metallic implants and the other with the biodegradable implants. There were no differences between the two groups in the. An ultrasound assisted anchoring technique (bonewelding technology) for fixation of implants to bone - a histological pilot study in sheep. Open Orthop J ; 3(): [22] Rozema FR, Bos RR, Boering G, Leenslag JW, Pennings AJ. Experimental fractures of the . MAGNEZIX® (Syntellix AG, Hanover, Germany) is a biodegradable magnesium-based alloy (MgYREZr) which is currently used to manufacture bioabsorbable compression screws. To date, there are very few studies reporting on a limited number of elective foot surgeries using this innovative implant. This case report describes the application of this screw for osteochondral fracture fixation at the. Biodegradable implants have been used for years in the treatment of less stressful fractures, such as ankle, mandibular, and pediatric clavicular fractures, with excellent results [18,19,20]. The less fixation strength of the biodegradable implant utilized for the fractures of the calcaneus may lead to stability problems of fracture fixation.

Magnesium-based implants seem to find widespread use in many indications of fracture fixation compared to conventional metallic implants due to their significant advantages. 7. References. Hofmann GO. Biodegradable implants in traumatology: a review on the state-of-the-art. Arch Orthop Trauma Surg. ;(3) Use of resorbable implants is well documented in the literature for a range of craniofacial fractures. However, no clear review exists of the use of resorbable implants on the mandible. In this systematic review, we searched MEDLINE/PubMed and the Cochrane Database for studies of resorbable mandibular fixation.   Biodegradable implant could help heal broken bones Date: Octo Source: Beaumont Health Summary: A plastic created from cornstarch combined with a volcanic ash compound could help heal. When using these implants there is no need for a subsequent implant removal operation. During the 7-year period –, a total of patients were treated with such absorbable fixation devices, the most common indications being displaced malleolar fractures of the ankle and fractures of .

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Biodegradable Implants in Fracture Fixation: Proceedings of Hte Isfr Symposium [Leung, Kwong-Sak, Hung, L-K, Leung, Ping-Chung] on *FREE* shipping on qualifying offers. Biodegradable Implants in Fracture Fixation: Proceedings of Hte Isfr Symposium.

The articles in the volume were presented at the ISFR Symposium on Biodegradable Implants in Fracture Fixation Sample Chapter(s) Chapter 1: Modulation of Fracture Healing and Bone Regeneration Using Physical and Biological Means ( KB). Based on our experiences in paediatric traumatology treated conservatively or with metallic implants, we looked for alternative fixation possibilities in the field of biodegradables.

We designed a new driving system for screws consisting of an indwelling screw driver which transduces the torque force over the whole length of the by: These biodegradable implants were employed in the fixation of fractures in a metaphysis and diaphysis.

The fractures healed clinically and radiolo-gically in six weeks without complicatons. The articles in the volume were presented at the ISFR Symposium on Biodegradable Implants in Fracture Fixation € Adicionar ao carrinho.

Língua Inglês Formato PDF Páginas ISBN Editor Leung Kwong-sak Leung & Hung L-k Hung Editora. Biodegradable Magnesium-Based Implants in Orthopedics—A General Review and Perspectives Jia-Li Wang,* Jian-Kun Xu, Chelsea Hopkins, Dick Ho-Kiu Chow, and Ling Qin* DOI: /advs limited to osteoporotic fracture.[1] Tradi-tional orthopedic implants including fixa-tors (internal/external) and prosthesis are.

Biodegradable implants in fracture fixation book The use of orthopedic implant for internal fracture fixation began more than years ago, although metal plating began in In, different versions of the internal fracture fixation plate were introduced which were truly the first generation implants.

Due to improvements in the metallurgical formulation, there were efforts to improve. 6 Polymeric implants 41 Biodegradable polymeric implants 41 Nonbiodegradable polymeric implants 41 7 Methods and materials for filling bone defects 42 Replacement of bone by synthetic fillers 42 8 Bibliography 43 9 Acknowledgments 44 Implants and materials in fracture fixation.

foreign-body reactions to fracture fixation implants of biodegradable synthetic polymers VOL. B, No. 4, JULY Histological specimen from a patient re-operated at 1 3 weeks for failure. E.A. Friis, J.C. Thomas, in Mechanical Testing of Orthopaedic Implants, Simulated in situ testing of fixation devices.

Fracture fixation devices are commonly tested in four different types of formats: (1) cadaveric specimens, (2) mechanical analogue bones, or (3) synthetic materials or constructs set up to simulate basic body loading conditions, and (4) finite element analysis.

A new class of biodegradable metals has emerged as an alternative to traditional fixation implants. Biodegradable metals are expected to corrode gradually in vivo with an appropriate host response elicited by released corrosion products and then dissolve completely upon fulfilling the mission to assist tissue healing with no implant residues.

Abstract. Over the past decade there has been an exponential increase in the use of biodegradable polymers in the field of orthopaedics. Such materials are used to fabricate fracture fixation rods, plates, screws, staples, clips, arrows, hooks, suture anchors, sutures and more recently for producing scaffolds for musculoskeletal tissue engineering.

About 40 different biodegradable polymers, copolymers and composites have been developed as substitutes for metal implants in internal fracture fixation. The early experimental and clinical results demonstrate their limitations.

