Titanium vs. carbon fiber–reinforced intramedullary nailing for humeral bone tumors

Bhashyam, Abhiram R.; Yeung, Caleb M.; Sodhi, Alisha; Xu, Raylin F; Groot, Olivier Q.; Kelly, Sean; Lozano-Calderón, Santiago

doi:10.1016/j.jse.2023.04.023

Cited by 1 publication

(4 citation statements)

References 41 publications

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“…This property makes them suitable for patients with compromised health, such as those affected by cancer, as titanium is well tolerated by the body and exhibits excellent biocompatibility [26]. Moreover, titanium implants offer high strength and stability, crucial for providing essential support to bones affected by metastatic lesions or primary bone tumors [36].…”

Section: Biomechanical Propertiesmentioning

confidence: 99%

“…In Pala et al's series, two instances of nail breakage were reported in the CFR nail group, with no complications observed in the titanium group [25]. Bhashyam et al [26] conducted a single-institution retrospective cohort study involving 81 patients treated for humeral diaphyseal bone tumors. They found that CFR humeral However, larger-scale studies with longer follow-up periods are needed to further evaluate the efficacy and long-term outcomes of CFR nailing in oncological patients.…”

Section: Clinical Outcomesmentioning

confidence: 99%

“…In Pala et al's series, two instances of nail breakage were reported in the CFR nail group, with no complications observed in the titanium group [25]. Bhashyam et al [26] conducted a single-institution retrospective cohort study involving 81 patients treated for humeral diaphyseal bone tumors. They found that CFR humeral intramedullary nails may fail due to tension resulting from bending forces at the distal portion of the bone-cement interface, particularly when large cement spacers are used to replace extensive segments of resected diaphyseal bone, leaving short residual distal bone (5 cm) [26].…”

Section: Clinical Outcomesmentioning

confidence: 99%

“…In contrast, titanium implants are widely available and routinely utilized in clinical settings, rendering them easily accessible for surgeons treating oncological patients [26].…”

Section: Availabilitymentioning

confidence: 99%

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Carbon vs. Titanium Nails in the Treatment of Impending and Pathological Fractures: A Literature Review

Pesare,

Meschini,

Caredda

et al. 2024

JCM

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Background: Long bones are commonly affected by musculoskeletal tumors, but they also represent one of the most frequent locations for metastases. The treatment is based on pain management and the prevention or stabilization of pathological fractures by intramedullary nailing. While titanium nails are probably the most used, carbon-fiber-reinforced (CFR) nails have emerged as a new option for oncological patients. The aim of this review is to compare titanium and CFR nails according to current findings. Methods: Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) standards were followed: a total of 1004 articles were identified and 10 were included. Results: Traditionally, titanium implants are highly valued for their optimal biomechanical properties and ease of insertion, facilitated by their radiopacity. However, the use of titanium poses challenges in radiotherapy due to interference with radiation dosage and the creation of ferromagnetic artifacts. Conversely, CFR implants have emerged as a recommended option for intramedullary fixation, due to their biomechanical and structural properties and their benefits during radiotherapy and follow-up monitoring X-ray. Conclusions: CFR nailing represents a promising advancement in the surgical management of oncological patients with long bone metastases. However, further studies are needed to increase surgeons’ confidence in their use.

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Section: Biomechanical Propertiesmentioning

confidence: 99%

Section: Clinical Outcomesmentioning

confidence: 99%

“…In Pala et al's series, two instances of nail breakage were reported in the CFR nail group, with no complications observed in the titanium group [25]. Bhashyam et al [26] conducted a single-institution retrospective cohort study involving 81 patients treated for humeral diaphyseal bone tumors. They found that CFR humeral intramedullary nails may fail due to tension resulting from bending forces at the distal portion of the bone-cement interface, particularly when large cement spacers are used to replace extensive segments of resected diaphyseal bone, leaving short residual distal bone (5 cm) [26].…”

Section: Clinical Outcomesmentioning

confidence: 99%

“…In contrast, titanium implants are widely available and routinely utilized in clinical settings, rendering them easily accessible for surgeons treating oncological patients [26].…”

Section: Availabilitymentioning

confidence: 99%

See 2 more Smart Citations