Clinical Results of Absorbable Plates for Displaced Metacarpal Fractures

Dumont, C.; Fuchs, M; Burchhardt, H.; Appelt, Daniel; Bohr, Stefan; Stürmer, K. M.

doi:10.1016/j.jhsa.2007.02.005

Cited by 38 publications

(43 citation statements)

References 24 publications

(22 reference statements)

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“…In that study, no foreign-body reactions were observed after a 6-month followup [10]. However, that interval was considerably shorter than that observed in our study for the occurrence of foreign-body reactions.…”

Section: Discussioncontrasting

confidence: 69%

Delayed Foreign-body Reaction to Absorbable Implants in Metacarpal Fracture Treatment

Givissis

Stavridis

Papagelopoulos

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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Background First-generation bioabsorbable implants have been associated with a high complication rate attributable to weak mechanical properties and rapid degradation. This has led to the development of stronger devices with improved durability. However, the modern implants have raised concerns about potential late-occurring adverse reactions. Questions/purposes This retrospective study addressed the following questions: Can absorbable implants consisting of trimethylene carbonate, L-lactide, and D,L-lactide provide adequate fixation for healing of a metacarpal fracture? Will these implants obviate a second removal operation? What complications can occur in the reaction to implant breakdown? Patients and Methods Twelve unstable, displaced, metacarpal fractures were studied in 10 consecutive patients (seven men, three women; mean age, 36.4 years; range, 18-75 years). The fractures were treated with absorbable plates and screws consisting of the aforementioned copolymers and designed to resorb in 2 to 4 years. Nine patients (10 fractures) were available for clinical and radiographic followups (mean, 45.7 months; range, 34-61 months).

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Section: Discussioncontrasting

confidence: 69%

Delayed Foreign-body Reaction to Absorbable Implants in Metacarpal Fracture Treatment

Givissis

Stavridis

Papagelopoulos

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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“…[1][2][3][4]10,24,25] In vitro biomechanical comparative studies have shown that dorsal plating is the most stable fixation method. [2,10,33,34] K wire fixation may be made percutaneously in a cross, transverse, or intramedullary manner. K wires are easily available in the operating rooms, and are easily applied.…”

Section: Discussionmentioning

confidence: 99%

Results of surgical treatment in metacarpal shaft fractures using low profile mini plates

Aykut¹,

Öztürk²,

Özcan

et al. 2015

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: Metacarpal fractures are among the most common fractures of the hand. They may lead to loss of function if treated improperly. These injuries can be treated conservatively. However, if significant shortening, rotational deformity and angulation occur, surgical treatment is required. In this article, results of metacarpal fractures treated with open reduction and internal fixation with mini plates were presented.

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“…These potential benefits have been supported by reports demonstrating favourable results in treating fractures with these resorbable systems 4,[10][11][12][13][14][15] . However, conventional resorbable materials are associated with inflammatory reaction, can generate sterile sinus formation, result in incomplete remodelling of the bone and exhibit improper dynamics between device strength retention and wound healing 11,12,16 .…”

mentioning

confidence: 82%

“…However, conventional resorbable materials are associated with inflammatory reaction, can generate sterile sinus formation, result in incomplete remodelling of the bone and exhibit improper dynamics between device strength retention and wound healing 11,12,16 . They are primarily limited to specific applications such as paediatric craniofacial reconstruction 10 , fixation of metacarpal fractures [13][14][15] and long-term soft-tissue moudling 17 due to their lower strength and stiffness. In addition, the fragility of conventional resorbable plates and screws requires careful pretapping of the screw hole and insertion while the plates need to be pre-shaped to the exact curvature of the fracture location 14 .…”

mentioning

confidence: 99%

“…They are primarily limited to specific applications such as paediatric craniofacial reconstruction 10 , fixation of metacarpal fractures [13][14][15] and long-term soft-tissue moudling 17 due to their lower strength and stiffness. In addition, the fragility of conventional resorbable plates and screws requires careful pretapping of the screw hole and insertion while the plates need to be pre-shaped to the exact curvature of the fracture location 14 . Thus, new options for resorbable devices that overcome these limitations would impact surgical practice and expand the use of such devices in a broader range of fixation needs.…”

mentioning

confidence: 99%

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The use of silk-based devices for fracture fixation

et al. 2014

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Metallic fixation systems are currently the gold standard for fracture fixation but have problems including stress shielding, palpability and temperature sensitivity. Recently, resorbable systems have gained interest because they avoid removal and may improve bone remodelling due to the lack of stress shielding. However, their use is limited to paediatric craniofacial procedures mainly due to the laborious implantation requirements. Here we prepare and characterize a new family of resorbable screws prepared from silk fibroin for craniofacial fracture repair. In vivo assessment in rat femurs shows the screws to be self-tapping, remain fixed in the bone for 4 and 8 weeks, exhibit biocompatibility and promote bone remodelling. The silk-based devices compare favourably with current poly-lactic-co-glycolic acid fixation systems, however, silk-based devices offer numerous advantages including ease of implantation, conformal fit to the repair site, sterilization by autoclaving and minimal inflammatory response.

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Clinical Results of Absorbable Plates for Displaced Metacarpal Fractures

Cited by 38 publications

References 24 publications

Delayed Foreign-body Reaction to Absorbable Implants in Metacarpal Fracture Treatment

Delayed Foreign-body Reaction to Absorbable Implants in Metacarpal Fracture Treatment

Results of surgical treatment in metacarpal shaft fractures using low profile mini plates

The use of silk-based devices for fracture fixation

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