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Migration of “bioabsorbable” screws in ACL repair. How much do we know? a systematic review

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Resumo:Purpose Although bioabsorbable screws promise to degrade within months up to several years after implantation, often this does not happen. In fact, other problems such as screw breakage, tunnel enlargement, allergic or foreign body reactions, cyst or abscess formation, and delayedmigration of ‘‘biodegradable’’ screws have been reported. This study aims to provide relevant basic science knowledge and recent insights concerning ‘‘biomaterials’’ currently used in fixation devices for anterior cruciate ligament (ACL) repair. A systematic reviewon the topic of screw ‘‘migration’’ is provided. Methods A PubMed search combining all the key terms was done looking for complications related to late migration of ‘‘bioabsorbable’’ screws used in ACL reconstruction without inferior time limitation up to January 2012. Only clinical reports were included. Reference lists of reports were checked to detect others not identified by the original search. A pre-publication search was performed to identify the most recent relevant articles. Results A total of ten articles referred to migration of ‘‘bioabsorbable’’ interference screws. Most cases reported on poly-L-lactic acid-based screws. Migration was noticed between 3 and 22 months postoperatively. It was noticed both in the tibia and the femur and with the application of several types of graft. Conclusion Migration is a possible complication of ‘‘bioabsorbable’’ interference screws. The information related to all clinical implications of the so-called ‘‘biodegradable screws’’ remains scarce and probably suffers from the phenomenon of publication bias. The complexity of possible reactions occurring in the human body is difficult to reproduce under controlled laboratory conditions. Level of evidence Systematic review including casereports, Level V.
Autores principais:Pereira, H.
Outros Autores:Correlo, V. M.; Silva-Correia, Joana; Oliveira, Joaquim M.; Reis, R. L.; Mendes, João Espregueira
Assunto:ACL Screw Bioabsorbable Interference screw Polylactic acid Polyglycolic acid Migration
Ano:2013
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:Universidade do Minho
Idioma:inglês
Origem:RepositóriUM - Universidade do Minho
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author Pereira, H.
author2 Correlo, V. M.
Silva-Correia, Joana
Oliveira, Joaquim M.
Reis, R. L.
Mendes, João Espregueira
author2_role author
author
author
author
author
author_facet Pereira, H.
Correlo, V. M.
Silva-Correia, Joana
Oliveira, Joaquim M.
Reis, R. L.
Mendes, João Espregueira
author_role author
contributor_name_str_mv RepositóriUM - Universidade do Minho
country_str PT
creators_json_txt [{\"Person.name\":\"Pereira, H.\"},{\"Person.name\":\"Correlo, V. M.\"},{\"Person.name\":\"Silva-Correia, Joana\"},{\"Person.name\":\"Oliveira, Joaquim M.\"},{\"Person.name\":\"Reis, R. L.\"},{\"Person.name\":\"Mendes, João Espregueira\"}]
datacite.contributors.contributor.contributorName.fl_str_mv RepositóriUM - Universidade do Minho
datacite.creators.creator.creatorName.fl_str_mv Pereira, H.
Correlo, V. M.
Silva-Correia, Joana
Oliveira, Joaquim M.
Reis, R. L.
Mendes, João Espregueira
datacite.date.Accepted.fl_str_mv 2013-04-01T00:00:00Z
datacite.date.available.fl_str_mv 2013-04-11T14:57:20Z
datacite.date.embargoed.fl_str_mv 2013-04-11T14:57:20Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv ACL
Screw
Bioabsorbable
Interference screw
Polylactic acid
Polyglycolic acid
Migration
datacite.titles.title.fl_str_mv Migration of “bioabsorbable” screws in ACL repair. How much do we know? a systematic review
dc.contributor.none.fl_str_mv RepositóriUM - Universidade do Minho
dc.creator.none.fl_str_mv Pereira, H.
Correlo, V. M.
Silva-Correia, Joana
Oliveira, Joaquim M.
Reis, R. L.
Mendes, João Espregueira
dc.date.Accepted.fl_str_mv 2013-04-01T00:00:00Z
dc.date.available.fl_str_mv 2013-04-11T14:57:20Z
dc.date.embargoed.fl_str_mv 2013-04-11T14:57:20Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv https://hdl.handle.net/1822/23677
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Springer
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.subject.none.fl_str_mv ACL
Screw
Bioabsorbable
Interference screw
Polylactic acid
Polyglycolic acid
Migration
dc.title.fl_str_mv Migration of “bioabsorbable” screws in ACL repair. How much do we know? a systematic review
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description Purpose Although bioabsorbable screws promise to degrade within months up to several years after implantation, often this does not happen. In fact, other problems such as screw breakage, tunnel enlargement, allergic or foreign body reactions, cyst or abscess formation, and delayedmigration of ‘‘biodegradable’’ screws have been reported. This study aims to provide relevant basic science knowledge and recent insights concerning ‘‘biomaterials’’ currently used in fixation devices for anterior cruciate ligament (ACL) repair. A systematic reviewon the topic of screw ‘‘migration’’ is provided. Methods A PubMed search combining all the key terms was done looking for complications related to late migration of ‘‘bioabsorbable’’ screws used in ACL reconstruction without inferior time limitation up to January 2012. Only clinical reports were included. Reference lists of reports were checked to detect others not identified by the original search. A pre-publication search was performed to identify the most recent relevant articles. Results A total of ten articles referred to migration of ‘‘bioabsorbable’’ interference screws. Most cases reported on poly-L-lactic acid-based screws. Migration was noticed between 3 and 22 months postoperatively. It was noticed both in the tibia and the femur and with the application of several types of graft. Conclusion Migration is a possible complication of ‘‘bioabsorbable’’ interference screws. The information related to all clinical implications of the so-called ‘‘biodegradable screws’’ remains scarce and probably suffers from the phenomenon of publication bias. The complexity of possible reactions occurring in the human body is difficult to reproduce under controlled laboratory conditions. Level of evidence Systematic review including casereports, Level V.
