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骨科生物可吸收植入物:新进展与临床应用

Bioabsorbable implants in orthopaedics: new developments and clinical applications.

作者信息

Ciccone W J, Motz C, Bentley C, Tasto J P

机构信息

San Diego Sports Medicine and Orthopaedic Center, #200, 6719 Alvarado Road, San Diego, CA 92120, USA.

出版信息

J Am Acad Orthop Surg. 2001 Sep-Oct;9(5):280-8. doi: 10.5435/00124635-200109000-00001.

Abstract

The use of bioabsorbable implants in orthopaedic surgical procedures is becoming more frequent. Advances in polymer science have allowed the production of implants with the mechanical strength necessary for such procedures. Bioabsorbable materials have been utilized for the fixation of fractures as well as for soft-tissue fixation. These implants offer the advantages of gradual load transfer to the healing tissue, reduced need for hardware removal, and radiolucency, which facilitates postoperative radiographic evaluation. Reported complications with the use of these materials include sterile sinus tract formation, osteolysis, synovitis, and hypertrophic fibrous encapsulation. Further study is required to determine the clinical situations in which these materials are of most benefit.

摘要

生物可吸收植入物在骨科手术中的使用越来越频繁。聚合物科学的进步使得能够生产出具有此类手术所需机械强度的植入物。生物可吸收材料已被用于骨折固定以及软组织固定。这些植入物具有以下优点:逐渐将负荷转移至愈合组织、减少取出内固定物的需求以及射线可透过性,这有利于术后的影像学评估。使用这些材料所报告的并发症包括无菌性窦道形成、骨质溶解、滑膜炎和肥厚性纤维包裹。需要进一步研究以确定这些材料最有益的临床情况。

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