University of Oulu

Sinikumpu, J., & Sinikumpu, J. (2017). Biodegradable poly‑L‑lactide‑co‑glycolide copolymer pin fixation of a traumatic patellar osteochondral fragment in an 11‑year‑old child: A novel surgical approach. Experimental and Therapeutic Medicine, 13, 242-246. http://dx.doi.org/10.3892/etm.2016.3934

Biodegradable poly‑L‑lactide‑co‑glycolide copolymer pin fixation of a traumatic patellar osteochondral fragment in an 11‑year‑old child : a novel surgical approach

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Author: Sinikumpu, Juha‑Jaakko1; Serlo, Willy1
Organizations: 1Department of Pediatric Surgery and Orthopedics, Oulu University Hospital, Oulu, 90029 OYS, Finland
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 0.8 MB)
Persistent link: http://urn.fi/urn:nbn:fi-fe201702011411
Language: English
Published: Spandidos, 2017
Publish Date: 2017-05-29
Description:

Abstract

Treating displaced patellar bone fractures in growing children remains a challenge for orthopedic surgeons. Removal of loose bone fragments may prolong healing time and result in early onset osteoarthrosis. Therefore, primary fixation of osteochondral fragments is preferred. Metallic pin and screw implants are typically used for fixation, as there is little evidence available regarding the use of modern biodegradable implants in traumatic patellar fractures of a premature skeleton. The present report describes a novel operative technique using headless poly‑L‑lactide‑co‑glycolide (PLGA) pins in treating an 11‑year‑old girl with a patellar fracture from a cycling injury. The surgical technique of this procedure is described in detail in the current report. Excellent subjective outcomes were achieved from this surgery, with superb bone healing according to follow‑up radiographic and computerized tomography scans. In conclusion, the results of this case indicate that, similarly to osteochondritis, intra‑articular osteochondral fractures in children may be fixed using biodegradable PLGA pins. Randomized clinical trials should be performed to confirm this finding and evaluate the use of PLGA pins as a treatment for adolescent osteochondral fractures.

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Series: Experimental and therapeutic medicine
ISSN: 1792-0981
ISSN-E: 1792-1015
ISSN-L: 1792-0981
Volume: 13
Issue: 1
Pages: 242 - 246
DOI: 10.3892/etm.2016.3934
OADOI: https://oadoi.org/10.3892/etm.2016.3934
Type of Publication: A1 Journal article – refereed
Field of Science: 3126 Surgery, anesthesiology, intensive care, radiology
Subjects:
Copyright information: © Spandidos Publications 2016. All rights reserved. Published in this repository with the kind permission of the publisher.