Tsuakasa Tsuji; Hideaki Kitada; Sinnosuke Abe

doi:10.15562/jdmfs.v3i1.681

The use of bioabsorbable poly-L-lactide acid miniplate and screw (FIXSORB®-MX) for bone fixation in mandibular fracture: cases report

Tsuakasa Tsuji ,

Hideaki Kitada ,

Sinnosuke Abe ,

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Abstract

Objective: This report aims to elucidate the degree of degradation of bioabsorbable poly-L-lactide acid (PLLA) devices and the influence of these materials on the surrounding tissues in the human body.Methods: Two patients with fractured mandibles underwent treatment using a biodegradable fixation system.Â In the first case, the plates and screws were removed along with extraction of an impacted wisdom tooth at 6 months after surgery, and in the second case, the same procedure was performed 12 months after surgery. Changes in the physical properties of the materials and histologic alterations in the periosteum and bone associated with the bioabsorbable plates were assessed.Results: The materials demonstrated adequate degradation in the human body, and skeletal stability proved sufficient for the duration of mandibular bone healing without complications after surgery.Conclusion: On the basis these findings, it can be concluded that PLLA implants are useful for the fixation of human mandibular fractures.

Keywords: Bioabsorbable poly-L-lactide acid materials Mandibular fracture

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References

Matsusue Y, Yamamuro T, Otka M, et al. In vitro and in vivo studies on bioabsorbable ultrahigh-strength poly (L-lactide) rods. J Biomed Mater Res 1992;12: 1553-1567.
Shikinami Y. Characteristics and application of poly L-lactaide as biomaterials. Rheumatology 1999;21: 267-278. 3. Matsusue Y, Yamamuro T, Yoshii S, et al. Biodegradable screw fixation of rabit tibia proximal osteotomies. J Appl Biomaterials 1991;2: 1-12
Noguchi M, Kondoh S, Matsuo K, et al. The use of Bioabsorbable Poly (L-actide) Mini-plate and Screws for Repairing Craniofacile Disorders in Infants. Jpn J Plast Surg 1998;41: 39-46.
Ayhan S, Tugay C, Oetak T, et al. Effect of bioabsorbable osseus fixation materials on dura mater and brain tissue. Plast Reconstr Surg 2002;109: 1337-1347.
Laine P, Kontio R, Lindqvist C, et al. Are there any complications with bioabsorbable fixation devices? a 10 year review in orthognathic surgery. Int J Oral Maxillofac Surg 2004;33: 240-244.
Bessho K, Iizuka T, Murakami K. A bioabsorbable poly-L-lactide miniplate and screw system for osteosynthesis in oral and maxillofacial surgery. J Oral Maxillofac Surg 1997;55: 941-945.
Yerit KC, Enislids G, Schopper C, etal. Fixation of mandibular fractures with biodegradable plates and screws. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;94: 294-300.
Yerit KC, Hainich S, Enislidis G, et al. Biogradable fixation of mandibular fractures in children: Stability and early results. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;100: 17-24.
Samad S, Priyanto W. Early treatment of symphysis mandibular fracture in 12 years old children using erich arch bar: a case report. J Dentomaxillofac Sci 2017;2: 45-48.

How to Cite

Tsuji, T., Kitada, H., & Abe, S. (2018). The use of bioabsorbable poly-L-lactide acid miniplate and screw (FIXSORB®-MX) for bone fixation in mandibular fracture: cases report. Journal of Dentomaxillofacial Science, 3(1), 46–49. https://doi.org/10.15562/jdmfs.v3i1.681

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Tsuakasa Tsuji

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Hideaki Kitada

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Sinnosuke Abe

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[1] Matsusue Y, Yamamuro T, Otka M, et al. In vitro and in vivo studies on bioabsorbable ultrahigh-strength poly (L-lactide) rods. J Biomed Mater Res 1992;12: 1553-1567.

[2] Shikinami Y. Characteristics and application of poly L-lactaide as biomaterials. Rheumatology 1999;21: 267-278. 3. Matsusue Y, Yamamuro T, Yoshii S, et al. Biodegradable screw fixation of rabit tibia proximal osteotomies. J Appl Biomaterials 1991;2: 1-12

[3] Noguchi M, Kondoh S, Matsuo K, et al. The use of Bioabsorbable Poly (L-actide) Mini-plate and Screws for Repairing Craniofacile Disorders in Infants. Jpn J Plast Surg 1998;41: 39-46.

[4] Ayhan S, Tugay C, Oetak T, et al. Effect of bioabsorbable osseus fixation materials on dura mater and brain tissue. Plast Reconstr Surg 2002;109: 1337-1347.

[5] Laine P, Kontio R, Lindqvist C, et al. Are there any complications with bioabsorbable fixation devices? a 10 year review in orthognathic surgery. Int J Oral Maxillofac Surg 2004;33: 240-244.

[6] Bessho K, Iizuka T, Murakami K. A bioabsorbable poly-L-lactide miniplate and screw system for osteosynthesis in oral and maxillofacial surgery. J Oral Maxillofac Surg 1997;55: 941-945.

[7] Yerit KC, Enislids G, Schopper C, etal. Fixation of mandibular fractures with biodegradable plates and screws. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;94: 294-300.

[8] Yerit KC, Hainich S, Enislidis G, et al. Biogradable fixation of mandibular fractures in children: Stability and early results. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;100: 17-24.

[9] Samad S, Priyanto W. Early treatment of symphysis mandibular fracture in 12 years old children using erich arch bar: a case report. J Dentomaxillofac Sci 2017;2: 45-48.