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Experimental determination of the safety of bioresorbable polylactate-coglycolide-based implants

https://doi.org/10.46563/1560-9561-2025-28-2-114-118

EDN: drukte

Abstract

Introduction. Treatment of bone fractures with growth zone disorders in children is an urgent task. Near- and intra-articular fractures are common injuries to the musculoskeletal system in children. However, the issue of choosing a safe retainer remains unresolved. Objective. To determine the safety of a bioresorbable polylactate-coglycolide (PLGA) implant for the surgical treatment of distal tibial metaepiphyseolysis in children.

Materials and methods. The work was performed on one hundred twenty white 3 months rats, weighing 110–120 g. The animals were divided into 2 groups: the main group consisted of 100 rats, 50 females and males each. Fragments of PLGA biopolymer were implanted intraperitoneally in animals of this group. The healing took place naturally. The control group consisted of 20 rats, 10 females and 10 males each, and no biopolymer was implanted in these animals. The observation was carried out for 3 months from the date of implantation.

Results. The PLGA-based implant had no adverse effect on the condition of the animals, and there were no signs of inflammation. After 3 months, the implant was destroyed in the abdominal cavity of the animals. There were no significant deviations in the condition of the animals, a decrease in their body weight, or changes in blood tests.

Conclusion. A biopolymer based on PLGA can be used as a bioresorbable fixative for near- and intra-articular bone fractures.

Contributions:
Serova N.Yu., Yatsyk S.P., Chelpachenko O.B., Artifeksova A.A. — concept and design of the study;
Serova N.Yu., Lushnikov A.M. — collection and processing of material, statistical processing of the material;
Serova N.Yu., Chelpachenko O.B. — writing the text;
Serova N.Yu., Chelpachenko O.B., Artifeksova A.A. — editing the text.
All co-authors — approval of the final version of the article, responsibility for the integrity of all parts of the article.

Acknowledgment. The study had no sponsorship.

Conflict of interest. The authors declare no conflict of interest.

Received: March 04, 2025
Accepted: March 18, 2025
Published: April 29, 2025

About the Authors

Natalia Yu. Serova
Research Institute of Emergency Pediatric Surgery and Traumatology — Dr. Roshal’s Clinic
Russian Federation

MD, PhD, senior researcher, Department of traumatology and disaster medicine, Research Institute of Emergency Surgery and Traumatology — Dr. Roshal’s Clinic of the Moscow Department of Health, Moscow, 119180, Russian Federation

e-mail: serova_tu@yahoo.com; serovany@zdrav.mos.ru



Oleg B. Chelpachenko
Research Institute of Emergency Pediatric Surgery and Traumatology — Dr. Roshal’s Clinic; National Medical Research Center for Children’s Health
Russian Federation


Sergey P. Yatsyk
Russian Medical Academy of Continuing Professional Education
Russian Federation


Sergey O. Nikishov
Research Institute of Emergency Pediatric Surgery and Traumatology — Dr. Roshal’s Clinic
Russian Federation


Aleksandr M. Lushnikov
Research Institute of Emergency Pediatric Surgery and Traumatology — Dr. Roshal’s Clinic
Russian Federation


Anna A. Artifeksova
Medical Information and Analytical Center
Russian Federation


References

1. Roshal L.M., Lushnikov A.M., Basargin D.Yu., Vorobyov D.A., Nikishov S.O. Application of biodegradable implants in the treatment of children with peri- and intraarticular fractures. Detskaya khirurgiya. 2018; 22(3): 116–9. https://elibrary.ru/xuzgkd (in Russian)

2. Dorokhin A.I., Adrianova A.A., Khudik V.I., Sorokin D.S., Goryunov A.K. Features of treatment of children with fractures of the distal metaepiphysis of the tibia bones: clinical observations. Rossiyskiy vestnik detskoy khirurgii, anestheziologii i reanimatologii. 2020; 10(4): 453–60. https://doi.org/10.17816/psaic717 https://elibrary.ru/vttlfs (in Russian)

3. Heye P., Matissek C., Seidl C., Varga M., Kassai T., Jozsa G., et al. Making hardware removal unnecessary by using resorbable implants for osteosynthesis in children. Children (Basel). 2022; 9(4): 471. https://doi.org/10.3390/children9040471

