Osteosynthesis in Digital Replantation Using Bioabsorbable Rods

Arata, Jun; Ishikawa, K.; Sawabe, Kyoichi; Soeda, Haruo

doi:10.1097/01.sap.0000041482.24205.d7

Cited by 9 publications

(6 citation statements)

References 7 publications

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“…Normal function was regained in three children with a phalangeal neck fracture which was fixed with a non-SR PDS pin fixation (Vandenberk et al, 1996). Arata et al (2003a) used intramedullary PLLA rod for the fixation of arthrodesis or diaphyseal fractures in 26 cases of digital replantation. No cases of non-union or infection occurred, but in one patient a transient bone resorption was observed.…”

Section: Clinical Studiesmentioning

confidence: 99%

Use of Bioabsorbable Osteofixation Devices in the Hand

Waris

Ashammakhi

Kaarela

et al. 2004

Journal of Hand Surgery

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Bioabsorbable internal fixation by means of pins, tacks, screws and miniplates offers an alternative to metallic osteofixation for the stabilization of small bone fractures, osteotomies, ligament injuries and fusions in the hand. The advantages of using them include avoidance of metallic-implant-related long-term complications and a secondary removal operation. Currently the most commonly used devices are made of poly L-lactide (PLLA) and copolymers of polylactides (P(L/DL)LA) and polyglycolide (PLGA). In areas of mechanical stress, the use of ultra-high-strength self-reinforced devices is recommended. Biomechanical studies on fresh frozen bones have shown that the fixation rigidity achieved with self-reinforced devices approaches that of metallic osteofixation methods. The reliability of modern implants has been confirmed in several experimental and clinical studies.

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Section: Clinical Studiesmentioning

confidence: 99%

Use of Bioabsorbable Osteofixation Devices in the Hand

Waris

Ashammakhi

Kaarela

et al. 2004

Journal of Hand Surgery

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“…Perfusion 17,19,37,56 12. Success/survival 9,16,17,19,21,22, 13. Anastomosis success 18,45,49,56 14.…”

Section: Discussionmentioning

confidence: 99%

“…Effectiveness of milking device 50 20. Bone union 22,27 Domain: complication 1. Complication rate 9,22,28,29,31,33-36,38,53,58 2.…”

Section: Discussionmentioning

confidence: 99%

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Reporting Outcomes and Outcome Measures in Digital Replantation: A Systematic Review

Moltaji

Gallo

Wong

et al. 2020

Journal of Hand and Microsurgery

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Purpose There is a lack of consensus on what the critical outcomes in replantation are and how best to measure them. This review aims to identify all reported outcomes and respective outcome measures used in digital replantation. Materials and Methods Randomized controlled trials, cohort studies, and single-arm observational studies of adults undergoing replantation with at least one well-described outcome or outcome measure were identified. Primary outcomes were classified into six domains, and outcome measures were classified into eight domains. The clinimetric properties were identified and reported. A total of 56 observational studies met the inclusion criteria. Results In total, 29 continuous and 29 categorical outcomes were identified, and 87 scales and instruments were identified. The most frequently used outcomes were survival of replanted digit, sensation, and time in hospital. Outcomes and measures were most variable in domains of viability, quality of life, and motor function. Only eight measures used across these domains were validated and proven reliable. Conclusion Lack of consensus creates an obstacle to reporting, understanding, and comparing the effectiveness of various replantation strategies.

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“…Auch der Einsatz resorbierbarer Polylactid-Stifte zur intramedullären Fixierung ist beschrieben 36 , 93 . Diese sind im Röntgenbild nicht sichtbar, weshalb bei der Frage nach einem Materialbruch eine Kernspinuntersuchung notwendig ist.…”

Section: Technikenunclassified