PEEK radiolucent plate for distal radius fractures: multicentre clinical results at 12 months follow up

Autor: Giorgio Maria Calori, Bruno Di Maggio, Pasquale Sessa, Patrizia Mantelli, Marco Caforio, Pietro Maniscalco, Fabrizio Rivera, Luigi Bisogno, Gabriele Scaravilli
Rok vydání: 2017
Předmět:
Male
Wrist Joint
Post surgical
Polymers
medicine.medical_treatment
Bone Screws
02 engineering and technology
Polyethylene Glycols
Fracture Fixation
Internal
0302 clinical medicine
Peek
Orthopedics and Sports Medicine
Range of Motion
Articular
General Environmental Science
Aged
80 and over
Fracture Healing
030222 orthopedics
Radius
Ketones
Middle Aged
021001 nanoscience & nanotechnology
Treatment Outcome
Radiological weapon
Emergency Medicine
PEEK reinforced-carbon fiber composite
Radiolucent Plate
Female
medicine.symptom
0210 nano-technology
Bone Plates
Adult
medicine.medical_specialty
CFR-PEEK wrist plate
Radiodensity
Complex distal Radial Fractures
Benzophenones
Young Adult
03 medical and health sciences
Carbon Fiber
medicine
Deformity
Humans
Internal fixation
Reduction (orthopedic surgery)
Aged
Retrospective Studies
business.industry
Carbon
Surgery
Radiography
bone elasticity modulus
General Earth and Planetary Sciences
Radius Fractures
business
Follow-Up Studies
Zdroj: Injury. 48:S34-S38
ISSN: 0020-1383
Popis: Introduction Open reduction and internal fixation (ORIF) with plate and screws represents the recommended treatment for unstable intra-articular distal radius fractures. Although significant progresses in surgical technique have been made, anatomical reconstruction of radio-carpal articular surface still represent a difficult task, especially in multifragmentary fractures. Available PEEK reinforced-carbon fiber composite radiolucent devices allow both an easier and more careful assessment of intra-operative reduction of the articular surface of distal radius and prompt correction of any residual step deformity. Materials and Methods We retrospectively reviewed clinical and radiological multicentre results of 71 consecutive AO B and C fracture pattern of distal radius treated using the same PEEK reinforced-carbon fiber composite radiolucent plate. Results Three patients lost at final follow up and 4 cases with incomplete radiological documentations were excluded from the study. 64 patients (38 females, 26 males) were available and formed the basis of this report. Fracture types included 9 patients with 23-B, 13 patients 23-B2,15 patients with 23-B3,10 patients with 23-C1, 7 patients with 23-C2 and 10 patients with 23-C3. Mean Modified Mayo wrist Score was on average 38.11 (SD 10.1; range 24–75, 95%CI 34.7–41.4), 67.22 (SD 9.6, range 50–90, 95%CI 64–70.4), 90.54 (SD 6.3, range 75–100, 95%CI 88.4–92.6) at one, two and twelve months of follow-up, respectively. A statistically significant difference was found between mean scores at different follow-up periods (p = 0.001). We noted 1 case of distal screw fixation aseptic loosening at 5 months post surgical intervention. Conclusions PEEK reinforced-carbon fiber composite radiolucent plate represents a useful device for treatment of complex distal radius fractures in the adult population. It possesses unique biomechanical properties and allows for an easier anatomical reduction during surgical intervention.
Databáze: OpenAIRE
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