Abstract
Biodegradable materials are gaining popularity in orthopedics. Despite finding use
in different areas of orthopedic surgery, they do not come without disadvantages such
as foreign body reactions, granulomatous reactions, and sterile sinus formation in
bone. We report a case of a patient who sustained a periprosthetic fracture seen at
the tip of a cemented femoral stem approximately 5 years postsurgery, secondary to
the use of a biodegradable cement restrictor. There was no evidence of trauma or fall
on the affected hip. To our knowledge, there has been no previous report describing
periprosthetic fracture at the tip of cemented femoral stem secondary to the use of
a biodegradable cement restrictor. We suggest abandoning use of these materials while
performing cemented hip arthroplasties.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The Journal of ArthroplastyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Principles of development and use of absorbable internal fixation.Tissue Eng. 2000; 6: 425
- Foreign-body reaction and the course of osteolysis after polyglycolide implants for fracture fixation—experimental study in sheep.J Bone Joint Surg Br. 1996; 78-B: 369
- Intense granulomatous inflammatory lesions associated with absorbable internal fixation devices made of polyglycolide in ankle fractures.Clin Orthop Relat Res. 1992; : 193
- Enlargement of drill holes after use of a biodegradable suture anchor: quantitative study on consecutive postoperative radiographs.Arthroscopy. 2008; 24: 251
- Sterile pretibial abscess after anterior cruciate reconstruction from bioabsorbable interference screws: a report of 2 cases.Arthroscopy. 2007; 23: 911.e1
- Macrophages stimulate bone resorption when they phagocytose particles.J Bone Joint Surg Br. 1990; 72: 988
- Macrophage exposure to polymethyl methacrylate leads to mediator release and injury.J Orthop Res. 1991; 9: 406
- Systemic distribution of wear debris after hip replacement. A cause for concern.J Bone Joint Surg Br. 1992; 74: 831
- Prostaglandins: stimulation of bone resorption in tissue culture.Endocrinology. 1970; 86: 1436
- The interaction of parathormone and calcium on the hormone-regulated synthesis of hyaluronic acid and citrate decarboxylation in isolated bone cells.Endocrinology. 1978; 103: 2274
- Osteoclasts, mononuclear phagocytes, and physiological bone resorption.Calcif Tissue Int. 1986; 39: 357
- IL-6 is produced by osteoblasts and induces bone resorption.J Immunol. 1990; 145: 3297
- Intraosseous cellular response to biodegradable fracture fixation screws made of polyglycolide or polylactide.Arch Orthop Trauma Surg. 1993; 112: 71
- Macrophage phagocytosis of biodegradable microspheres composed of L-lactic acid/glycolic acid homo- and copolymers.J Biomed Mater Res. 1988; 22: 837
- Bioresorbable plastic materials for bone surgery.in: Hastings G.W. Ducheyne P. Macromolecular biomaterials. CRC Press, Boca Raton (Fla)1984: 119
- The use of Dexon as a replacement for the calcaneal tendon in sheep.J Bone Joint Surg Br. 1985; 67: 313
- Biodegradable bone repair materials. Synthetic polymers and ceramics.Clin Orthop Relat Res. 1986; : 290
- Osteolytic changes accompanying degradation of absorbable fracture fixation implants.J Bone Joint Surg Br. 1991; 73: 679
- Late foreign-body reaction to an intraosseous bioabsorbable polylactic acid screw. A case report.J Bone Joint Surg Am. 1998; 80: 1791
- Osteolysis associated with “Optiplug®” bioabsorbable cement restrictors.J Bone Joint Surg Br. 2011; 93-B SUPP IV ([abstract] British Hip Society Congress 2010): 547
Article info
Publication history
Published online: April 23, 2012
Accepted:
February 9,
2012
Received:
June 14,
2011
Footnotes
The Conflict of Interest statement associated with this article can found at doi:10.1016/j.arth.2012.02.013.
Identification
Copyright
© 2012 Elsevier Inc. Published by Elsevier Inc. All rights reserved.