Treatment of Pediatric Displaced Intraarticular Olecranon Fractures with Resorbable Poly-L-Lactic-Co-Glycolic Acid (PLGA) Pins and Polydioxanone (PDS) Loops.

IF 2 4区医学 Q2 PEDIATRICS

Children-Basel Pub Date : 2025-02-28 DOI:10.3390/children12030316

Zoltán Tóth, Tamás Kassai, Marcell Varga, Tibor Molnár, Eszter Antal, Anna Gabriella Lamberti, Hermann Nudelman, Aba Lőrincz, Gergő Józsa

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引用次数: 0

Abstract

Background: Pediatric olecranon fractures, though rare, can be serious. Treatment varies by type and severity; displaced, intraarticular fractures usually need surgery, where biodegradable implants are emerging as an encouraging option to metal hardware.

Methods: Our prospective, single-center, single-arm case series evaluates three pediatric olecranon fracture patients treated by resorbable poly-L-lactic-co-glycolic acid (PLGA) pins and polydioxanone (PDS) loops between Jan 2022 and January 2023 at the Department of Pediatrics, University of Pécs, Clinical Complex.

Results: All patients achieved complete radiological healing with excellent functional recovery and no implant-related complications at one-year follow-up.

Conclusions: Resorbable PLGA pins and PDS loops provide a promising alternative to conventional metallic fixation in pediatric olecranon fractures, abolishing the need for a second implant-removal surgery while maintaining stability and biocompatibility. Our findings support the child-friendly nature and growing role of biodegradable materials in pediatric fracture management.

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可吸收聚l -乳酸-羟基乙酸（PLGA）针和聚二氧酮（PDS）环治疗儿童移位型鹰嘴关节内骨折。

背景：儿童鹰嘴骨折虽然罕见，但可能很严重。治疗因类型和严重程度而异；移位的关节内骨折通常需要手术，可生物降解的植入物正在成为金属硬件的一个令人鼓舞的选择。方法：我们的前瞻性、单中心、单臂病例系列评估了2022年1月至2023年1月在paccimcs大学儿科学系接受可吸收聚l -乳酸-羟基乙酸（PLGA）针和聚二氧环治疗的3例儿童鹰嘴骨折患者。结果：随访1年，所有患者均获得完全的放射治疗，功能恢复良好，无种植体相关并发症。结论：可吸收PLGA针和PDS环为儿童鹰嘴骨折的常规金属固定提供了一种有希望的替代方案，在保持稳定性和生物相容性的同时消除了第二次植入物移除手术的需要。我们的研究结果支持了可生物降解材料在儿童骨折治疗中的儿童友好性和日益增长的作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Children-Basel PEDIATRICS-

CiteScore

2.70

自引率

16.70%

发文量

1735

审稿时长

6 weeks

期刊介绍： Children is an international, open access journal dedicated to a streamlined, yet scientifically rigorous, dissemination of peer-reviewed science related to childhood health and disease in developed and developing countries. The publication focuses on sharing clinical, epidemiological and translational science relevant to children’s health. Moreover, the primary goals of the publication are to highlight under‑represented pediatric disciplines, to emphasize interdisciplinary research and to disseminate advances in knowledge in global child health. In addition to original research, the journal publishes expert editorials and commentaries, clinical case reports, and insightful communications reflecting the latest developments in pediatric medicine. By publishing meritorious articles as soon as the editorial review process is completed, rather than at predefined intervals, Children also permits rapid open access sharing of new information, allowing us to reach the broadest audience in the most expedient fashion.