Bioabsorbable Versus Metallic Screw Fixation for Tibiofibular Syndesmotic Ruptures: A Meta-Analysis

Eng, Dorien M. van der; Schep, N.W.L.; Schepers, Tim

doi:10.1053/j.jfas.2015.03.014

Cited by 30 publications

(13 citation statements)

References 27 publications

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“…Nevertheless in adults, in a recent study from 2015 Gaiarsa et al have confirmed similar clinical and functional results of use of bioabsorbable and metallic plates in the ankle fractures [30]. A recent meta-analysis of 4 studies regarding use of bioabsorbable and metallic screws in fixation of malleolar fractures with tibiofibular syndesmotic raptures in 280 adult patients showed no statistically significant difference in number of complications and range of motion [31].…”

Section: Discussionmentioning

confidence: 78%

Zastosowanie śrub biowchłanialnych w porównaniu ze śrubami metalowymi w truamatologii dziecięcej

Grochowska

Gajewski

Gawrych

et al. 2018

Pomeranian J of Life Sci

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Introduction: Metal stabilizing implants used in pediatric fractures have to be removed to not inhibit the growth of bones. Bioabsorbable implants can save children from surgical removal of the fixating material. As there have been only a few reports regarding children, we decided to evaluate the clinical advantages of bioabsorbable screws in the treatment of selected bone fractures in pediatric traumatology.Materials and methods: The study group included 35 patients with bone fractures aged 5–17 years (mean 13.2 years) fixed with LactoSorb® bioabsorbable screws made of polymeric lactic acid and polyglycolic acid. The follow-up was compared with a matched control group of 35 children that underwent operative fixation of the same type of fractures with metal screws. Results: Clinical and radiological follow-up showed that bone unions were obtained in all cases, with no signs of osteolysis. The time of immobilization was slightly shorter in the study group (5.5 weeks) than among controls (6.2 weeks; p = 0.038). There were no differences in complications, wound infections, pain management and time of hospitalization between both groups.Conclusions: The use of bioabsorbable material in the treatment of fractures in pediatric traumatology is a safe alternative to metal stabilizing devices, with clinical benefits for young patients including no necessity of a second surgery and anesthesia.

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Section: Discussionmentioning

confidence: 78%

Zastosowanie śrub biowchłanialnych w porównaniu ze śrubami metalowymi w truamatologii dziecięcej

Grochowska

Gajewski

Gawrych

et al. 2018

Pomeranian J of Life Sci

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“…In a metaanalysis including 4 studies comparing bioabsorbable and metallic screws, Wang et al (2013) showed that all metallic screws were routinely removed 6-8 weeks after primary operation while only 2 symptomatic patients (3%) in the absorbable screw group needed re-surgery. In their meta-analysis, van der Eng et al (2015) found no significant differences in the incidence of complications between patients treated with a polylactide acid (PLA)/polylevolactic acid (PLLA) screw and patients treated with a metallic syndesmotic screw. In the past, rapidly degrading polyglycolide acid (PGA) screws were associated with delayed inflammatory reactions, foreign body reaction, formation of a sinus, tract, or fistula, and osteolysis.…”

Section: Discussionmentioning

confidence: 98%

Reduced incidence and economic cost of hardware removal after ankle fracture surgery: a 20-year nationwide registry study

et al. 2020

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Background and purpose — Open reduction and internal fixation (ORIF) is a treatment method for unstable ankle fractures. During recent years, scientific evidence has shed light on surgical indications as well as on hardware removal. We assessed the incidence and trends of hardware removal procedures following ORIF of ankle fractures. Patients and methods — The study covered all patients 18 years of age and older who had an ankle fracture treated with ORIF in Finland between the years 1997 and 2016. Patient data were obtained from the Finnish National Hospital Discharge Register. Results — 68,865 patients had an ankle fracture treated with ORIF in Finland during the 20-year study period between 1997 and 2016. A hardware removal procedure was performed on 27% of patients (n = 18,648). The incidence of hardware removal procedures after ankle fracture decreased from 31 (95% CI 29–32) per 100,000 person-years in the highest year 2001 (n = 1,247) to 13 (CI 12–14) per 100,000 person-years in 2016 (n = 593). Moreover, the proportion and number of removal operations performed within the first 3 months also decreased. The costs of removal procedures decreased from approximately €994,000 in 2001 to €472,600 in 2016. Interpretation — Removal of hardware after ankle surgery (ORIF) is a common operation with substantial costs. However, the incidence and cost of removals decreased during the study period, with a particular decrease in hardware removal operations within 3 months.

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“…La principal ventaja que aporta este dispositivo es que no es necesaria su retirada y la degradación progresiva del tornillo permite una transferencia progresiva de las cargas al hueso (41,42) ; como inconveniente, la tasa de degradación (por hidrolisis) varía según el material y justifica la mayor tasa de reacción a cuerpo extraño descrita.…”

Section: Lesión Sindesmal Inestableunclassified

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2017

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RESUMEN La lesiones sindesmales pueden presentarse, asociadas o no a fracturas, hasta en un 10% de los casos. La falta de reducción provoca malos resultados funcionales a largo plazo. La fijación sindesmal mediante el uso de 1 o 2 tornillos suprasindesmales ha sido, hasta ahora, el tratamiento de elección en esta patología. Para el diagnóstico y el manejo de estas lesiones es fundamental un conocimiento de las estructuras anatómicas y de la biomecánica articular, una buena historia clínica, un examen físico dirigido y las pruebas complementarias específicas ante la sospecha diagnóstica. No hay consenso en cuanto al número de tornillos, al número de corticales, su retirada o no y el momento. Los nuevos dispositivos buscan solucionar estas controversias. Este artículo pretende dar respuesta a estas cuestiones actualizando el abordaje de las lesiones sindesmales. Palabras clave: Sindesmosis. Fractura bimaleolar. Maléolo posterior. Tornillo intertibioperoneo.

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Bioabsorbable Versus Metallic Screw Fixation for Tibiofibular Syndesmotic Ruptures: A Meta-Analysis

Cited by 30 publications

References 27 publications

Zastosowanie śrub biowchłanialnych w porównaniu ze śrubami metalowymi w truamatologii dziecięcej

Zastosowanie śrub biowchłanialnych w porównaniu ze śrubami metalowymi w truamatologii dziecięcej

Reduced incidence and economic cost of hardware removal after ankle fracture surgery: a 20-year nationwide registry study

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