From the current point of view, it is not possible to transfer the designs and assembling principles of metal. To compare the advantages and disadvantages of biodegradable and non-degradable implants in orthopedic fractures. Recent original articles about biodegradable and non-degradable implants for fracture fixation were reviewed extensively, and a comprehensive retrospective analysis was performed.

Standard orthopedic treatment is to use non-degradable metal implants to fixate the fracture. The book is impressively printed and the material is presented in eight chapters, the first two are introductory chapters on terminology of fracture fixation and on the implant metals.

Remaining six chapters discuss the various implants of fracture fixation, viz bone screws, plates, IM nails, DHS, wires, pins and lastly on the external fixators. Abstract. Over the past 30 years, there have been significant advances in the development of biodegradable materials [].In particular, these materials have received attention for use as implants to aid regeneration of orthopedic defects [49, 91].Every year more than million orthopedic surgeries are performed in the United States alone [].

Small ( or mm) headless screws can be used for fixation. – Bioabsorbable implants or small-threaded wires may be useful for fixation of very small fragments. Once the articular surface is restored, the reconstructed radial head fragment can be fixed to the proximal radial neck using a plate and screw construct if necessary.

BACKGROUND: Up to date there is no intramedullary, biodegradable osteosynthesis commercially available to treat non-comminuted midshaft fractures of small hollow bones applying not only a stable osteosynthesis but an additional axial compression to t.

After healing of internally fixed ankle fractures, re- moval of the metallic plates and screws is recommend- ed by the Association for the Study of Internal Fixation (Miiller et al.

Such a second operation always causes inconvenience to the patient. Biodegradable implants for fixation of fractures. Biodegradable implants have evolved over the last four decades from simple sheets or films of polymers suitable for experimental use to implants of more complex design, such as biodegradable pins, wires and plates for internal fixation of fractures.

- See: Bioabsorble Implant Discussion Fixation with Bioabsorbable Screws for the Treatment of Fractures of the Ankle. Surgical treatment of fracture-dislocations of the ankle joint with biodegradable implants: a prospective randomized study. Biodegradable fixation of ankle fractures.

Complications in a prospective study of 25 cases. Intense granulomatous inflammatory lesions associated with. Objective: Fractures involving the proximal one-third of the splint bone are relatively rare and are challenging to treat. A variety of management techniques have been reported in the literature.

The aim of this retrospective case series was to describe the clinical presentation and evaluate the efficacy of bioabsorbable polylactic acid screws in internal fixation of proximal fractures of the. teristics of PLA implants - both initially and later regarding strength retention during the healing period.

Fixation of fractures with biodegradable implants has many advantages compared with tra-ditional metallic implants.

The implant provides adequate fi xation during fracture. The channel of the biodegradable implant diminishes during healing because bone tissue subsequently grows into the Biorod as it biodegrades, thus creating a rigid contact between the bone and implant. The present results indicate that biodegradable fixation will be a valuable tool in the fixation of cancellous bone fractures in veterinary surgery.

The implants which undergo gradual degradation by biological process and absorbed and excreted by the body are called Biodegradable Implants. Implants for the internal fixation of fractures have a common property of being needed temporarily,until the fracture has united.

The current study was designed to clarify whether biodegradable poly-L/DL lactide pins provide an operative alternative for fixation of Pipkin fractures. Nine patients with Pipkin fractures (one with Pipkin Type I, one with Pipkin Type II, and seven with Pipkin Type IV fractures Cited by: Background: Biodegradable implants have not been used on a large scale for internal fixation of mandibular fractures because of presumed inferior mechanical properties.

This prospective clinical trial was designed to elucidate the stability and biocompatibility of self-reinforced poly-L/D-lactide plates and screws used to stabilize a variety of mandible fractures by open reduction and internal.

Biodegradable plates have been used extensively in fracture fixation since the s. They rarely cause stress-protection atrophy or problems requiring secondary plate removal, common complications seen with metallic plates.

However, aseptic foreign-body reactions have been reported, sometimes years after the original implantation. The current generation of biodegradable polymeric implants for bone repair utilising designs copied from metal implants, originates from the.

We reviewed 12 male patients with scaphoid nonunions treated by open reduction, bone grafting, and internal fixation with biodegradable implants made of self-reinforced poly-l-lactic acid. Mean patient age was (20–25) years.

Ten patients had type D2 scaphoid nonunions with a fracture line in the middle one third, one patient had type D2 nonunion with a fracture line in the proximal one. Purpose: To investigate whether biodegradable plates are applicable in endoscope-assisted open reduction and internal fixation (EAORIF) of mandibular subcondyle fractures.

Materials and methods: This retrospective case-series study included patients with mandibular subcondyle fractures treated with EAORIF using an unsintered hydroxyapatite particles/poly-l-lactide biodegradable plate system.Giannini S, Ceccarelli F, Moroni A, Spezioli G.

Bioreabsorbable osteosynthesis devices in foot fractures. In: Kwok-sui L, Leung-kim H, Ping-chung L, editors. Biodegradable implants in fracture fixation. Hong Kong: World Scientific; Mäkelä, E.A.: Healing of epiphyseal fracture fixed with a biodegradable polydioxanone implant or metallic pins.

An experimental study on growing rabbits. Clinical Materials 3: