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

机译:carbon骨远端骨折的碳钢板骨合成后的临床结果

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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. 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. 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. 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.
机译:随着时间的推移,外科植入物的材料已经发生了变化,从金属到不锈钢再到钛。在最近的几十年中,已经引入了一种新材料,即碳纤维增强的聚醚醚酮。这项研究的目的是评估用这种新型植入物治疗radius骨远端骨折后的临床和放射学可行性以及功能结果。纳入标准:2016年至2017年在一个一级创伤中心用2.7?mm CF / PEEK钢板治疗的AO B型distal骨远端骨折。随访期1年,活动范围的测量和影像学评估,仅对碎片进行组织学分析去除板后。在112名合格患者中,包括10名(8.9%)患者。平均操作时间为65±10分钟。放射科医生在6周的随访中证实了放射线的愈合。在一年的随访中,没有不良反应的报道,功能和患者的主观满意度得到了显着改善(p <0.05)。仅取出一块板,没有炎症或变态反应的组织学迹象。对于某些类型的radius骨远端骨折,2.7?mm CF / PEEK钢板的骨合成似乎是可靠且安全的植入物。骨折愈合的评估实际上更加实用,并且在一年多的时间内功能得到了显着改善。

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