2021
DOI: 10.3390/molecules26237224
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Long-Term Evaluation of Poly(lactic acid) (PLA) Implants in a Horse: An Experimental Pilot Study

Abstract: In horses, there is an increasing interest in developing long-lasting drug formulations, with biopolymers as viable carrier alternatives in addition to their use as scaffolds, suture threads, screws, pins, and plates for orthopedic surgeries. This communication focuses on the prolonged biocompatibility and biodegradation of PLA, prepared by hot pressing at 180 °C. Six samples were implanted subcutaneously on the lateral surface of the neck of one horse. The polymers remained implanted for 24 to 57 weeks. Physi… Show more

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Cited by 17 publications
(12 citation statements)
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“…Some researchers have found that PLA applications stimulate a foreign body reaction in subdermal implants in rats with fibrous capsule formation [ 57 , 58 ]. In the histological study, it was also observed that in the last observation period (90 days), the persistent material was fragmented with infiltration of inflammatory cells and a network of collagen fibers surrounding the material, similar to what was reported by García et al [ 61 ].…”
Section: Resultssupporting
confidence: 86%
“…Some researchers have found that PLA applications stimulate a foreign body reaction in subdermal implants in rats with fibrous capsule formation [ 57 , 58 ]. In the histological study, it was also observed that in the last observation period (90 days), the persistent material was fragmented with infiltration of inflammatory cells and a network of collagen fibers surrounding the material, similar to what was reported by García et al [ 61 ].…”
Section: Resultssupporting
confidence: 86%
“…We found that intense phagocytosis was significantly higher in the S+BGNs group than in all modified sutures, which was related to fragmentation and biomaterial degradation. This association promoted the phagocytosis of cells by macrophages . The cell proliferation of the fibrous tissue around implanted sutures may be associated with the presence of apatite formation in the suture surfaces, as observed by FTIR and EDX.…”
Section: Resultsmentioning
confidence: 81%
“…PLA has been established as a degradable implant material in various biomedical areas like bone fixation, surgical implants, or scaffolds for bone tissue engineering [ 54 ] . However, there have been criticisms regarding the acidic pH following degradation of the scaffold [ 55 ] , which has been disproven in a long-term study on horses [ 56 ] . By combining PLA with BG, the acidic degradation products are even further neutralized [ 55 ] .…”
Section: Resultsmentioning
confidence: 99%