publication . Article . 2010

Surface polishing positively influences ease of plate and screw removal

Cw, Archer; Js, Hayes; Ai, Pearce; Sg, Pearce; Robert Richards; Seidenglanz U;
Open Access English
  • Journal: European Cells & Materials (issn: 1473-2262, Copyright policy)
  • Publisher: AO Research Institute Davos
Abstract
Difficulties removing temporary fracture fixation devices due to excessive bony on-growth results in extended surgical time leading to excessive blood loss, debris contamination and potentially refracture. Commercially available locking plates and screws are manufactured for clinics with a micro-rough surface, which contributes to the excessive bony on-growth reported. We have applied polishing technology to commercially pure titanium locking compression plates (LCP) and titanium-6%aluminium-7%niobium (TAN) plates and screws to assess if it can alleviate problems with strong bony overgrowth. Samples were implanted for 6, 12 and 18 months in a bilateral sheep tib...
Subjects
free text keywords: implant removal, in vivo, locking compression plate, screw removal, commercially pure titanium, titanium-6%aluminium-7%niobium, Surgery, RD1-811, Diseases of the musculoskeletal system, RC925-935
33 references, page 1 of 3

Alzahrani AG, Behairy YM, Alhossan MH, Arab FS, Alammari AA (2003) Removal of internal fixation devices in pediatric patients. Saudi Med J 24: 254-255

Babst R, DeSimoni D, Dieter U, Frigg R, Gächter A, Gautier E, Helfet DL, Korner J, Kuster S, Lill H, Linke B, Lobenhoffer P, Müller M, Perren S, Rommens PM, Schneider E, Sommer C, Stachowiak G, Staubli E, Wagner M (2003) Locking compression Plate-LCP-a new AO principle. Injury Supplement 2 vol. 34.

Bhatt V, Chhabra P, Dover MS (2005) Removal of miniplates in maxillofacial surgery: a follow-up study. J Oral Maxillofac Surg 63: 756-760.

Bostman O, Pilhajamaki H (1996) Routine implant removal after fracture surgery: A potentially reducible consumer of hospital resources in trauma units. J Trauma 41: 846-849. [OpenAIRE]

Boyan BD, Bonewald LF, Paschalis EP, Lohmann CH, Rosser J, Cochran DL, Dean DD, Schwartz Z, Boskey AL (2002). Osteoblast-mediated mineral deposition in culture is dependent on surface microtopography. Calcif Tissue Int 71: 519-529. [OpenAIRE]

Busam ML, Esther RJ, Obremskey WT (2006) Hardware removal: Indications and expectations. J Am Acad Orthop Surg 14: 113-120.

Case CP, Langkamer VG, James C, Palmer MR, Kemp AJ, Heap PF, Solomon L (1994) Widespread dissemination of metal debris from implants. J Bone Joint Surg Br 76: 701-712. [OpenAIRE]

Emel E, Güzey D, Seyithanolu H, Sel B, Alata_ I (2007). Delayed infection 6 years after spinal instrumentation: a case report. Turk Neurosurg 17: 16-20.

Eulenberger J, Steinemann SG (1990). Lösemomente an Kleinschrauben aus Stahl und Titan mit unterschiedlichen Oberflächen.(Removal torques in small steel and titanium screws with different surfaces.) Unfallchirurg 93:96-99

FerrisDM, Moodie GD, Dimond PM, Gioranni CW, Ehrlich MG, Valentini RF (1999) RGD-coated titanium implants stimulate increased bone formation in vivo. Biomaterials 20: 2323-2331.

Georgiadis GM, Gove NK, Smith AD, Rodway IP (2004) Removal of the less invasive stabilisation system. J Orthop Trauma 18: 562-564. [OpenAIRE]

Hanson B, van der Werken C, Stengel D (2008). Surgeon's beliefs and perceptions about removal of orthopaedic implants. BMC Muscolskel Dis 9: 73

Hayes JS, Vos DI, Hahn J, Pearce SG, Richards RG (2009a) An in vivo evaluation of surface polishing of TAN intramedullary nails for ease of removal. Eur Cells Mat 18: 15-26.

Hayes JS, Archer CW, Richards RG (2009b) Control of integration at a cellular level: Influence of surface polishing on bony on-growth. Tran 55th Annu Meeting Orthop Res Soc, Las Vegas, NV, USA, poster 481.

Highland TR, LaMont RL (1985) Deep, late infections associated with internal fixation in children. J Pediatr Orthop 5: 59-64.

33 references, page 1 of 3
Powered by OpenAIRE Open Research Graph
Any information missing or wrong?Report an Issue
publication . Article . 2010

Surface polishing positively influences ease of plate and screw removal

Cw, Archer; Js, Hayes; Ai, Pearce; Sg, Pearce; Robert Richards; Seidenglanz U;