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Related Experiment Video

Updated: Jan 29, 2026

Pseudofracture: An Acute Peripheral Tissue Trauma Model
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Bioabsorbable implants in foot trauma surgery.

Walter Daghino1, Alessandro Bistolfi1, Alessandro Aprato1

  • 1University of Turin, Clinica Ortopedica I, CTO Hospital Via Zuretti 29, 10126, Turin, Italy.

Injury
|February 4, 2019
PubMed
Summary

Resorbable osteosynthesis using poly-L-lactic acid (PLLA) devices is effective for specific foot trauma surgeries, including talus, calcaneus, Lisfranc, and Chopart joint injuries. Complication rates are comparable to traditional methods, with rare foreign-body reactions.

Keywords:
Bioabsorbable implantsCalcanear fracturesChopartFootLisfrancSurgeryTalar fracturesTrauma

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Area of Science:

  • Orthopaedic Surgery
  • Trauma Surgery
  • Biomaterials Science

Background:

  • Resorbable osteosynthesis has a long history in orthopaedics, but its specific applications in foot trauma surgery remain undefined.
  • This study addresses the need for clear indications and guidelines for using bioabsorbable devices in foot trauma.

Purpose of the Study:

  • To analyze existing literature and retrospective data on bioabsorbable devices in foot trauma surgery.
  • To establish clear indications and guidelines for the use of these devices in managing foot injuries.

Main Methods:

  • A comprehensive literature review was conducted to identify reported uses of absorbable devices in foot trauma.
  • A retrospective analysis of a surgical registry (November 2005-January 2017) of patients treated with absorbable devices for foot trauma was performed.
  • Indications and complication rates were analyzed for each case.

Main Results:

  • The study identified 14 relevant publications and analyzed data from 67 patients treated with poly-L-lactic acid (PLLA) screws and bars.
  • Key indications included osteosynthesis of small fragments in talus/calcaneus fractures, stabilization of Sanders III calcaneal fractures, and Lisfranc/Chopart joint fracture-dislocations.
  • A low complication rate was observed, comparable to other osteosynthesis methods, with only one case of late bar mobilization.

Conclusions:

  • Absorbable devices offer advantages in foot trauma surgery, particularly for specific indications like periarticular fragments in talus/calcaneus fractures, Sanders III calcaneal fractures, and Lisfranc/Chopart joint injuries.
  • Foreign-body reactions are infrequent and generally not problematic.
  • The findings support the use of PLLA devices for defined indications in foot trauma management.