Clinical outcomes after carbon-plate osteosynthesis in patients with distal radius fractures

Allemann, Florin; Halvachizadeh, Sascha; Rauer, Thomas; Pape, Hans-Christian

doi:10.1186/s13037-019-0210-8

Cited by 7 publications

(12 citation statements)

References 23 publications

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“…No case of hardware breakage, loss of the surgical fracture reduction, infection or allergy was documented at follow-up. This is consistent with the results of Allemann et al reporting no adverse events and functionality satisfaction of the patients treated with a carbon-PEEK implant of the volar radius (15). In our study were no significant differences in ROM, neither in comparison of the injured versus the non-injured side nor in the comparison of the two different plates.…”

Section: Resultssupporting

confidence: 93%

Palmar plating of distal radius fractures : 3-year follow-up with titanium and PEEK plates give similar outcomes

Berger-Groch¹,

Stodtmeister²,

Petersen³

et al. 2021

Acta Orthop Belg

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A variety of different plate designs and materials are available to treat distal radius fractures. This study evaluates clinical results with a carbon fibre- reinforced (CFR)-polyether ether ketone (PEEK) plate in comparison to a standard titanium plate. Thirty-one distal radius fractures were included in this randomised controlled trial. Five fractures were classified as type A, 6 as type B and 20 as type C, in accordance with the AO classification. Patients were randomly allocated into two groups : 15 patients for titanium palmar plating (TPP) and 16 patients for PEEK palmar plating (PPP). Follow-up examinations were set at 2 weeks, 6 weeks, 3 months, 6 months and 3 years postop. In terms of wrist range of motion, radiological evaluation (alignment and fracture healing), DASH score (Disabilities of Arm, Shoulder and Hand), and VAS (visual analogue scale), no statistically significant differences were detected between the two groups, at all follow-up intervals. PEEK palmar plating and titanium plates give equivalent clinical and radiological outcomes up to 3 years follow-up.

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Section: Resultssupporting

confidence: 93%

Palmar plating of distal radius fractures : 3-year follow-up with titanium and PEEK plates give similar outcomes

Berger-Groch¹,

Stodtmeister²,

Petersen³

et al. 2021

Acta Orthop Belg

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“…Three authors also reported the mean surgical time, which is not particularly higher than that routinely experienced in 2 cases. 15,29 While the time reported by Behrendt et al appears to be higher than that generally used for this procedure, even double (101 minutes on average). 23 We are convinced that this is due to the surgeon's experience, as the surgical technique of PEEK-reinforced-carbon fiber devices for distal radius does not differ particularly from what is already in use with titanium implants.…”

Section: Orthopedic Reviewsmentioning

confidence: 83%

“…No other peri-or postoperative complications were described. 29 Guzzini et al, in 2019, published a case report concerned about a 26-years-old female patient affected by stage I Kienbock's disease and treated with distal radius osteotomy and fixed with a Carbon-PEEK plate. Patient follow-up was performed with clinical evaluation (ROM analysis, VAS score, Quick Dash Score), wrist radiographs, and wrist MRI.…”

Section: Clinical Outcomes and Studies Analysis (Table 1)mentioning

confidence: 99%

“…experienced intra-operative rupture of screw heads in 2 cases that did not lead to any complications. 29 Material rupture is not usually described among complications in distal radius fractures fixation with a volar plate. We might hypothesize that this easier implant breakage might be linked to significant weakness to deformation and lower load to failure of CFR-PEEK compared to traditional plates.…”

