Patient perspective on the use of carbon fibre plates for extremity fracture fixation.

Autor: Giannoudis VP; LIMM Section Musculoskeletal Disease, Academic Department of Trauma and Orthopaedics, School of Medicine, Leeds General Infirmary, University of Leeds, Clarendon Wing, Level A, Clarendon Way, Leeds, LS1 3EX, UK., Rodham P; LIMM Section Musculoskeletal Disease, Academic Department of Trauma and Orthopaedics, School of Medicine, Leeds General Infirmary, University of Leeds, Clarendon Wing, Level A, Clarendon Way, Leeds, LS1 3EX, UK., Antypas A; Leeds General Infirmary, Health Education Yorkshire and Humber, Leeds, UK., Mofori N; Athens, Greece., Chloros G; Orthopaedic Surgeon, Athens, Greece., Giannoudis PV; LIMM Section Musculoskeletal Disease, Academic Department of Trauma and Orthopaedics, School of Medicine, Leeds General Infirmary, University of Leeds, Clarendon Wing, Level A, Clarendon Way, Leeds, LS1 3EX, UK. pgiannoudi@aol.com.
Jazyk: angličtina
Zdroj: European journal of orthopaedic surgery & traumatology : orthopedie traumatologie [Eur J Orthop Surg Traumatol] 2023 Aug; Vol. 33 (6), pp. 2573-2577. Date of Electronic Publication: 2023 Jan 19.
DOI: 10.1007/s00590-023-03473-6
Abstrakt: Introduction: Carbon fibre-reinforced polyetheretherketone (CFR-PEEK) plates represent an exciting development within trauma and orthopaedic surgery, offering advantages including radiolucency, material properties similar to bone, and lack of localised tissue reaction. As more call for trials examining their use, there is no data available as to the acceptability of these implants to patients. This study aimed to therefore examine the acceptability of CFR-PEEK plates to patients undergoing fracture surgery.
Methods: This was a prospective cross-sectional survey of patients undergoing surgery for a fracture of the ankle, distal femur, distal radius, or proximal humerus. Once a decision had been made to pursue operative fixation with a plate, patients were provided with descriptions of both CFR-PEEK and stainless steel and titanium metal implants alongside the current clinical evidence. All patients undertook a questionnaire examining their views as to the advantages and disadvantages of CFR-PEEK plates, and whether they would be happy to participate in a trial comparing both.
Results: Ninety-nine patients were happy to participate (64 females, mean age 50). Eighty-seven patients reported that they would want a CFR-PEEK implant for their fracture, and 76 reported that they would be willing to participate in an RCT comparing their use. Commonly reported advantages included radiolucency, low weight and biocompatibility. Disadvantages reported included cost and concerns regarding durability.
Conclusions: This study demonstrates that CFR-PEEK implants would be acceptable to patients undergoing fracture surgery, with high numbers of patients stating that they would be willing to participate in a randomised study examining their use.
(© 2023. The Author(s).)
Databáze: MEDLINE
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