A clinical example of a bioresorbable malleolar screw application for osteosynthesis of the medial malleolus

Authors

  • V. M. Chornyi Zaporizhzhia State Medical University, Ukraine,
  • M. L. Holovakha Zaporizhzhia State Medical University, Ukraine,
  • Ye. V. Yatsun Zaporizhzhia State Medical University, Ukraine,

DOI:

https://doi.org/10.14739/2310-1210.2020.5.214757

Keywords:

osteosynthesis, bioresorbable alloys, magnesium

Abstract

 

The aim of the work: to study the clinical potential for use of an original MS-10 magnesium-based bioabsorbable malleolar screw in osteosynthesis of the medial malleolus.

Materials and methods. In the course of the study, we tested the osteosynthesis of the medial malleolus of the tibia using a bioresorbable modified MS-10 magnesium alloy implant and evaluated the clinical course of the early and late postoperative period, the response of soft tissues, the radiological dynamics of fracture consolidation, and restoration of limb function. Osteosynthesis was performed using the malleolar screw of 3.5 mm-diameter with incomplete threading made of the bioresorbable modified MS-10 magnesium alloy (TS U 24.4-14307794-270:2018). The patient follow-up time was 7 months. X-rays of the ankle joint were performed at 6 week-intervals in2 in standard views, CT was performed during the 5th week.

Results. During the period from the 1st to the 8th week, the patient X-ray examinations showed slight emphysema in the surrounding soft tissues and in the cancellous bone of the distal metaepiphysis of the tibia that was not accompanied by clinical manifestations and complications. Bioresorption of the magnesium implant did not change the time of soft tissues healing and the bone callus formation in the fracture zone. At the late stages of bioresorption (after the 18th week), the signs of pronounced ossification were seen around the magnesium implant.

Conclusions. Based on the experimentally obtained data, we can conclude that it is possible and advisable to use bioresorbable implants made of the original MS-10 magnesium alloy in osteosynthesis.

References

Muzychenko, P. F. (2012). Problemy biomaterialovedeniya v travmatologii i ortopedii [Biomaterials technology problems in traumatology and orthopedics]. Travma, 13(1), 94-98. [in Russian].

Zagorodny, N. V., Volna, A. A., & Panin, M. A. (2010). Udalenie implantatov [Implants removal]. Vestnik Rossiiskogo universiteta druzhby narodov. Seriya: meditsina, (4), 44-52. [in Russian].

Bur'yanov, A. A., Korzh, H. A., & Oshkaderov, S. P. (2008). Metallicheskie materialy dlya implantatov ortopedicheskogo i travmatologicheskogo naznacheniya [Metallic materials for orthopedic and traumatology implants]. Ortopediya, travmatologiya i protezirovanie, (3), 5-10. [in Russian].

Gorodetskii, V. V., & Talibov, O. B. (2004). Preparaty magniya v meditsinskoi praktike: Malaya entsiklopediya magniya [Magnesium drugs in medical practice: Small Encyclopedia of Magnesium]. Medpraktika-M, 2003 (PIK VINITI). [in Russian].

Yatsun, E., Chorny, V., & Golovakha, M. (2013). Perspektyvy zastosuvannia biodehraduiuchykh splaviv na osnovi mahniiu v osteosyntezi (literaturno-analitychnyi ohliad) [The prospects of biodegradable magnesium-based alloys in osteosynthesis (literature and analytical review)]. Problemy viiskovoi okhorony zdorovia, (36), 141-148. [in Ukrainian].

Tertyshniy, S. I., Dikiy, K. L., Golovakha, M. L., Chorniy, V. N., & Yatsun, E. V. (2012). Morfohenez reparatyvnoi reheneratsii kistkovoi tkanyny v umovakh zastosuvannia mahnii-rezorbuiuchykh implantiv [The morphogenesis of reparative regeneration of bone tissue in the use of magnesium-resorbable implants]. Pathologia, (1), 85-88. [in Ukrainian].

Könneker, S., Krockenberger, K., Pieh, C., von Falck, C., Brandewiede, B., Vogt, P. M., Kirschner, M. H., & Ziegler, A. (2019). Comparison of SCAphoid fracture osteosynthesis by MAGnesium-based headless Herbert screws with titanium Herbert screws: protocol for the randomized controlled SCAMAG clinical trial. BMC Musculoskeletal Disorders, 20(1), Article 357. https://doi.org/10.1186/s12891-019-2723-9

Oshibe, N., Marukawa, E., Yoda, T., & Harada, H. (2019). Degradation and interaction with bone of magnesium alloy WE43 implants: A long-term follow-up in vivo rat tibia study. Journal of Biomaterials Applications, 33(9), 1157-1167. https://doi.org/10.1177/0885328218822050

Modrejewski, C., Plaaß, C., Ettinger, S., Caldarone, F., Windhagen, H., Stukenborg-Colsman, C., von Falck, C., & Belenko, L. (2015). Degradationsverhalten bioresorbierbarer Magnesium-Implantate bei distalen Metatarsale-1-Osteotomien im MRT. Fuß & Sprunggelenk, 13(3), 156-161. https://doi.org/10.1016/j.fuspru.2015.06.002

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How to Cite

1.
Chornyi VM, Holovakha ML, Yatsun YV. A clinical example of a bioresorbable malleolar screw application for osteosynthesis of the medial malleolus. Zaporozhye Medical Journal [Internet]. 2020Oct.20 [cited 2024Nov.2];22(5). Available from: http://zmj.zsmu.edu.ua/article/view/214757

Issue

Vol. 22 No. 5 (2020)

Section

Case Reports

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