Local foreign-body reactions to biodegradable implants - A classification system

被引:56
作者
Hoffmann, R
Weiler, A
Helling, HJ
Krettek, C
Rehm, KE
机构
[1] Unfall- und Wiederherstellungschirurgie,
[2] Medizinische Fakultät Charité,undefined
[3] Virchow Klinikum,undefined
[4] Humboldt-Universität zu Berlin,undefined
[5] Klinik und Poliklinik für Unfall-,undefined
[6] Hand- und Wiederherstellungschirurgie,undefined
[7] Universität zu Köln,undefined
[8] Unfallchirurgische Klinik,undefined
[9] Medizinische Hochschule Hannover,undefined
来源
UNFALLCHIRURG | 1997年 / 100卷 / 08期
关键词
foreign-body reactions; biocompatibility; biodegradable implants; classification; osteolysis;
D O I
10.1007/s001130050172
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Biodegradable implants are increasingly used in orthopedic and trauma surgery. Many different implants consisting of different biodegradable polymers are currently available. Different factors contribute to the biocompatibility of these implants, and local foreign-body reactions remain a matter of concern. Therefore, it is mandatory to document and compare the tissue reactions caused by various biodegradable implants in experimental or clinical studies. We have developed a standardized system of classification based on our previous experimental and clinical observations. Foreign-body reactions are differentiated into osteolyses (O-0 to O-4), extra-articular (EA-0 to EA-4) and intraarticular (IA-0 to IA-4) soft-tissue reactions.
引用
收藏
页码:658 / 666
页数:9
相关论文
共 76 条
[1]   BIODEGRADABLE FIXATION OF ANKLE FRACTURES - A ROENTGEN STEREOPHOTOGRAMMETRIC STUDY OF 32 CASES [J].
AHL, T ;
DALEN, N ;
LUNDBERG, A ;
WYKMAN, A .
ACTA ORTHOPAEDICA SCANDINAVICA, 1994, 65 (02) :166-170
[2]  
BARFOD G, 1992, ACTA ORTHOP SCAND, V63, P680
[3]   ORTHOSORB(R)(1) RESORPTION EVALUATION USING MRI AND HISTOLOGIC ANALYSIS [J].
BASHARA, ME ;
MOURINO, MR ;
TREPAL, MJ ;
LAMBERT, WC .
JOURNAL OF THE AMERICAN PODIATRIC MEDICAL ASSOCIATION, 1994, 84 (01) :10-13
[4]  
BERGSMA EJ, 1995, BIOMATERIALS, P25
[5]   DEGRADATION AND TISSUE REPLACEMENT OF AN ABSORBABLE POLYGLYCOLIDE SCREW IN THE FIXATION OF RABBIT FEMORAL OSTEOTOMIES [J].
BOSTMAN, O ;
PAIVARINTA, U ;
PARTIO, E ;
VASENIUS, J ;
MANNINEN, M ;
ROKKANEN, P .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1992, 74A (07) :1021-1031
[6]  
BOSTMAN O, 1990, INT ORTHOP, V14, P1
[7]   POLYMERIC DEBRIS FROM ABSORBABLE POLYGLYCOLIDE SCREWS AND PINS - INTRAOSSEOUS MIGRATION STUDIED IN RABBITS [J].
BOSTMAN, O ;
PAIVARINTA, U ;
MANNINEN, M ;
ROKKANEN, P .
ACTA ORTHOPAEDICA SCANDINAVICA, 1992, 63 (05) :555-559
[8]   BIODEGRADABLE INTERNAL-FIXATION FOR MALLEOLAR FRACTURES - A PROSPECTIVE RANDOMIZED TRIAL [J].
BOSTMAN, O ;
VAINIONPAA, S ;
HIRVENSALO, E ;
MAKELA, A ;
VIHTONEN, K ;
TORMALA, P ;
ROKKANEN, P .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1987, 69 (04) :615-619
[9]   FOREIGN-BODY REACTIONS TO FRACTURE FIXATION IMPLANTS OF BIODEGRADABLE SYNTHETIC-POLYMERS [J].
BOSTMAN, O ;
HIRVENSALO, E ;
MAKINEN, J ;
ROKKANEN, P .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1990, 72 (04) :592-596
[10]   FOREIGN-BODY REACTIONS TO POLYGLYCOLIDE SCREWS - OBSERVATIONS IN 24/216 MALLEOLAR FRACTURE CASES [J].
BOSTMAN, O ;
PARTIO, E ;
HIRVENSALO, E ;
ROKKANEN, P .
ACTA ORTHOPAEDICA SCANDINAVICA, 1992, 63 (02) :173-176