在ACL重建后,开放架构生物复合材料干扰螺丝的再吸收特性
Martin Lind1, Torsten Grønbech Nielsen1, Flemming K Nielsen1
1Department of Orthopaedics Aarhus University Hospital Aarhus Denmark.
Journal of experimental orthopaedics
|October 22, 2024
概括
在前十字带重建 (ACLR) 两年后,Biosure Regenesorb干扰螺丝显示了44%的再吸收,而不会导致道扩大. 临床结果显示,膝盖稳定性和患者报告的功能有所改善.
科学领域:
- 整形外科手术 整形外科手术
- 生物材料科学 生物材料科学
- 再生医学是一种再生医学.
背景情况:
- 在前十字带重建 (ACLR) 中,可吸收干扰螺丝可以导致道扩大和囊.
- Biosure Regenesorb螺丝以酸/聚合物组合设计,以增强吸收过程中骨的形成.
研究的目的:
- 在ACLR使用Biosure Regenesorb干扰螺丝固定后评估螺丝再吸收,新骨形成和带道几何学.
- 在ACLR中评估这种新型可吸收螺丝的临床疗效.
主要方法:
- 未来的单中心病例系列12名患者接受ACLR与腿筋自移植和Biosure Regenesorb螺丝固定.
- 两年的随访包括道和植入物体积的定量计算机断层扫描 (CT),关节测量膝盖松,IKDC,KOOS和Tegner活动量表.
主要成果:
- 在两年内,螺丝体积减少到44%,带道体积保持稳定.
- 在螺丝残骸中观察到最小的新骨形成 (道体积<1%).
- 在膝盖稳定性 (1年后宽松度为0.9毫米),IKDC得分 (+15分) 和KOOS得分 (+25-26分) 均有显著改善.
结论:
- 在ACLR中固定Biosure Regenesorb干扰螺丝不会导致道扩大.
- 螺丝在两年内显示出大量的再吸收 (44%),有限的新骨形成.
- 关于膝盖稳定性和主观功能的临床结果与已建立的ACLR程序保持一致.
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