dirty 0
eu_rights_str_mv openAccess
format article
fulltext.url.fl_str_mv https://repositorium.uminho.pt/bitstreams/665a5a51-b7c9-4131-9681-19cb9ef285a2/download
id rum_eebdad6dfd2addb8d2881e9edfeaf04c
identifier.url.fl_str_mv https://hdl.handle.net/1822/23677
instacron_str repositorium
institution Universidade do Minho
instname_str Universidade do Minho
language eng
network_acronym_str rum
network_name_str RepositóriUM - Universidade do Minho
oai_identifier_str oai:repositorium.uminho.pt:1822/23677
organization_str_mv urn:organizationAcronym:repositorium
person_str_mv Pereira, H.
Correlo, V. M.
Silva-Correia, Joana
Oliveira, Joaquim M.
Reis, R. L.
Mendes, João Espregueira
publishDate 2013
publisher.none.fl_str_mv Springer
reponame_str RepositóriUM - Universidade do Minho
repository_id_str urn:repositoryAcronym:rum
service_str_mv urn:repositoryAcronym:rum
spelling engSpringerporPurpose Although bioabsorbable screws promise to degrade within months up to several years after implantation, often this does not happen. In fact, other problems such as screw breakage, tunnel enlargement, allergic or foreign body reactions, cyst or abscess formation, and delayedmigration of ‘‘biodegradable’’ screws have been reported. This study aims to provide relevant basic science knowledge and recent insights concerning ‘‘biomaterials’’ currently used in fixation devices for anterior cruciate ligament (ACL) repair. A systematic reviewon the topic of screw ‘‘migration’’ is provided. Methods A PubMed search combining all the key terms was done looking for complications related to late migration of ‘‘bioabsorbable’’ screws used in ACL reconstruction without inferior time limitation up to January 2012. Only clinical reports were included. Reference lists of reports were checked to detect others not identified by the original search. A pre-publication search was performed to identify the most recent relevant articles. Results A total of ten articles referred to migration of ‘‘bioabsorbable’’ interference screws. Most cases reported on poly-L-lactic acid-based screws. Migration was noticed between 3 and 22 months postoperatively. It was noticed both in the tibia and the femur and with the application of several types of graft. Conclusion Migration is a possible complication of ‘‘bioabsorbable’’ interference screws. The information related to all clinical implications of the so-called ‘‘biodegradable screws’’ remains scarce and probably suffers from the phenomenon of publication bias. The complexity of possible reactions occurring in the human body is difficult to reproduce under controlled laboratory conditions. Level of evidence Systematic review including casereports, Level V.application/pdfporMigration of “bioabsorbable” screws in ACL repair. How much do we know? a systematic reviewPereira, H.Correlo, V. M.Silva-Correia, JoanaOliveira, Joaquim M.Reis, R. L.Mendes, João EspregueiraHostingInstitutionOrganizationalRepositóriUM - Universidade do Minhoe-mailmailto:repositorium@usdb.uminho.ptrepositorium@usdb.uminho.ptPMID23377842ISSNIsPartOf0942-2056DOIIsPartOf10.1007/s00167-013-2414-22013-04-11T14:57:20Z2013-042013-012013-04-11T10:06:01Z2013-04-01T00:00:00ZHandlehttps://hdl.handle.net/1822/23677http://purl.org/coar/access_right/c_abf2open accessACLScrewBioabsorbableInterference screwPolylactic acidPolyglycolic acidMigration364030 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://repositorium.uminho.pt/bitstreams/665a5a51-b7c9-4131-9681-19cb9ef285a2/download
spellingShingle Migration of “bioabsorbable” screws in ACL repair. How much do we know? a systematic review
Pereira, H.
ACL
Screw
Bioabsorbable
Interference screw
Polylactic acid
Polyglycolic acid
Migration
status SINGLETON
subject.fl_str_mv ACL
Screw
Bioabsorbable
Interference screw
Polylactic acid
Polyglycolic acid
Migration
title Migration of “bioabsorbable” screws in ACL repair. How much do we know? a systematic review
title_full Migration of “bioabsorbable” screws in ACL repair. How much do we know? a systematic review
title_fullStr Migration of “bioabsorbable” screws in ACL repair. How much do we know? a systematic review
title_full_unstemmed Migration of “bioabsorbable” screws in ACL repair. How much do we know? a systematic review
title_short Migration of “bioabsorbable” screws in ACL repair. How much do we know? a systematic review
title_sort Migration of “bioabsorbable” screws in ACL repair. How much do we know? a systematic review
topic ACL
Screw
Bioabsorbable
Interference screw
Polylactic acid
Polyglycolic acid
Migration
topic_facet ACL
Screw
Bioabsorbable
Interference screw
Polylactic acid
Polyglycolic acid
Migration
url https://hdl.handle.net/1822/23677
visible 1