A PEEK into carbon fiber: A practical guide for high performance composite polymeric implants for orthopaedic oncology.
Carbon fiber implants
Composite polymer
Orthopaedic oncology
Practical guide
Journal
Journal of orthopaedics
ISSN: 0972-978X
Titre abrégé: J Orthop
Pays: India
ID NLM: 101233220
Informations de publication
Date de publication:
Nov 2023
Nov 2023
Historique:
received:
03
07
2023
accepted:
25
09
2023
pmc-release:
01
11
2024
medline:
12
10
2023
pubmed:
12
10
2023
entrez:
12
10
2023
Statut:
epublish
Résumé
The use of carbon fiber implants in orthopaedic oncology has increased within recent years. The most widely used type of polymer is carbon fiber polyether ether ketone (CF-PEEK). Its radiolucency enables targeted radiotherapy and artifact-free tumor surveillance, which provides major advantages over metallic hardware. We aim to summarize the unique benefits within orthopaedic oncology, clinical pitfalls, and recent advancements. Four representative patient cases from a single tertiary academic medical center were treated with carbon fiber implants (n = 2 nails, n = 2 plates) from 2021 to 2022. There were no adverse events noted during intraoperative implantation or postoperative follow up. All patients reported improvements in pain and no difficulties in ambulation. There were no instances of catastrophic failure or implant loosening. CF implants offer a diverse array of advantages regarding its radiolucency, low scatter density, and bioinert profile. Nonetheless, further research is required to understand the long-term surgical outcomes and robustness of CF implants. Multi institutional trials could address important aspects of durability and stability over extended periods, feasibility and ease-of-use for different anatomical sites and bone quality, as well as cost-effectiveness in post-operative imaging, healthcare resource utilization, and revision rates. Providing orthopaedic surgeons with valuable insight will enable thorough clinically supported, informed decision making regarding optimal use of implants.
Identifiants
pubmed: 37822644
doi: 10.1016/j.jor.2023.09.011
pii: S0972-978X(23)00221-0
pmc: PMC10562613
doi:
Types de publication
Journal Article
Langues
eng
Pagination
13-18Informations de copyright
© 2023 Published by Elsevier B.V. on behalf of Professor P K Surendran Memorial Education Foundation.
Déclaration de conflit d'intérêts
Author #8 is a paid speaker for CarboFix and Daiichi Sankyo; he is a paid consultant for ONKOS and IlluminOss Medical. He currently serves as a committee member for the Musculoskeletal Tumor Society. The remaining authors have no competing interests to declare.
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