• 1

    Tormala P, Rokkaken P, Laiho J, et al, assignee: Material for osteosynthetic devices. US Patent 4 743 257. September 16. ,2004. .

  • 2

    Tormala P: Biodegradable self-reinforced composite materials: manufacturing structure and mechanical properties. .Clin Mater 10::29. ,1992. .

  • 3

    Lavery LA, Peterson JD, Pollack R, et al: Risk of complications of first metatarsal head osteotomies with biodegradable pin fixation: Biofix versus Orthosorb. .J Foot Ankle Surg 33::334. ,1994. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4

    Miketa JP, Prigoff MM: Foreign body reactions to absorbable implant fixation of osteotomies. .J Foot Ankle Surg 33::623. ,1994. .

  • 5

    Burns AE: Biofix fixation techniques and results in foot surgery. .J Foot Ankle Surg 34::276. ,1995. .

  • 6

    Gill LH, Martin DF, Coumas JM, et al: Fixation with bioabsorbable pins in chevron bunionectomy. .J Bone Joint Surg Am 79::1510. ,1997. .

  • 7

    Rokkanen P, Bostman O, Vainionpaa S, et al: Absorbable devices in the fixation of fractures. .J Trauma 40::S123. ,1996. .

  • 8

    Ford TC, Maurer LM, Myrick KW: Cortical bone pin fixation: a preliminary report on fixation of digital arthrodeses and distal chevron first metatarsal osteotomies. .J Foot Ankle Surg 41::23. ,2002. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9

    Rokkaken PU, Bostman O, Hirvensalo E, et al: Bioabsorbable fixation in orthopedic surgery and traumatology. .Biomaterials 21::2207. ,2000. .

    • Search Google Scholar
    • Export Citation
  • 10

    Hetherington VJ, Shields SL, Wilhelm KR, et al: Absorbable fixation of the first ray osteotomies. .J Foot Ankle Surg 33::290. ,1994. .

  • 11

    Calder JD, Hollingdale JP, Pearse MF: Screw versus suture fixation of Mitchell’s osteotomy: a prospective, randomized study. .J Bone Joint Surg Br 81::621. ,1999. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12

    Pavlovich R, Caminear D: Granuloma formation after chevron osteotomy fixation with absorbable copolymer pin: a case report. .J Foot Ankle Surg 42::226. ,2003. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13

    Kalla TP, Janzen DL: Orthosorb: a case of foreign body reaction. .J Foot Ankle Surg 34::366. ,1995. .

  • 14

    Miketa JP, Prigoff MM: Foreign body reactions to absorbable implant fixation of osteotomies. .J Foot Ankle Surg 33::623. ,1994. .

  • 15

    Parks RM, Nelson G: Complications with the use of bioabsorbable pins in the foot. .J Foot Ankle Surg 32::153. ,1993. .

  • Armstrong DG: Re: “Our fixation with fixation: are screws clinically superior to external wires in distal first metatarsal osteotomies?”. J Foot Ankle Surg 36::465. ,1997. .

    • Search Google Scholar
  • Barca F, Busa R: Austin/chevron osteotomy fixed with bioabsorbable poly-l-lactic acid single screw. .J Foot Ankle Surg 36::15. ,1997. .

    • PubMed
    • Search Google Scholar
  • Bionx Implants Inc Web site. Available at: http://www.bionx-implants.com. Accessed September 10. ,2002. .

  • Brin M: The synthesis and metabolism of lactic acid isomers. .Ann N Y Acad Sci 119::943. ,1965. .

    • Search Google Scholar
  • Brodsky JW, Ptaszek AJ, Morris SG: Salvage first MTP arthrodesis utilizing ICBG: clinical evaluation and outcome. .Foot Ankle Int 21::290. ,2000. .

    • PubMed
    • Search Google Scholar
  • Bucholz RW, Henry S, Henley MB: Fixation with bioabsorbable screws for the treatment of fractures of the ankle. .J Bone Joint Surg Am 76::319. ,1994. .

