Nordström P, Pihlajamäki H, Toivonen T, Törmälä P, Rokkanen P
Department of Orthopaedics and Traumatology, University Central Hospital, Helsinki, Finland.
Clin Orthop Relat Res. 2001 Jan(382):247-57. doi: 10.1097/00003086-200101000-00033.
A transcondylar osteotomy of the distal femur was fixed with a self-reinforced polyglycolide pin in one hind leg and with a self-reinforced polylevolactide pin in the other hind leg of 49 rats. The intact femurs of eight rats that did not have surgical treatment were used as controls. The tissue reaction to the implant and the consolidation of the osteotomy were examined radiographically, histologically, histomorphometrically, microradiographically, and using oxytetracycline fluorescence studies. The followups were from 1 to 52 weeks. A vigorous osteostimulatory tissue response to self-reinforced polyglycolide pins and self-reinforced polylevolactide pins was observed 1 week after fixation. This reaction reached its highest value 24 weeks after self-reinforced polyglycolide pin fixation and 6 weeks after self-reinforced polylevolactide pin fixation. The highest values of the mean trabecular bone area fraction, 27.9% for self-reinforced polyglycolide pins and 28.1% for self-reinforced polylevolactide pins, were measured at 48 weeks. At 12 weeks there was a peak of phagocytizing macrophages in the specimens with self-reinforced polyglycolide pin fixation. During the followup, total phagocytosis of self-reinforced polyglycolide pins was seen, but only a few signs of degradation of self-reinforced polylevolactide pins were observed. Both polymeric implants seemed to possess osteostimulatory properties, and the biocompatibility and clinical relevance proved to be acceptable.
