Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
16
pubmed:dateCreated
2008-3-31
pubmed:abstractText
The poly-L/D-lactide 96/4 joint scaffolds are used to engineer fibrous tissue joints in situ for the reconstruction of metacarpophalangeal joints. In this experimental study, a supplementary elastomeric stem made of Polyactive 1000PEO70PBT30 (a segmented block copolymer of polyethylene oxide and polybutylene terephtalate with 70/30 PEO/PBT ratio) was used to anchor the joint scaffold in the arthroplasty space. Eleven resected fifth metacarpophalangeal joints of minipig were reconstructed and evaluated radiologically and histologically for 3 years. Plain joint scaffold and Swanson silicone implant arthroplasties (11 of each) in metacarpophalangeal joints of minipig served as controls. Altogether fore limbs of eighteen minipigs were operated for the study. Deleterious tissue reaction with dramatic signs of osteolysis and inflammatory foreign-body reaction was observed around the Polyactive stems. The mean maximum diameter of the osteolytic stem cavity was statistically wider when compared to the mean maximum diameter of Swanson implant group during the first postoperative year. Numerous osteoclasts were found at the margins of the osteolytic areas. No direct bone contact could be seen. At 1 year osteoblastic regeneration and formation of new trabecular bone followed. Finally the foreign-body reaction settled, but the adjoining bones were at this stage highly sclerotic and composed of coarse trabeculae. In contrary to previous in vivo studies suggesting biocompatibility, osteoconductivity and capability to bond to bone, Polyactive 1000PEO70PBT30 stem in this setting caused massive osteolytic lesions and foreign-body reactions.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
0142-9612
pubmed:author
pubmed:issnType
Print
pubmed:volume
29
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
2509-15
pubmed:meshHeading
pubmed-meshheading:18336902-Animals, pubmed-meshheading:18336902-Arthroplasty, pubmed-meshheading:18336902-Biocompatible Materials, pubmed-meshheading:18336902-Carpus, Animal, pubmed-meshheading:18336902-Female, pubmed-meshheading:18336902-Foreign-Body Reaction, pubmed-meshheading:18336902-Forelimb, pubmed-meshheading:18336902-Implants, Experimental, pubmed-meshheading:18336902-Osteoblasts, pubmed-meshheading:18336902-Osteoclasts, pubmed-meshheading:18336902-Osteolysis, pubmed-meshheading:18336902-Polyesters, pubmed-meshheading:18336902-Polyethylene Glycols, pubmed-meshheading:18336902-Sclerosis, pubmed-meshheading:18336902-Silicones, pubmed-meshheading:18336902-Swine, pubmed-meshheading:18336902-Swine, Miniature, pubmed-meshheading:18336902-Time Factors, pubmed-meshheading:18336902-Tissue Scaffolds
pubmed:year
2008
pubmed:articleTitle
Long-term bone tissue reaction to polyethylene oxide/polybutylene terephthalate copolymer (Polyactive) in metacarpophalangeal joint reconstruction.
pubmed:affiliation
Department of Hand Surgery, Helsinki University Central Hospital, FIN-00029 HUS, Helsinki, Finland. eero.waris@helsinki.fi
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't