Long-term results of wrist arthrodeses fixed with self-reinforced polylevolactic acid implants in patients with rheumatoid arthritis

Author： Voutilainen Nina H   Pätiäla Hannu VJ   Juutilainen Timo JE   Rokkanen Pentti U  

Publisher： Informa Healthcare

ISSN： 0300-9742

Source： Scandinavian Journal of Rheumatology, Vol.30, Iss.3, 2001-05, pp. : 149-153

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Abstract

Objective: Implants made of self-reinforcing polylevolactic acid (SR-PLLA) have been successfully used in arthrodeses of patients with rheumatoid arthritis. No long-term evaluation on bioabsorbable fixation in patients with rheumatoid arthritis has been published so far.Methods: In this study 21 wrist fusions were performed on 18 patients with rheumatoid arthritis by using SR-PLLA rods as fixation devices. The follow-up time was 3-8 years (mean 5.4 years).Results: The results showed one non-union but no infections or problems associated with the bioabsorbable implants used.Conclusion: According to this study, fixation of wrist arthrodesis in patients with rheumatoid arthritis can be performed by using SR-PLLA implants with favourable results. The benefit of this method is the avoidance of the removal operation of fixation devices.

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