Saracco Michela, Fulchignoni Camillo, Velluto Calogero, Rocchi Lorenzo
Department of Orthopaedics - Hand Surgery Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma - Università Cattolica del Sacro Cuore.
Orthop Rev (Pavia). 2021 Sep 22;13(2):28362. doi: 10.52965/001c.28362. eCollection 2021.
Distal radius fractures are one of the most common injuries. Open reduction and internal fixation (ORIF) are the most diffused between surgical treatments. Carbon-fiber reinforced (CFR) polyetheretherketone (PEEK) plates have been proposed to prevent effects linked to stainless steel or titanium alloy traditional plates, such as radio-opacity, mismatch of bone-plate elasticity modulus, corrosion, limited fatigue life, osseointegration.
This review aims to evaluate the actual safety and reliability of CFR- PEEK plates to treat distal radius fractures.
Electronic databases PubMed, Google Scholars, and Cochrane Library were searched in December 2020. Eligible studies were published in peer-reviewed journals. Three authors independently selected relevant articles and discussed those. Searching identified 13 titles and abstracts, 11 manuscripts were considered eligible for the full-text analysis. Of these 11 papers, 7 studies were included in our review.
215 patients were analyzed in this systematic review. The mean age of enrolled patients was 52,8 years. 34% were males and 66% were females. Fractures were classified according to AO/ASIF classification system. We reported 12 cases of complications specific to this device, such as intraoperative plate and screws rupture, erosive flexor tendons synovitis, and loosening.
CFR-PEEK distal radius plates are potentially an alternative to traditional ones. But we believe that the use of this device does not entail a significant advantage in the treatment of distal radius fractures, as safe and low-cost traditional devices are available. Further comparative studies are needed to demonstrate the superiority of carbon devices.
桡骨远端骨折是最常见的损伤之一。切开复位内固定术（ORIF）是外科治疗中应用最广泛的方法。有人提出使用碳纤维增强（CFR）的聚醚醚酮（PEEK）接骨板，以预防与不锈钢或钛合金传统接骨板相关的影响，如不透射线、骨 - 接骨板弹性模量不匹配、腐蚀、有限的疲劳寿命、骨整合。
本综述旨在评估CFR - PEEK接骨板治疗桡骨远端骨折的实际安全性和可靠性。
2020年12月检索了电子数据库PubMed、谷歌学术和考克兰图书馆。符合条件的研究发表在同行评审期刊上。三位作者独立选择相关文章并进行讨论。检索确定了13个标题和摘要，11篇手稿被认为有资格进行全文分析。在这11篇论文中，7项研究被纳入我们的综述。
本系统综述分析了215例患者。纳入患者的平均年龄为52.8岁。男性占34%，女性占66%。骨折根据AO/ASIF分类系统进行分类。我们报告了12例与该器械相关的并发症，如术中接骨板和螺钉断裂、侵蚀性屈肌腱滑膜炎和松动。
CFR - PEEK桡骨远端接骨板可能是传统接骨板的一种替代选择。但我们认为，在治疗桡骨远端骨折时，使用这种器械并没有显著优势，因为有安全且低成本的传统器械可供使用。需要进一步的对比研究来证明碳器械的优越性。
