Progressive osteolysis of the radius after distal biceps tendon repair with the bioabsorbable screw

Graft osteolysis and recurrent instability after the Latarjet procedure performed with bioabsorbable screw fixation

“…Compared with PLLA, the reported degradation time varies from 3 to 7 years, 7,19 and progressive osteolysis up to 61% of the radius bone section has been reported after distal biceps repair. 42 However, pins made of PLLA and poly-D,L-lactic acid were used satisfactorily for forefoot osteotomy fixation with a complication rate of 0.7% 36 as well as for tendon transfer around the foot by Clanton et al, 14 even though they did not assess the resorption status of the screws or report on any osteolysis.…”

“…The screws must provide sufficient compression to encourage bone union and need to maintain their strength until the graft has healed sufficiently, typically at 3 months postoperatively. Finally, osteolysis or drill hole enlargement, which has been reported with the use of bioabsorbable implants for other applications, 2,3,23,38,42,44 could increase the risk of secondary fractures and recurrent shoulder instability.…”

Lesão do bíceps distal: avaliação funcional e dinamometria digital da sua reconstrução pela técnica da minidupla via de mayo

“…Several biomechanical trials on the elbow have shown that anchors have less fixation strength (30) . In the case of bioabsorbable anchors, there may also be radial osteolysis (31) . Interference screws enable good fixation, but over the long term they diminish the area of biological healing by around 50%, since the region of screw insertion may not heal, as well as possibly causing osteolysis.…”

The Biotenodesis Screw and Endobutton Technique for Repair for Acute Distal Biceps Tendon Rupture

“…PLLA (poly-L-Lactide) interference screws have been reported as causing significant osteolysis and tunnel expansion and could cause catastrophic failure in the form of radial cortex fracture [27]. The interference screw used in our study comprised of a different material, PEEK (poly-ether ether-ketone) and radiological review revealed no cases of osteolysis.…”