Adverse reactions to an absorbable shoulder fixation device

Dennis J. Edwards, Greg Hoy, Andrew D. Saies, Michael G. Hayes

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109 Citations (Scopus)

Abstract

Bioabsorbable implants have been advocated for use in repair of a torn glenoid labrum to correct shoulder instability. These implants have been thought to be safe and to have little toxicity, antigenicity, or adverse side effects. However, similar implants have been shown to cause nonspecific granulomatous reactions when implanted into bone or soft tissues in studies in both animals and human beings. This article reports the adverse effects of these implants in six shoulders of five patients who had repair of a damaged glenoid labrum. All patients reported increasing pain and loss of shoulder motion after insertion of these devices. All required a further arthroscopic lavage and debridement to reduce the inlracapsular synovitis. Granulomatous reactions were identified histologically in all cases. No long-term side effects were encountered, and all patients recovered satisfactorily.

Original languageEnglish
Pages (from-to)230-233
Number of pages4
JournalJournal of Shoulder and Elbow Surgery
Volume3
Issue number4
DOIs
Publication statusPublished - 1 Jan 1994
Externally publishedYes

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