Section: Orthopedic Reviewsmentioning

confidence: 99%

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Safety and Reliability of Carbon-Peek Plate for the Treatment of Distal Radius Fractures: A Review of the Literature

et al. 2021

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IntroductionDistal radius fractures are one of the most common injuries. Open reduction and internal fixation (ORIF) are the most diffused between surgical treatments. Carbon-fiber reinforced (CFR) polyetheretherketone (PEEK) plates have been proposed to prevent effects linked to stainless steel or titanium alloy traditional plates, such as radio-opacity, mismatch of bone-plate elasticity modulus, corrosion, limited fatigue life, osseointegration. ObjectiveThis review aims to evaluate the actual safety and reliability of CFR-PEEK plates to treat distal radius fractures. MethodsElectronic databases PubMed, Google Scholars, and Cochrane Library were searched in December 2020. Eligible studies were published in peer-reviewed journals. Three authors independently selected relevant articles and discussed those. Searching identified 13 titles and abstracts, 11 manuscripts were considered eligible for the full-text analysis. Of these 11 papers, 7 studies were included in our review. Results215 patients were analyzed in this systematic review. The mean age of enrolled patients was 52,8 years. 34% were males and 66% were females. Fractures were classified according to AO/ASIF classification system. We reported 12 cases of complications specific to this device, such as intraoperative plate and screws rupture, erosive flexor tendons synovitis, and loosening. ConclusionCFR-PEEK distal radius plates are potentially an alternative to traditional ones. But we believe that the use of this device does not entail a significant advantage in the treatment of distal radius fractures, as safe and low-cost traditional devices are available. Further comparative studies are needed to demonstrate the superiority of carbon devices.

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“…However, there were enough retrospective case series studies (Level IV) that were excluded from the analysis. During screening of the available evidence, ten relevant retrospective case series studies were identified [4,6,8,[28][29][30][31][32][33][34]. Acknowledging the limitations of such study designs, it is worth to summarise and note their findings on the use of CFR-PEEK plates in fracture fixation.…”

Section: Discussionmentioning

confidence: 99%

Fracture fixation in extremity trauma with carbon fiber-reinforced polyetheretherketone (CFR-PEEK) plates: evidence today

Chloros

Prodromidis

Wilson³

et al. 2021

Eur J Trauma Emerg Surg

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Purpose To compare the CFR-PEEK plates with conventional plates in fracture fixation with regards to clinical and radiological outcomes and complications. Methods A systematic literature search was conducted in four online databases independently by two reviewers using the Cochrane methodology for systematic reviews. The identified relevant studies were assessed against predetermined inclusion/exclusion criteria. Independent data extraction and assessment of risk of bias and study quality was carried out. Results Nine studies (patient n = 361) out of 6594 records were included for analysis: 2 RCTs (n = 63), 3 prospective cohort studies (n = 151), and 4 retrospective cohort studies (n = 147). Studies were grouped per anatomic area of fixation. Four studies (n = 200) examined fixation of proximal humerus fractures. Two studies (n = 74) examined fixation of distal radius fractures. Two studies (n = 53) assessed outcomes of fixation of distal femur fractures. One study (n = 87) assessed the outcomes of fixation of ankle fractures. All nine studies reported very high union rates (from 91% in distal femur to 100% in upper limb) for the CFR-PEEK plate groups and low complication rates. There was no significant difference in clinical outcomes, and rate of complications as compared to the conventional plate groups. Conclusion CFR-PEEK plates have high union rates in extremity fracture fixation similar to conventional plates with comparable good clinical outcomes and a very low and comparable rate of complications. Considering their advantages, CFR-PEEK plates seem to be valid alternative to conventional plating.

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Clinical outcomes after carbon-plate osteosynthesis in patients with distal radius fractures

Cited by 7 publications

References 23 publications

Palmar plating of distal radius fractures : 3-year follow-up with titanium and PEEK plates give similar outcomes

Palmar plating of distal radius fractures : 3-year follow-up with titanium and PEEK plates give similar outcomes

Safety and Reliability of Carbon-Peek Plate for the Treatment of Distal Radius Fractures: A Review of the Literature

Fracture fixation in extremity trauma with carbon fiber-reinforced polyetheretherketone (CFR-PEEK) plates: evidence today

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