Evidence map›Paper›PMID 38543422›Full record

ReviewPolymers2024

The Potential for Foreign Body Reaction of Implanted Poly-L-Lactic Acid: A Systematic Review.

Melanie Nonhoff, Jan Puetzler, Julian Hasselmann, Manfred Fobker, Georg Gosheger, Martin Schulze

Open access · goldAbstract readReview
In one paragraph

Review in Polymers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
11.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 22 citations in OpenAlex.

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  6. Safety and efficacy of the polymer enhanced AS-ELARISJournal of orthopaedic surgery and research · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Melanie NonhoffDepartment of General Orthopedics and Tumor Orthopedics, Muenster University Hospital, 48149 Münster, Germany.ORCID 0009-0000-4529-3159
Jan PuetzlerDepartment of General Orthopedics and Tumor Orthopedics, Muenster University Hospital, 48149 Münster, Germany.ORCID 0000-0002-4943-3398
Julian HasselmannDepartment of General Orthopedics and Tumor Orthopedics, Muenster University Hospital, 48149 Münster, Germany.ORCID 0000-0002-5334-5171
Manfred FobkerCentral Laboratory, Muenster University Hospital, Albert-Schweitzer-Campus 1, 48149 Münster, Germany.
Georg GoshegerDepartment of General Orthopedics and Tumor Orthopedics, Muenster University Hospital, 48149 Münster, Germany.
Martin SchulzeDepartment of General Orthopedics and Tumor Orthopedics, Muenster University Hospital, 48149 Münster, Germany.ORCID 0000-0003-2899-1558
University Hospital Münster · DE

Funding

Else Kröner-Fresenius-Stiftung 2021_EKEA.129
6 · The paper itself

Abstract

Poly-L-lactic acid (PLLA) implants have been used for bone fixation for decades. However, upon insertion, they can cause a foreign body reaction (FBR) that may lead to complications. On 15 December 2023, a systematic review was conducted to search for articles on the PubMed, MeSH term, and Scopus databases using the keywords 'PLLA' and 'foreign body reaction'. The articles were reviewed not only for the question of FBR, its severity, and the manifestation of symptoms but also for the type of implant and its location in the body, the species, and the number of individuals included. A total of 71 original articles were identified. Of these, two-thirds reported on in vivo trials, and one-third reported on clinical applications. The overall majority of the reactions were mild in more than half of the investigations. Symptoms of extreme and extensive FBR mainly include osteolysis, ganglion cysts, and swelling. The localization of PLLA implants in bone can often result in osteolysis due to local acidosis. This issue can be mitigated by adding hydroxyapatite. There should be no strong FBR when PLLA is fragmented to 0.5-4 µm by extracorporeal shock wave.

Indexed as

degradationforeign body reactionimplant coatingpoly-L-lactic acid

Identifiers

PMID38543422
PMCPMC10974195
OpenAlexW4392861993

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.