E. Panagiotopoulos et al., SOFT-TISSUE AND CANCELLOUS BONE REACTION TO THE IMPLANTATION OF NOVELBIODEGRADABLE PINS AND PLATES IN RABBITS, Acta orthopaedica Scandinavica, 68, 1997, pp. 119-122
Biodegradable implants for osteosynthesis have had insufficient streng
th and a fast degradation rate. We produce a polymer based lactide to
increase the molecular weight and strength of the implant and delay th
e degradation rate. This novel fiber-reinforced material in the form o
f plates and pins was tested in vitro for mechanical performance and i
n vivo in a neutral mechanical environment to assess biocompatibility.
21 rabbits with implants in the tibia and femoral condyles were kille
d at 1, 6, 12 months after implantation. Only a mild foreign-body reac
tion was observed and the implant was encapsulated by a thin 0.8-1.6 m
m layer of connective tissue. Only a few lymphocytes and giant cells w
ere detected in the early stages, dense fibroblasts in the middle stag
e, and gi ant cells clearing material particles in the late stage. In
conclusion, the novel fiber-reinforced polymer based on polylactides w
as found mechanically superior to former degradable implants and bioco
mpatible, showing no late inflammatory tissue response.