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1 Inżynieria Biomateriałów

1 2004

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Evaluation of the effect of transphyseal bioabsorbable screws on growth of rabbit femur

Waris E., Kelly C. P., Andrus L., Waris T., Jackson I. T., Ashammakhi N.

Inżynieria Biomateriałów

2004

R. 7, nr 37

20-20

A self-reinforced bioabsorbable poly-L-lactide/polyglycolide (SR-PLGA) 80/20 screw 2.0 mm in diameter was implanted in a transphyseal location across the distal growth plate of the right femur in 24 immature rabbits. Radiological evaluation revealed a mean shortening of 3.1 mm at 3 weeks (p=0.050), 11.1 mm at 6 weeks (p=0.001), 9.3 mm at 24 weeks (p=0.011), 9.0 mm at 48 weeks (p=0.009) and 12.6 mm at 72 weeks (p=0.002) compared with the intact contralateral femur. Growth retardation continued for 6 weeks postoperatively (3 versus 6 weeks, p=0.003), after which the bones grew normally up to 72 weeks (p=0.6). The duration of temporary growth retardation correlated with that of strength retention of the SR-PLGA 80/20 copolymer. These findings suggest that SR-PLGA 80/20 screws can be applied in transphyseal bone fixation. The use of bioabsorbable screws for temporary epiphyseodesis seems attractive but requires further study.