Winkelstabile karbonverstärkte Polymerkompositplatte zur Versorgung einer distalen Radiusfraktur

Behrendt, Peter; Kruse, E.; Klüter, Tim; Fitschen-Oestern, Stefanie; Weuster, Matthias; Menzdorf, Leif; Finn, J. Paul; Varoga, Deike; Seekamp, Andreas; Müller, Michael; Lippross, Sebastian

doi:10.1007/s00113-015-0088-6

Cited by 8 publications

(13 citation statements)

References 25 publications

(19 reference statements)

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“…In general, the individual functional score results and the mobility of the wrist joint demonstrated favourable-to-excellent results in all cases, which are in accordance with other studies [21, 22]. Specifically, in the patients that had screw breakage intraoperatively, this did not result in clinical drawbacks.…”

Section: Discussionsupporting

confidence: 90%

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

et al. 2019

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Background Surgical implant material has changed over time, from metal to stainless steel to titanium. In recent decades a new material, carbon-fibre-reinforced polyether ether ketone, has been introduced. The aim of this study was to assess the clinical and radiological feasibility and functional outcome after treatment of distal radius fractures with this new implant. Methods Inclusion criteria: AO type B distal radius fractures treated with 2.7 mm CF/PEEK plates at one Level 1 trauma centre between 2016 and 2017. Follow-up period 1 year, measurement of range of motion and radiographic assessment, histological analysis of debris only after plate removal. Results Out of 112 eligible patients, 10 (8.9%) patients were included. Mean operation time was 65 ± 10 min. Radiographic healing was confirmed by radiologists at 6 weeks follow-up. During one-year follow-up, no adverse events were reported and functionality and patients subjective satisfaction improved significantly ( p < 0.05). Only one plate was removed, with no histological signs of inflammation or allergic reaction. Conclusions The 2.7 mm CF/PEEK plate osteosynthesis appears to be a reliable and safe implant for certain types of distal radius fracture. Assessment of fracture union is substantially more practical and functionality improved significantly over 1 year.

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Section: Discussionsupporting

confidence: 90%

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

et al. 2019

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“…7,8 Carbon fiber has better fatigue strength than either titanium or stainless steel, meaning that it can withstand higher stress for a given number of cycles without breaking. 7,8 Additionally, it is radiolucent, which aids in the radiographic visualization of the fracture site during postoperative follow-up visits. 7,8 However, to date, outcomes of carbon fiber plating for fibula fracture fixation have not been studied clinically.…”

Section: Introductionmentioning

confidence: 99%

“…Carbon fiber implants have a modulus of elasticity similar to that of bone, which acts to decrease stress shielding of the bone. 7,8 They also have increased biocompatibility in comparison to metal, which leads to a minimal histological cellular response when studied in vitro and in vivo. 7,8 Carbon fiber has better fatigue strength than either titanium or stainless steel, meaning that it can withstand higher stress for a given number of cycles without breaking.…”

Section: Introductionmentioning

confidence: 99%

“…7,8 They also have increased biocompatibility in comparison to metal, which leads to a minimal histological cellular response when studied in vitro and in vivo. 7,8 Carbon fiber has better fatigue strength than either titanium or stainless steel, meaning that it can withstand higher stress for a given number of cycles without breaking. 7,8 Additionally, it is radiolucent, which aids in the radiographic visualization of the fracture site during postoperative follow-up visits.…”

Section: Introductionmentioning

confidence: 99%

“…7,8 Additionally, it is radiolucent, which aids in the radiographic visualization of the fracture site during postoperative follow-up visits. 7,8 However, to date, outcomes of carbon fiber plating for fibula fracture fixation have not been studied clinically. The authors of this study hypothesized that carbon fiber plates provide outcomes for ankle fracture fixation similar to that f traditional metal implants while providing the important advantages described above.…”

Section: Introductionmentioning

confidence: 99%

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A Retrospective Case Series of Carbon Fiber Plate Fixation of Ankle Fractures

Pinter

Smith

Hudson

et al. 2017

Foot & Ankle Specialist

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The Effect of a PEEK Material‐Based External Fixator in the Treatment of Distal Radius Fractures with Non‐Transarticular External Fixation

Xie

Cao

Xian-yi

et al. 2020

Orthopaedic Surgery

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Objective To explore the effect of a PEEK material‐based external fixator in the treatment of distal radius fractures with non‐transarticular external fixation. Methods There were 48 patients in this prospective comparative study. They were divided into two groups according to the materials used: the PEEK group and the titanium group. Wrist dorsiflexion, palmar flexion, pronation, supination, radial deviation, ulnar deviation, grip strength of the palm on the affected side, kneading force, Visual Analogue Scale/Score (VAS), Disabilities of the Arm, Shoulder, and Hand (DASH) score, operation time, frequency of fluoroscopy procedures, and X‐ray results were compared between the two groups. Functional recovery was evaluated at the last follow‐up according to the wrist joint evaluation criteria. Results The baseline data were comparable between the two groups, and no significant differences were found in age, sex, fracture types (P > 0.05). There was no significant difference between the two groups in the results of DASH, grip strength, and recovery of pinch force and wrist function (dorsiflexion, clavicle, ulnar deviation, deviation, pronation, and supination) (P > 0.05). Normal limb function was achieved in the two groups of patients at an average of 6 weeks after surgery, and there was no significant difference in X‐ray examination radial height (10.60 ± 1.59 vs 11.00 ± 1.53, P = 0.687), radial inclination (1.11 ± 0.24 vs 1.12 ± 0.24, P = 0.798), volar tilt (10.33 ± 2.13 vs 10.00 ± 2.08, P = 0.660), ulnar variance (20.87 ± 3.00 vs 20.38 ± 3.04, P = 0.748), and step‐off persistence (1.73 ± 0.69 vs 1.68 ± 0.72, P = 0.425) between the two groups (P > 0.05). However, the operation time (54.80 ± 12.20 vs 85.23 ± 15.14, P = 0.033) and number of fluoroscopy procedures (36.93 ± 6.89 vs 64.77 ± 9.74, P = 0.000) in the PEEK group were significantly reduced compared with those in the titanium group. Conclusion Compared with the traditional titanium external fixator, the PEEK composite external fixator has advantages, such as a shorter operation time and fewer fluoroscopy procedures when used to treat different types of distal radius fracture.

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Winkelstabile karbonverstärkte Polymerkompositplatte zur Versorgung einer distalen Radiusfraktur

Abstract: First experience with PEEK plate osteosynthesis demonstrate quick clinical implementation with good clinical outcome and the advantage of excellent postoperative radiological assessment. At early follow-up PEEK even showed a trend for improved functional results.

Cited by 8 publications

References 25 publications

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

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

A Retrospective Case Series of Carbon Fiber Plate Fixation of Ankle Fractures

The Effect of a PEEK Material‐Based External Fixator in the Treatment of Distal Radius Fractures with Non‐Transarticular External Fixation

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