    • PubMed
    • Search Google Scholar
  • Crosby LA, Bozarth GR: Fixation comparison for chevron osteotomies. .Foot Ankle Int 19::41. ,1998. .

    • PubMed
    • Search Google Scholar
  • Fillinger EB, McGuire JW, Hesse DF, et al: Inherent stability of proximal first metatarsal osteotomies: a comparative analysis. .J Foot Ankle Surg 37::292. ,1998. .

    • PubMed
    • Search Google Scholar
  • Friend GJ, Grace KS, Stone HA: Cortical screws versus absorbable pins for fixation of the short Z-bunionectomy. .J Foot Ankle Surg 33::411. ,1994. .

    • PubMed
    • Search Google Scholar
  • Kalla TP, Janzen DL: Orthosorb: a case of foreign body reaction. .J Foot Ankle Surg 34::366. ,1995. .

    • PubMed
    • Search Google Scholar
  • Kun E, Dechary JM, Pitot HC: The oxidation of glycolic acid by a liver enzyme. .J Biol Chem 210::269. ,1954. .

    • PubMed
    • Search Google Scholar
  • Reed TM: Allofix freeze-dried cortical bone pins as an alternative to synthetic absorbable polymeric pins: a preliminary study in short Z bunionectomies. .J Foot Ankle Surg 38::14. ,1999. .

    • PubMed
    • Search Google Scholar
  • Saikku-Backstrom A, Tulamo RM, Raiha JE, et al: Intra-medullary fixation of cortical bone osteotomies with absorbable self-reinforced fibrillated poly-96L/4D-lactide (SR-PLA96) rods in rabbits. .Biomaterials 22::33. ,2001. .

    • PubMed
    • Search Google Scholar
  • Shereff MJ, Sobel MA, Kummer FJ: The stability of fixation of first metatarsal osteotomies. .Foot Ankle 11::208. ,1991. .

    • PubMed
    • Search Google Scholar
  • Stevenson S, Emery SE, Goldberg VM: Factors affecting bone graft incorporation. .Clin Orthop Relat Res 324::66. ,1996. .

    • Search Google Scholar
  • Tubbs PK, Greville GD: The oxidation of D-alpha-hydroxy acids in animal tissues. .Biochem J 81::104. ,1961. .

    • PubMed
    • Search Google Scholar
  • Vert M, Chabot F, Leray J, et al: Stereoregular bioresorbable polyesters for orthopaedic surgery. .Macromolec Chem Phys Suppl 5::30. ,1981. .

    • Search Google Scholar
  • Williams DF: Biodegradation of surgical polymers. .J Mater Sci 17::1233. ,1982. .

    • Search Google Scholar
  • World Medical Association Declaration of Helsinki: Recommendations guiding physicians in biomedical research involving human subjects. .JAMA 277::925. ,1997. .

    • PubMed
    • Search Google Scholar

NuGen Fx Bioabsorbable Screws

A Preliminary Report of Their Use in Foot Surgery

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  • 1 Kentucky Podiatric Residency Program at Norton Audubon Hospital, Louisville.
  • | 2 Department of Orthopedics and Fracture Service, University of Louisville, Louisville, KY.
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A single prospective group study in adults was performed using a new bioabsorbable screw, the NuGen Fx screw (Linvatec Biomaterials Ltd, Tampere, Finland). This multisite study included five sites and 50 patients (10 patients per site). The goal of this study was to evaluate the efficiency and safety of the NuGen Fx screw system in the fixation of osteotomies, arthrodeses, and fractures in the foot and ankle. We discuss our own results from 12 patients treated at the Kentucky Podiatric Residency Program at Norton Audubon Hospital, Louisville. The number of patients in the study, screw sizes, instrumentation, radiologic evaluation findings, and our overview of this implant are presented. (J Am Podiatr Med Assoc 96(1): 73–77, 2006)

Corresponding author: Timothy C. Ford, DPM, 142 Chenoweth Ln, Louisville, KY 40207.