ASSESSMENT of bIoresorbable Screws and bone tissue in long-term period after the anterior cruciate ligament reconstruction

Abstract

The use of bioresorbable materials in the anterior cruciate ligament reconstruction is a promising direction. Thus today there is no single point of view on the long-term results of using absorbable interference screws. The article presents an analysis of the results of surgical treatment of 30 patients with use of bioresorbable materials, operated on for rupture of the anterior cruciate ligament (ACL) in the department of traumatology and orthopedics from 2010 to 2016 in the Federal Scientific Clinical Center FMBA of Russia. The aim of our study was to evaluate in vivo transformation of bioresorbable screws and bone assimilation into the tibial canal in long-term period after surgery, as well as the effect of the polymeric material and bone on these processes.

Keywords

anterior cruciate ligament / ACL rupture / interference screw / bioresorbable screw / osteo- conductive / resorption / remodeling / MRI / CT

References

[1] Kulkarni R., Pani K., Neuman C et al. Polylactic acid for surgical implants. Arch Surg 1966; 93: 839-843.

[2] Barber F, Elrod B, McGuire D, Paulos L Preliminary results of an absorbable interference screw. Arthroscopy 1995; 11: 573-588.

[3] Brand J., Nyland J., Caborn D., Johnson D. Softtissue interference fixation: bioabsorbable screw versus metal screw. Arthroscopy 2005; 21(8): 911-916

[4] Bostman O. Osteolytic changes accompanying degradation of absorbable fracture fixation implants. J Bone Joint Surg Br 1991; 73: 679-68.

[5] Sanchis-Alfonso V, Tinto-Pedrerol M Femoral interference screw divergence after anterior cruciate ligament reconstruction provoking severe anterior knee pain. Arthroscopy 2004; 20(5): 528-531.

[6] Scioscia T., Giffin J. et al. Potential complication of bioabsorbable screw fixation for osteochondritis dissecans of the knee. Arthroscopy 2001; 17(2): 7-11.

[7] Shafer B., Simonian P. Broken poly-L-lactic acid interference screw after ligament reconstruction. Arthroscopy 2002; 18(7): 35-37.

[8] Tecklenburg K, Burkart P, Hoser C, Rieger M, Fink C. Prospective evaluation of patellar tendon graft fixation in anterior cruciate ligament reconstruction comparing composite bioabsorbable and allograft interference screws. Arthroscopy. 2006; 22: 993-999.

[9] Johnston M, Morse A, Arrington J, Pliner M, Gasser S. Resorption and remodeling of hydroxyapatite-poly-L-lactic acid composite anterior cruciate ligament interference screws. Arthroscopy. 2011; 27:1671-1678.

[10] Ntagiopoulos P., Demey G., Tavernier T., Dejour D. Comparison of.resorption and remodeling of bioabsorbable interference screws in anterior cruciate ligament reconstruction. Int Orthop. 2015; 3: 697-706.

[11] Kontakis G., Pagkalos J., Tosounidis I. et al. Bioabsorbable materials in orthopaedics. Acta Orthop Belg 2007; 73: 159-169.

[12] Bourke H., Salmon L., Waller A. et al. Randomized controlled trial of osteoconductive fixation screws for anterior cruciate ligament reconstruction: a comparison of the Calaxo and Milagro screws. Arthroscopy 2013; 29: 74-82.

[13] Barth J., Akritopoulos P., Graveleau N., Barthelemy R., et al. Efficacy of osteoconductive ceramics in bioresorbable screws for anterior cruciate ligament reconstruction. Orthopaedic Journal of Sports Medicine 2016; 4: 720-724.

[14] Barber E., Doscery W. Long-term absorbtion of poly-L-lactic acid interference screws after anterior cruciate ligament reconstraction. Arthroscopy 2008; 2: 370-373.

RIGHTS & PERMISSIONS

Zvezdkina E.A., Lesnyak V.N., Akhpashev A.A., Dzhambinova E.A., Kanaev A.S.