Key result
Bioabsorbable implants avoid second removal surgeries in pediatric orthopedics with a ~10% adverse reaction rate.
Why the study?
Traditional osteosynthesis materials like screws or Kirschner pins in pediatric fractures typically require a second intervention under general anesthesia for removal, which could be avoided with bioabsorbable implants.
Are bioresorbable implants safe and effective for osteosynthesis in pediatric fractures and orthopedic surgeries?
Observational (n=34)
No
Are bioresorbable implants safe and effective for osteosynthesis in pediatric fractures and orthopedic surgeries?
Bioresorbable implants in pediatric orthopedic surgery are effective and avoid the need and cost of a second surgery for implant removal, with a low rate of local adverse reactions.
Documents rising osteosynthesis use in unstable pediatric fractures; leaves open need for prospective trials to define indications.
The use of osteosynthesis in children, for traumatic and orthopedic pathologies, presents a progressive increase, determined by the materials accessibility for the different treatments needed for the children [1].Fractures in children usually require orthopedic treatment, but in the last decade the use of osteosynthesis became more common, as in those fractures with joint involvement or unstable fractures that the orthopedic treatment fail, in those the osteosynthesis allows us to maintain the congruence and stability of the fragments.This is how currently mainly the orthopedic surgeon chose using several materials as screws or Kirschner pins (if it is necessary to go through the physis).However, this kind of material usually requires a second intervention with general anesthesia for their removal, a situation that can be avoided with the use of resorbable implants.
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Vergara et al. (2024) conducted an observational in Pediatric fractures and orthopedic pathologies requiring osteosynthesis (n=34). Bioabsorbable implants vs. Non-absorbable osteosynthesis (cost comparison) was evaluated on Clinical efficacy and complication rate. Bioabsorbable implants used in pediatric orthopedic and trauma surgeries were effective and avoided the need for a second removal surgery, with only 10% of patients experiencing an adverse reaction.
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