Steckel H, Krönke A, Funke M, Klinger H
MVZ-VITALIS, Orthopädisch-Chirurgisches Zentrum, Berlin.
Sportverletz Sportschaden. 2012 Mar;26(1):33-8. doi: 10.1055/s-0031-1281868. Epub 2012 Feb 29.
During the last few years bioabsorbable suture anchors have become widely established along side metallic suture anchors in orthopaedic surgery. However, there are still some difficulties in evaluating the postoperative situation after implanting bioabsorbable suture anchors. The aim of this study was to examine the visualisation of bioabsorbable suture anchors with digital projection radiography and magnetic resonance imaging.
Ten Mitek-Anchor-Panalok® suture anchors made of polylactic acid were implanted in an ex-vivo animal study design. After implantation the specimens were examined with digital projection radiography and MRI. The analysis was performed with regard to the bony defects and the anchor material itself.
With digital projection radiography and MRI, it was possible to detect the bony defects after implantation of the anchors. The anchor material could not be visualised.
The results of this study demonstrate that neither digital projection radiography nor MRI is well suited for the detection of the bioabsorbable suture anchors in the postoperative situation. Whereas the bony defects can be well described, the anchors cannot be directly visualised. The visualisation of bioabsorbable anchors remains a clinical problem in orthopaedic surgery.
在过去几年中,生物可吸收缝线锚钉已在骨科手术中与金属缝线锚钉一起广泛应用。然而,在评估植入生物可吸收缝线锚钉后的术后情况仍存在一些困难。本研究的目的是通过数字投影X线摄影和磁共振成像来检查生物可吸收缝线锚钉的显影情况。
在一项离体动物研究设计中植入了10个由聚乳酸制成的Mitek-Anchor-Panalok®缝线锚钉。植入后,对标本进行数字投影X线摄影和MRI检查。对骨缺损和锚钉材料本身进行分析。
通过数字投影X线摄影和MRI,可以检测到植入锚钉后的骨缺损。但锚钉材料无法显影。
本研究结果表明,无论是数字投影X线摄影还是MRI都不太适合在术后情况中检测生物可吸收缝线锚钉。虽然可以很好地描述骨缺损,但无法直接看到锚钉。生物可吸收锚钉的显影仍然是骨科手术中的一个临床问题。