Severe cartilage damage by broken poly-L-lactic acid (PLLA) interference screw after ACL reconstruction

被引：34

作者：

Lembeck, B ^{[1
]}

Wülker, N ^{[1
]}

机构：

[1] Univ Tubingen, Dept Orthoped Surg, D-72076 Tubingen, Germany

来源：

KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY | 2005年 / 13卷 / 04期

关键词：

anterior cruciate ligament reconstruction; bioabsorbable interference screw; poly-L-lactic-acid; biodegradable;

D O I：

10.1007/s00167-004-0545-1

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Poly-L-lactic acid (PLLA) bioabsorbable interference screws are widely used for fixation of tendon to bone and bone to bone in anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) reconstructions. Complications are rare. To our knowledge this is the first report of severe chondral damage caused by late breakage of the screw. Breakage of bioscrews has only been published in cases with tendon to bone fixation.

引用

页码：283 / 286

页数：4

共 18 条

[1] Late foreign-body reaction to an intraosseous bioabsorbable polylactic acid screw -: A case report [J].

Böstman, OM ;

Pihlajamaki, HK .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1998, 80A (12) :1791-1794

[2]

Böstman OM, 2000, CLIN ORTHOP RELAT R, P216

[3] An intra-articular bioabsorbable interference screw mimicking an acute meniscal tear 8 months after an anterior cruciate ligament reconstruction [J].

Bottoni, CR ;

DeBerardino, TM ;

Fester, EW ;

Mitchell, D ;

Penrod, BJ .

ARTHROSCOPY, 2000, 16 (04) :395-398

[4] The evolution of clinical applications of biodegradable implants in arthroscopic surgery [J].

Burkhart, SS .

BIOMATERIALS, 2000, 21 (24) :2631-2634

[5]

Hackl W, 2000, UNFALLCHIRURG, V103, P468, DOI 10.1007/s001130050567

[6] The fate of the poly-L-lactic acid interference screw after anterior cruciate ligament reconstruction [J].

Martinek, V ;

Seil, R ;

Lattermann, C ;

Watkins, SC ;

Fu, FH .

ARTHROSCOPY, 2001, 17 (01) :73-76

[7] Bioabsorbable interference screws for graft fixation in anterior cruciate ligament reconstruction [J].

McGuire, DA ;

Barber, FA ;

Elrod, BF ;

Paulos, LE .

ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 1999, 15 (05) :463-473

[8] Comparison of failure strength between metallic and absorbable interference screws - Influence of insertion torque, tunnel-bone block gap, bone mineral density, and interference [J].

Pena, F ;

Grontvedt, T ;

Brown, GA ;

Aune, AK ;

Engebretsen, L .

AMERICAN JOURNAL OF SPORTS MEDICINE, 1996, 24 (03) :329-334

[9] TENDON-HEALING IN A BONE TUNNEL - A BIOMECHANICAL AND HISTOLOGICAL STUDY IN THE DOG [J].

RODEO, SA ;

ARNOCZKY, SP ;

TORZILLI, PA ;

HIDAKA, C ;

WARREN, RF .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1993, 75A (12) :1795-1803

[10]

Safran MR, 1996, CLIN ORTHOP RELAT R, P50

← 1 2 →