What is the advantage of using different bioabsorbable materials in the treatment of Lisfranc fracture dislocation?

Updated: Apr 20, 2020
  • Author: Nirmal Tejwani, MD, MPA; Chief Editor: Thomas M DeBerardino, MD  more...
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Answer

The advantage of using different bioabsorbable materials to provide short-term stability following surgical reduction is that no screws need to be removed. Two key questions to be answered are as follows:

  • What effect do degradation products have on joint chemistry?
  • Is the sheer strength of bioabsorbable screws sufficient to maintain the reduction in this situation?

In 2002, Thordarson et al reported results from 14 patients at an average follow-up of 20 months. At this short-term follow-up, they determined that bioabsorbable screws are safe and that they eliminate the need for screw removal. Larger studies with long-term follow-up are needed to determine the true efficacy. [30]


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