Clinical Outcome of Carbon Fiber Reinforced Polyetheretherketone Plates in Patients with Proximal Humeral Fracture: One-Year Follow-Up
Background: Proximal humerus fractures are seen frequently, particularly in older patients. The development of new osteosynthesis materials is being driven by the high complication rates following surgical treatment of proximal humerus fractures. Plate osteosyntheses made of steel, titanium and, for...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-10-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/21/6881 |
| _version_ | 1797631758854782976 |
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| author | Patrick Ziegler Sven Maier Fabian Stuby Tina Histing Christoph Ihle Ulrich Stöckle Markus Gühring |
| author_facet | Patrick Ziegler Sven Maier Fabian Stuby Tina Histing Christoph Ihle Ulrich Stöckle Markus Gühring |
| author_sort | Patrick Ziegler |
| collection | DOAJ |
| description | Background: Proximal humerus fractures are seen frequently, particularly in older patients. The development of new osteosynthesis materials is being driven by the high complication rates following surgical treatment of proximal humerus fractures. Plate osteosyntheses made of steel, titanium and, for several years now, carbon fiber-reinforced polyetheretherketone (CFR-PEEK) are used most frequently. Methods: A prospective, randomized study was conducted in order to evaluate whether there are differences in the functional postoperative outcome when comparing CFR-PEEK and titanium implants for surgical treatment of proximal humerus fractures. The primary outcome of shoulder functionality 1 year after surgery was measured with the DASH score, the Oxford Shoulder Score, and the Simple Shoulder Test. Results: Bony consolidation of the respective fracture was confirmed in all the patients included in the study within the scope of postoperative follow-up care. No significant differences in the DASH score, Oxford Shoulder Score, or Simple Shoulder Test were observed 1 year post-operatively when comparing the implant materials CFR-PEEK and titanium. Conclusions: There are no differences in terms of the functional outcome between CFR-PEEK plates and titanium implants 1 year after surgery. Studies on the long-term outcomes using CFR-PEEK plates in osteoporotic bone should be the subject of further research. |
| first_indexed | 2024-03-11T11:26:52Z |
| format | Article |
| id | doaj.art-ec8c0414ebc0485b81a10e165591ed72 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T11:26:52Z |
| publishDate | 2023-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-ec8c0414ebc0485b81a10e165591ed722023-11-10T15:06:47ZengMDPI AGJournal of Clinical Medicine2077-03832023-10-011221688110.3390/jcm12216881Clinical Outcome of Carbon Fiber Reinforced Polyetheretherketone Plates in Patients with Proximal Humeral Fracture: One-Year Follow-UpPatrick Ziegler0Sven Maier1Fabian Stuby2Tina Histing3Christoph Ihle4Ulrich Stöckle5Markus Gühring6Department of Trauma and Reconstructive Surgery, Klinik Gut, 7500 St. Moritz, SwitzerlandDepartment of Trauma and Reconstructive Surgery, BG Unfallklinik Tuebingen, Eberhard Karls University Tuebingen, Schnarrenbergstrasse 95, 72076 Tuebingen, GermanyBG Trauma Center, Department for Traumatology, Orthopedics and Surgery, 82418 Murnau am Staffelsee, GermanyDepartment of Trauma and Reconstructive Surgery, BG Unfallklinik Tuebingen, Eberhard Karls University Tuebingen, Schnarrenbergstrasse 95, 72076 Tuebingen, GermanyDepartment of Trauma and Reconstructive Surgery, BG Unfallklinik Tuebingen, Eberhard Karls University Tuebingen, Schnarrenbergstrasse 95, 72076 Tuebingen, GermanyCenter for Musculoskeletal Surgery, Charité University Medicine Berlin, 10117 Berlin, GermanyKronprinzenbau Klinik, 72764 Reutlingen, GermanyBackground: Proximal humerus fractures are seen frequently, particularly in older patients. The development of new osteosynthesis materials is being driven by the high complication rates following surgical treatment of proximal humerus fractures. Plate osteosyntheses made of steel, titanium and, for several years now, carbon fiber-reinforced polyetheretherketone (CFR-PEEK) are used most frequently. Methods: A prospective, randomized study was conducted in order to evaluate whether there are differences in the functional postoperative outcome when comparing CFR-PEEK and titanium implants for surgical treatment of proximal humerus fractures. The primary outcome of shoulder functionality 1 year after surgery was measured with the DASH score, the Oxford Shoulder Score, and the Simple Shoulder Test. Results: Bony consolidation of the respective fracture was confirmed in all the patients included in the study within the scope of postoperative follow-up care. No significant differences in the DASH score, Oxford Shoulder Score, or Simple Shoulder Test were observed 1 year post-operatively when comparing the implant materials CFR-PEEK and titanium. Conclusions: There are no differences in terms of the functional outcome between CFR-PEEK plates and titanium implants 1 year after surgery. Studies on the long-term outcomes using CFR-PEEK plates in osteoporotic bone should be the subject of further research.https://www.mdpi.com/2077-0383/12/21/6881proximal humeral fracturePEEKcomplicationspostoperative outcomes |
| spellingShingle | Patrick Ziegler Sven Maier Fabian Stuby Tina Histing Christoph Ihle Ulrich Stöckle Markus Gühring Clinical Outcome of Carbon Fiber Reinforced Polyetheretherketone Plates in Patients with Proximal Humeral Fracture: One-Year Follow-Up Journal of Clinical Medicine proximal humeral fracture PEEK complications postoperative outcomes |
| title | Clinical Outcome of Carbon Fiber Reinforced Polyetheretherketone Plates in Patients with Proximal Humeral Fracture: One-Year Follow-Up |
| title_full | Clinical Outcome of Carbon Fiber Reinforced Polyetheretherketone Plates in Patients with Proximal Humeral Fracture: One-Year Follow-Up |
| title_fullStr | Clinical Outcome of Carbon Fiber Reinforced Polyetheretherketone Plates in Patients with Proximal Humeral Fracture: One-Year Follow-Up |
| title_full_unstemmed | Clinical Outcome of Carbon Fiber Reinforced Polyetheretherketone Plates in Patients with Proximal Humeral Fracture: One-Year Follow-Up |
| title_short | Clinical Outcome of Carbon Fiber Reinforced Polyetheretherketone Plates in Patients with Proximal Humeral Fracture: One-Year Follow-Up |
| title_sort | clinical outcome of carbon fiber reinforced polyetheretherketone plates in patients with proximal humeral fracture one year follow up |
| topic | proximal humeral fracture PEEK complications postoperative outcomes |
| url | https://www.mdpi.com/2077-0383/12/21/6881 |
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