Osteoconductive resorption characteristics of a novel biocomposite suture anchor material in rotator cuff repair
Abstract Background Bioabsorbable suture anchors have been associated with bone-derived complications, such as osteolysis and cyst formation, after rotator cuff repair. The purpose of this study was to assess the osseous degradation process of the novel biocomposite suture anchor material polylactic...
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| Format: | Article |
| Language: | English |
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BMC
2019-01-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | http://link.springer.com/article/10.1186/s13018-018-1049-x |
| _version_ | 1798005691727740928 |
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| author | Jan Vonhoegen Dominik John Constanze Hägermann |
| author_facet | Jan Vonhoegen Dominik John Constanze Hägermann |
| author_sort | Jan Vonhoegen |
| collection | DOAJ |
| description | Abstract Background Bioabsorbable suture anchors have been associated with bone-derived complications, such as osteolysis and cyst formation, after rotator cuff repair. The purpose of this study was to assess the osseous degradation process of the novel biocomposite suture anchor material polylactic-co-glycolic acid (PLGA)/beta-tricalcium phosphate (ß-TCP)/calcium sulfate (CS) after arthroscopic single-row rotator cuff repair. The focus of interest was the appearance of osteolysis and the rate of total resorption of the implants after 21 months. Methods Forty-eight patients with 82 implanted suture anchors who had undergone arthroscopic rotator cuff repair between January 2015 and March 2016 at our institution were retrospectively evaluated by postoperative magnetic resonance imaging. The appearance of osteolysis was classified by measurement of the peri-implant fluid. The degree of resorption was measured by grading the persistent visibility of the anchor structures. The integrity of the rotator cuff tendon was analyzed to discover possible retear or anchor pull-out complications. Results After a follow-up of 21.2 (± 5.4) months, osteolysis was detected in only two anchors (2.4%), and none of these defects exceeded the diameter of the former suture anchor (5.5 mm). Fifty percent of the anchors were fully degraded and no longer visible. Furthermore, only two retears of the rotator cuff occurred, and no anchor pull-out complications were detected. Conclusion PGLA/β-TCP/CS is a fully resorbable and osteoconductive suture anchor material that seems to have superior resorption characteristics compared to those of other bioabsorbable suture anchor materials commonly used in arthroscopic rotator cuff repair. Trial registration The presented study was retrospectively registered by the commission for ethics at the Ärztekammer Nordrhein with the registration number 2016433 on January 17, 2017. All participating patients gave written consent for participation and the publication of their data. Level of evidence IV |
| first_indexed | 2024-04-11T12:43:18Z |
| format | Article |
| id | doaj.art-8e37bd73648a487aa2af09623073e2f1 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T12:43:18Z |
| publishDate | 2019-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-8e37bd73648a487aa2af09623073e2f12022-12-22T04:23:26ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2019-01-011411810.1186/s13018-018-1049-xOsteoconductive resorption characteristics of a novel biocomposite suture anchor material in rotator cuff repairJan Vonhoegen0Dominik John1Constanze Hägermann2Klinik Am RingKlinik Am RingKlinik Am RingAbstract Background Bioabsorbable suture anchors have been associated with bone-derived complications, such as osteolysis and cyst formation, after rotator cuff repair. The purpose of this study was to assess the osseous degradation process of the novel biocomposite suture anchor material polylactic-co-glycolic acid (PLGA)/beta-tricalcium phosphate (ß-TCP)/calcium sulfate (CS) after arthroscopic single-row rotator cuff repair. The focus of interest was the appearance of osteolysis and the rate of total resorption of the implants after 21 months. Methods Forty-eight patients with 82 implanted suture anchors who had undergone arthroscopic rotator cuff repair between January 2015 and March 2016 at our institution were retrospectively evaluated by postoperative magnetic resonance imaging. The appearance of osteolysis was classified by measurement of the peri-implant fluid. The degree of resorption was measured by grading the persistent visibility of the anchor structures. The integrity of the rotator cuff tendon was analyzed to discover possible retear or anchor pull-out complications. Results After a follow-up of 21.2 (± 5.4) months, osteolysis was detected in only two anchors (2.4%), and none of these defects exceeded the diameter of the former suture anchor (5.5 mm). Fifty percent of the anchors were fully degraded and no longer visible. Furthermore, only two retears of the rotator cuff occurred, and no anchor pull-out complications were detected. Conclusion PGLA/β-TCP/CS is a fully resorbable and osteoconductive suture anchor material that seems to have superior resorption characteristics compared to those of other bioabsorbable suture anchor materials commonly used in arthroscopic rotator cuff repair. Trial registration The presented study was retrospectively registered by the commission for ethics at the Ärztekammer Nordrhein with the registration number 2016433 on January 17, 2017. All participating patients gave written consent for participation and the publication of their data. Level of evidence IVhttp://link.springer.com/article/10.1186/s13018-018-1049-xArthroscopic rotator cuff repairSuture anchorBioabsorbablePGLAOsteolysis |
| spellingShingle | Jan Vonhoegen Dominik John Constanze Hägermann Osteoconductive resorption characteristics of a novel biocomposite suture anchor material in rotator cuff repair Journal of Orthopaedic Surgery and Research Arthroscopic rotator cuff repair Suture anchor Bioabsorbable PGLA Osteolysis |
| title | Osteoconductive resorption characteristics of a novel biocomposite suture anchor material in rotator cuff repair |
| title_full | Osteoconductive resorption characteristics of a novel biocomposite suture anchor material in rotator cuff repair |
| title_fullStr | Osteoconductive resorption characteristics of a novel biocomposite suture anchor material in rotator cuff repair |
| title_full_unstemmed | Osteoconductive resorption characteristics of a novel biocomposite suture anchor material in rotator cuff repair |
| title_short | Osteoconductive resorption characteristics of a novel biocomposite suture anchor material in rotator cuff repair |
| title_sort | osteoconductive resorption characteristics of a novel biocomposite suture anchor material in rotator cuff repair |
| topic | Arthroscopic rotator cuff repair Suture anchor Bioabsorbable PGLA Osteolysis |
| url | http://link.springer.com/article/10.1186/s13018-018-1049-x |
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