Intraosseous Bioabsorbable Poly-L-Lactic Acid Screw Presenting as a Late Foreign-Body Reaction: A Case Report

Autor: Susan Mosier-LaClair, Gregory Pomeroy, Howard Pike
Rok vydání: 2001
Předmět:
Zdroj: Foot & Ankle International. 22:247-251
ISSN: 1944-7876
1071-1007
DOI: 10.1177/107110070102200313
Popis: A 17-year-old woman complained of a localized painful swelling in her foot 30 months after internal fixation of a closed tarsometatarsal joint fracture with interfragmentary poly-L-lactic acid screws. Aspiration revealed a sterile abcess. Radiographs displayed an osteolytic lesion corresponding to a screw track in the first tarsometarsal joint. Formation of a draining sinus tract required surgical excision of a small granulomatous lesion. Histologic analysis found deposits of birefringent polymeric particles surrounded by a nonspecific foreign-body type reaction. This represents the first reported case of a draining sinus tract secondary to the use of polylactic acid screw fixation.
Databáze: OpenAIRE