Use of resorbable magnesium screws in children: Systematic review of the literature and short-term follow-up from our series
| Autor: | Elisa Senigagliesi, Marco Baldini, Valentino Coppa, Antonio Gigante, Mario Marinelli, Danya Falcioni |
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| Rok vydání: | 2021 |
| Předmět: |
030222 orthopedics
medicine.medical_specialty education.field_of_study Magnesium business.industry Biodegradable implants Population chemistry.chemical_element Dentistry 030229 sport sciences paediatrics 03 medical and health sciences 0302 clinical medicine chemistry Pediatrics Perinatology and Child Health Orthopedic surgery Original Clinical Article medicine Orthopedics and Sports Medicine business education resorbable implant |
| Zdroj: | Journal of Children's Orthopaedics |
| ISSN: | 1863-2548 1863-2521 |
| DOI: | 10.1302/1863-2548.15.210004 |
| Popis: | Purpose Biodegradable implants are of major interest in orthopaedics, especially in the skeletally immature population. Magnesium (Mg) implants are promising for selected surgical procedure in adults, but evidence is lacking. Thus, the aim of this study is to analyze the safety and efficacy of resorbable Mg screw in different orthopaedic procedures in skeletally immature patients. In addition, we present a systematic review of the current literature on the clinical use of Mg implants. Methods From 2018 until the writing of this manuscript, consecutive orthopaedic surgical procedures involving the use of Mg screws performed at our centre in patients < 15 years of age were retrospectively reviewed. In addition, a systematic review of the literature was performed in the main databases. We included clinical studies conducted on humans, using Mg-alloy implants for orthopaedic procedures. Results A total of 14 patients were included in this retrospective analysis. Mean age at surgery was 10.8 years (sd 2.4), mean follow-up was 13.8 months (sd 7.5). Healing was achieved in all the procedures, with no implant-related adverse reaction. No patients required any second surgical procedure. The systematic review evidenced 20 clinical studies, 19 of which conducted on an adult and one including paediatric patients. Conclusion Evidence on resorbable Mg implants is low but promising in adults and nearly absent in children. Our series included apophyseal avulsion, epiphyseal fractures, osteochondritis dissecans, displaced osteochondral fragment and tendon-to-bone fixation. Mg screws guaranteed stable fixation, without implant failure, with good clinical and radiological results and no adverse events. Level of evidence IV – Single cohort retrospective analysis with systematic review |
| Databáze: | OpenAIRE |
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