4. Reznik L.B., Guryev V.V., Turushev M.A., Negrov D.A., Ilyin R.E. Avulsion fractures osteosynthesis in patients with normal bone mineral density and osteoporosis. Travmatologiya i ortopediya Rossii. 2018; 24(4): 72–80. https://doi.org/10/21823/2311-2905-2018-24-4-72-80 https://elibrary.ru/ysiixj (in Russian)

5. Tereshchenko V.P., Larionov P.M., Kirilova I.A., Sadovoy M.A., Mamonova E.V. Materials and methods of tissue engineering of bone tissue. Khirurgya pozvonochnika. 2016; 13(1): 72–81. http://doi.org/10.14531/ss2016.1.72-81 https://elibrary.ru/vqgegl (in Russian)

6. Tagandurdyeva N., Yudin V.E. Bioresorbable composites for bone grafting. Rossiyskie nanotekhnologii. 2020; 15(4): 418–34. https://doi.org/10.1134/S1992722320040159 https://elibrary.ru/bejarl (in Russian)

7. Sirazetdinov A.V., Nikiforov A.A., Wolfson S.I. Polymer composite materials based on polylactide. Kauchuk i rezina. 2021; 80(6): 326–36. https://elibrary.ru/kjnqte (in Russian)

8. Khisamieva D.R., Sharafiev I.A., Agatieva E.A., Nikiforov A.A., Galimzyanova R.Yu., Ksembaev S.S., et al. Bioresorbable composite materials for osteosynthesis: a review of modern research. Vestnik sovremennoy klinicheskoy meditsiny. 2024; 17(1): 119–26. https://elibrary.ru/ghdttc (in Russian)

9. Luo Y., Wang J., Ong M.T.Y., Yung P.S., Wang J., Qin L. Update on the research and development of magnesium-based biodegradable implants and their clinical translation in orthopaedics. Biomater. Transl. 2021; 2(3): 188–96. https://doi.org/10.12336/biomatertransl.2021.03.003

10. Durnev A.D. Pharmaceutical toxicology is the most important component of preclinical studies. Vedomosti Nauchnogo tsentra ekspertizy sredstv meditsinskogo primeneniya. 2023; 13(1): 8–13. https://doi.org/10.30895/1991-2919-2023-13-1-8-13 https://elibrary.ru/ebzroo (in Russian

11. Gainetdinova A.A., Krupnin A.E., Sorokin F.D., Sedush N.G., Chvalun S.N. Topology optimization of forearm osteosynthesis implants based on biodegradable polymers. In: XXX International Innovation Conference of Young Scientists and Students (MIKMUS – 2018) [XXX Mezhdunarodnaya innovatsionnaya konferentsiya molodykh uchenykh i studentov (MIKMUS – 2018)]. Moscow; 2019: 378–82. https://elibrary.ru/ywlejv (in Russian)

12. Zamora R., Jackson A., Seligson D. Correct techniques for the use of bioabsorbable implants in orthopaedic trauma. Curr. Orthop. Pract. 2016; 27(4): 469–73. https://doi.org/10.1097/BCO.0000000000000378

13. Kohn D.H., Sarmadi M., Helman J.I., Krebsbach P.H. Effects of pH on human bone marrow stromal cells in vitro: implications for tissue engineering of bone. J. Biomed. Mater. Res. 2002; 60(2): 292–9. https://doi.org/10.1002/jbm.10050

14. Taherimehr M., Bagheri R., Taherimehr M. In-vitro evaluation of thermoplastic starch/ beta-tricalcium phosphate nano-biocomposite in bone tissue engineering. Ceram. Int. 2021; 47(11): 15458–63. https://doi.org/10.1016/j.ceramint.2021.02.111

15. Wei S., Ma J.X., Xu L., Gu X.S., Ma X.L. Biodegradable materials for bone defect repair. Mil. Med. Res. 2020; 7(1): 54. https://doi.org/10.1186/s40779-020-00280-6


Review

For citations:


Serova N.Yu., Chelpachenko O.B., Yatsyk S.P., Nikishov S.O., Lushnikov A.M., Artifeksova A.A. Experimental determination of the safety of bioresorbable polylactate-coglycolide-based implants. Russian Pediatric Journal. 2025;28(2):114-118. (In Russ.) https://doi.org/10.46563/1560-9561-2025-28-2-114-118. EDN: drukte

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ISSN 1560-9561 (Print)
ISSN 2413-2918 (Online)