Complications After Tendon Transfers in the Foot and Ankle Using Bioabsorbable Screws
Background: Tendon transfers are commonly used for correction of pathology or deformity of the foot and ankle. Bioabsorbable implants have been developed as an alternative to metal interference screws. The purpose of this study was to document complications following tendon transfers of the foot and...
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| Published in: | Foot & ankle international Vol. 34; no. 4; pp. 486 - 490 |
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| Main Authors: | , , , , , , |
| Format: | Journal Article |
| Language: | English |
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Los Angeles, CA
SAGE Publications
01-04-2013
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| Abstract | Background:
Tendon transfers are commonly used for correction of pathology or deformity of the foot and ankle. Bioabsorbable implants have been developed as an alternative to metal interference screws. The purpose of this study was to document complications following tendon transfers of the foot and ankle using bioabsorbable poly-L-lactide interference screws.
Methods:
A retrospective chart review was used to identify patients in whom either of the 2 senior authors had performed a tendon transfer of the foot and ankle using a bioabsorbable interference screw between 1999 and 2005. A minimum of 6 months of follow-up was required for inclusion in the study. In all, 31 patients were identified who met the inclusion criteria with an average follow-up of 75 weeks. All screws were made of poly-L-lactide (PLLA).
Results:
Complications were identified in 12 (39%) of patients. All of the complications reported were known complications of the tendon transfer procedure itself, and were not directly related to the bioabsorbable screw.
Conclusions:
Based on these early results, PLLA implants appear safe and effective for tendon transfers of the foot and ankle. However, until long-term outcomes are available, judicious use of these implants is recommended.
Level of Evidence:
Level IV, retrospective case series. |
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| AbstractList | Tendon transfers are commonly used for correction of pathology or deformity of the foot and ankle. Bioabsorbable implants have been developed as an alternative to metal interference screws. The purpose of this study was to document complications following tendon transfers of the foot and ankle using bioabsorbable poly-L-lactide interference screws.
A retrospective chart review was used to identify patients in whom either of the 2 senior authors had performed a tendon transfer of the foot and ankle using a bioabsorbable interference screw between 1999 and 2005. A minimum of 6 months of follow-up was required for inclusion in the study. In all, 31 patients were identified who met the inclusion criteria with an average follow-up of 75 weeks. All screws were made of poly-L-lactide (PLLA).
Complications were identified in 12 (39%) of patients. All of the complications reported were known complications of the tendon transfer procedure itself, and were not directly related to the bioabsorbable screw.
Based on these early results, PLLA implants appear safe and effective for tendon transfers of the foot and ankle. However, until long-term outcomes are available, judicious use of these implants is recommended. Background: Tendon transfers are commonly used for correction of pathology or deformity of the foot and ankle. Bioabsorbable implants have been developed as an alternative to metal interference screws. The purpose of this study was to document complications following tendon transfers of the foot and ankle using bioabsorbable poly-L-lactide interference screws. Methods: A retrospective chart review was used to identify patients in whom either of the 2 senior authors had performed a tendon transfer of the foot and ankle using a bioabsorbable interference screw between 1999 and 2005. A minimum of 6 months of follow-up was required for inclusion in the study. In all, 31 patients were identified who met the inclusion criteria with an average follow-up of 75 weeks. All screws were made of poly-L-lactide (PLLA). Results: Complications were identified in 12 (39%) of patients. All of the complications reported were known complications of the tendon transfer procedure itself, and were not directly related to the bioabsorbable screw. Conclusions: Based on these early results, PLLA implants appear safe and effective for tendon transfers of the foot and ankle. However, until long-term outcomes are available, judicious use of these implants is recommended. Level of Evidence: Level IV, retrospective case series. BACKGROUNDTendon transfers are commonly used for correction of pathology or deformity of the foot and ankle. Bioabsorbable implants have been developed as an alternative to metal interference screws. The purpose of this study was to document complications following tendon transfers of the foot and ankle using bioabsorbable poly-L-lactide interference screws.METHODSA retrospective chart review was used to identify patients in whom either of the 2 senior authors had performed a tendon transfer of the foot and ankle using a bioabsorbable interference screw between 1999 and 2005. A minimum of 6 months of follow-up was required for inclusion in the study. In all, 31 patients were identified who met the inclusion criteria with an average follow-up of 75 weeks. All screws were made of poly-L-lactide (PLLA).RESULTSComplications were identified in 12 (39%) of patients. All of the complications reported were known complications of the tendon transfer procedure itself, and were not directly related to the bioabsorbable screw.CONCLUSIONSBased on these early results, PLLA implants appear safe and effective for tendon transfers of the foot and ankle. However, until long-term outcomes are available, judicious use of these implants is recommended. |
| Author | McGarvey, William C. Hartline, Braden Clanton, Thomas O. Bott, Aaron M. Matheny, Lauren M. Hanson, Travis W. Betech, Alex A. |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/23399887$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1016_j_fas_2021_03_011 crossref_primary_10_1016_j_recote_2021_01_007 crossref_primary_10_1177_1071100715584848 crossref_primary_10_3390_ma13183914 crossref_primary_10_1053_j_jfas_2023_08_008 crossref_primary_10_1007_s00167_015_3504_0 crossref_primary_10_1016_j_jse_2014_07_014 crossref_primary_10_1177_0363546513509963 crossref_primary_10_1053_j_jfas_2017_08_004 crossref_primary_10_1053_j_jfas_2021_03_014 crossref_primary_10_1097_BPB_0000000000000691 crossref_primary_10_1177_1938640016666917 crossref_primary_10_1016_j_recot_2020_06_010 crossref_primary_10_1053_j_jfas_2017_01_008 |
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article-title: Comparison of failure strength between metallic and absorbable interference screws: influence of insertion torque, tunnel-bone block gap, bone mineral density, and interference publication-title: Am J Sports Med contributor: fullname: Engebretsen – ident: bibr13-1071100713477625 doi: 10.2106/00004623-199403000-00001 – ident: bibr30-1071100713477625 doi: 10.1016/j.arthro.2005.03.005 – ident: bibr15-1071100713477625 doi: 10.1177/107110070202300413 – ident: bibr35-1071100713477625 doi: 10.1053/jars.2002.32197 – ident: bibr3-1071100713477625 doi: 10.1016/S0142-9612(00)00132-0 – ident: bibr38-1071100713477625 doi: 10.1177/03635465980260010401 – ident: bibr2-1071100713477625 doi: 10.1023/B:ABME.0000007802.59936.fc – ident: bibr26-1071100713477625 doi: 10.1053/ar.1999.v15.015046001 – ident: bibr14-1071100713477625 doi: 10.5435/00124635-200109000-00001 – ident: bibr18-1071100713477625 doi: 10.2106/00004623-199705000-00006 – ident: bibr29-1071100713477625 doi: 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Tendon transfers are commonly used for correction of pathology or deformity of the foot and ankle. Bioabsorbable implants have been developed as an... Tendon transfers are commonly used for correction of pathology or deformity of the foot and ankle. Bioabsorbable implants have been developed as an alternative... BACKGROUNDTendon transfers are commonly used for correction of pathology or deformity of the foot and ankle. Bioabsorbable implants have been developed as an... |
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| SubjectTerms | Absorbable Implants Achilles Tendon - injuries Adult Aged Ankle - surgery Arthritis - surgery Bone Screws Female Foot - surgery Humans Male Middle Aged Polyesters Rupture - surgery Tendinopathy - surgery Tendon Transfer - adverse effects Tendon Transfer - instrumentation |
| Title | Complications After Tendon Transfers in the Foot and Ankle Using Bioabsorbable Screws |
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