Torsional Failure of Carbon Fiber Composite Plates Versus Stainless Steel Plates for Comminuted Distal Fibula Fractures

Wilson, William K.; Ward, Adam J.; Carayannopoulos, Nikoletta L.; Panchbhavi, Vinod K.

doi:10.1177/1071100715625291

Cited by 22 publications

(8 citation statements)

References 18 publications

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“…Our findings are mirrored by other comparison studies for carbon fiber implants in different populations. 7,[9][10][11][12][13][14] One study by Wilson et al 13 compared carbon fiber plates to stainless steel distal fibular plates and demonstrated no significant difference in the biomechanical properties and failure rates when cadaveric fibulas were taken through torsional stress. Another study by Ziran et al 14 compared healing rates of carbon fiber nails versus titanium nails and found faster healing rates in the carbon fiber implants.…”

Section: Discussionmentioning

confidence: 99%

The Use of Carbon Fiber Implants for Impending or Existing Pathologic Fractures

Herzog

Traven

Walton

et al. 2022

Journal of Orthopaedic Trauma

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Objectives:To evaluate the utility and complications of using carbon fiber implants (CFIs) compared with standard titanium alloy (TI) intramedullary implants for stabilization of impending or existing pathologic fractures.Design:Retrospective comparison.Patients/Participants:Ninety-four patients undergoing intramedullary fixation of 100 impending or existing pathologic fractures between 2014-2019 were identified for inclusion.Main Outcome Measurements:The primary outcome was postoperative complications. Other outcomes included implant type, pathology, indication, and adjuvant therapy.Results:Fifty-three percent of cases used a CFI, whereas 47% of cases used a TI. There were no differences between groups with regard to anatomic location (P = 0.218), indication for surgery (P = 0.066), histology (P = 0.306), or postoperative adjuvant therapy (P = 0.308). Nineteen percent of cases incurred a postoperative complication in each group (P = 0.530), and no differences were noted with regard to complication type including implant failure (P = 0.442) and wound complications (P = 0.322). There was a cost saving of $400 with TI implants compared with CFI.Conclusions:This is a high-risk population for postoperative complications after stabilization of pathologic fractures. Although there were no statistical differences in complications between CFI and TI, implant choice depends on patient characteristics and surgeon preference.Level of Evidence:Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.

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Section: Discussionmentioning

confidence: 99%

The Use of Carbon Fiber Implants for Impending or Existing Pathologic Fractures

Herzog

Traven

Walton

et al. 2022

Journal of Orthopaedic Trauma

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“…The biomechanics of CFR-PEEK plates have been extensively studied. These plates are generally thought to have increased elasticity, added motion at the fracture site, and lower fatigue strength than traditional plates [9, 18, 21]. The expectation is that these properties would translate into improved bone healing over titanium and stainless steel systems.…”

Section: Discussionmentioning

confidence: 99%

A Preliminary Comparison Suggests Poor Performance of Carbon Fiber Reinforced Versus Titanium Plates in Distal Femoral Osteotomy

Fragomen

McCoy

Fragomen

2018

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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“…A prior biomechanical study, using a comminuted human fibula fracture fixation model showed carbon fiber implants to exhibit multiple prepeak failures at significantly lower angles than the first failure for the stainless steel implants. 39 However, it is not clear if patients put this level of stress on their implants in routine activities. Further studies of carbon fiber implants with increased follow-up times are recommended to assess their reaction to increased cumulative stress and greater opportunity for higher peak loads.…”

Section: Discussionmentioning

confidence: 99%