Volar PEEK plate for distal radius fracture: analysis of adverse events
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ORIGINAL ARTICLE
Volar PEEK plate for distal radius fracture: analysis of adverse events Luigi Tarallo1 · Andrea Giorgini1 · Michele Novi1 · Francesco Zambianchi1 · Giuseppe Porcellini1 · Fabio Catani1 Received: 19 March 2020 / Accepted: 11 May 2020 © Springer-Verlag France SAS, part of Springer Nature 2020
Abstract Background The aim of the present retrospective study was to evaluate complications following carbon-fiber-reinforced polyetheretherketon (CFR-PEEK) volar plating in distal radius fracture in a large cohort of patients. As an alternative to conventional metallic devices, CFR-PEEK plates have been introduced over the last few years. Methods We performed a retrospective study including all patients who were treated for distal radius fracture using a volar fixed-angle plate DiPHOS-RM (Lima Corporate, Udine, Italy). All CFR-PEEK plates implanted were reviewed between May 2012 and December 2017. Plate removal, second surgery and adverse events were collected by reviewing medical records. A total of 110 patients were included with a mean follow-up of 4 years. Results Adverse side effects were observed in 9 cases (8%), developed during or after treatment. The most frequent complication was represented by intraoperative plate rupture (4%). Infection was reported in one case. Discussion The rate of complications of PEEK volar plates seems to be similar to those occurring with plates of different materials. Advantages of PEEK plates are the absence of the cold-welding phenomenon and the absence of exuberant bone callus on the plate, ensuring an easy hardware removal. Intraoperative rupture remains the main complication correlated with PEEK material. These complications can be reduced with an accurate surgical technique, especially at the beginning of the learning curve. Level of evidence Therapeutic IV. Keywords CFR-PEEK plate · Distal radial fracture · Complications · Plate rupture · Carbon plate
Background Distal radius fractures represent a common injury pattern, especially among the elderly [1]. Open reduction and internal fixation using pre-contoured plates has become an increasingly popular surgical treatment option for displaced, unstable and comminuted fractures of the distal radius [2]. Such fixation provides immediate stable fixation, allowing early mobilization, rapid recovery and improved function of the wrist [2]. Distal radius plating has been described using a dorsal or volar approach. Volar locking plates’ systems for distal radius are anatomical contoured plates which allow to avoid flexor tendon impairment and provide stable internal fixation for an * Michele Novi [email protected] 1
Orthopaedic and Traumatology Department, Policlinic of Modena, University of Modena and Reggio Emilia, Via del Pozzo 71, 41124 Modena, Italy
early rehabilitation, with rapid recovery and better function regain [3], increasing articular congruity restoration and preventing the development of late osteoarthritis [4, 5]. As an alternative to conventional metallic devices, carbon-fiber-reinforced poly
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