A clinical example of using a carbon-carbon composite to replace a femur diaphyseal defect

Authors

DOI:

https://doi.org/10.14739/2310-1210.2024.1.291937

Keywords:

surgical procedures, osteosynthesis, implants, carbon composite

Abstract

A separate direction in osteosynthesis is the study on the possibilities of bone union after tumor resection. In this regard, the issue of using implants made of metals, polymers, and carbon, which have a high bone binding affinity, is on the agenda for modern oncological orthopedics. Studying carbon composite materials has shown practical effectiveness of their medical use, in particular in orthopedics and traumatology, that can be applied to replace bone defects in oncological traumatology.

Aim. To determine the possibility of using carbon composite materials in the femur defect replacement after tumor resection.

Clinical case. A case of using an implant made of the carbon composite material for a patient with right femur osteosarcoma and a pathological femoral middle-third fracture is presented.

The study was carried out in accordance with the principles of the Declaration of Helsinki. The patient signed the written informed consent form for the study.

Conclusions. The results of using the implant made of the carbon composite material have shown its permeability to X-rays and potential use for bone defect replacement in oncological traumatology.

Author Biographies

V. M. Chornyi, Zaporizhzhia State Medical and Pharmaceutical University, Ukraine

MD, PhD, DSc, Associate Professor of the Department of Traumatology and Orthopedics

V. I. Pertsov, Zaporizhzhia State Medical and Pharmaceutical University, Ukraine

MD, PhD, DSc, Professor, Head of the Department of Disaster Medicine and Military Medicine

References

Beirami S, Nikkhoo M, Hassani K, Karimi A. A comparative finite element simulation of locking compression plate materials for tibial fracture treatment. Comput Methods Biomech Biomed Engin. 2021;24(10):1064-72. doi: https://doi.org/10.1080/10255842.2020.1867114

Wang J, Schlagenhauf L, Setyan A. Transformation of the released asbestos, carbon fibers and carbon nanotubes from composite materials and the changes of their potential health impacts. J Nanobiotechnology. 2017;15(1):15. doi: https://doi.org/10.1186/s12951-017-0248-7

Guo Y, Guo W. Study and numerical analysis of Von Mises stress of a new tumor-type distal femoral prosthesis comprising a peek composite reinforced with carbon fibers: finite element analysis. Comput Methods Biomech Biomed Engin. 2022;25(15):1663-77. doi: https://doi.org/10.1080/10255842.2022.2032681

Dimitrievska S, Whitfield J, Hacking SA, Bureau MN. Novel carbon fiber composite for hip replacement with improved in vitro and in vivo osseointegration. J Biomed Mater Res A. 2009;91(1):37-51. doi: https://doi.org/10.1002/jbm.a.32175

Kulej M, Dragan SŁ, Kuryszko J, Kuropka P, Widuchowski W, Dragan SF. Micromorphological assessment of bone tissue remodeling in various hip degeneration conditions. Adv Clin Exp Med. 2020;29(1):51-61. doi: https://doi.org/10.17219/acem/112059

Bayram S, Özmen E, Birişik F, Kıral D, Salduz A, Erşen A. Prognostic factors affecting survival of patients with pathologic humerus shaft fractures treated with intramedullary nailing without tumor removal. J Orthop Sci. 2019;24(6):1068-73. doi: https://doi.org/10.1016/j.jos.2019.08.022

Yang Y, Li B, Li Z, Wei Q, Li F, Shan H, et al. Parallel reconstruction of vascularized fibula autograft for treatment of complications after resection of malignant tumor from the thigh. Plast Reconstr Surg. 2023 Aug 29. doi: https://doi.org/10.1097/PRS.0000000000011031

Sorger JI, Hornicek FJ, Zavatta M, Menzner JP, Gebhardt MC, Tomford WW, et al. Allograft fractures revisited. Clin Orthop Relat Res. 2001;(382):66-74. doi: https://doi.org/10.1097/00003086-200101000-00011

Liao C, Li Y, Tjong SC. Polyetheretherketone and Its Composites for Bone Replacement and Regeneration. Polymers (Basel). 2020;12(12):2858. doi: https://doi.org/10.3390/polym12122858

Milavec H, Kellner C, Ravikumar N, Albers CE, Lerch T, Hoppe S, et al. First Clinical Experience with a Carbon Fibre Reinforced PEEK Composite Plating System for Anterior Cervical Discectomy and Fusion. J Funct Biomater. 2019;10(3):29. doi: https://doi.org/10.3390/jfb10030029

Downloads

Published

2024-02-05

How to Cite

1.
Chornyi VM, Pertsov VI. A clinical example of using a carbon-carbon composite to replace a femur diaphyseal defect. Zaporozhye Medical Journal [Internet]. 2024Feb.5 [cited 2024Dec.22];26(1):84-8. Available from: http://zmj.zsmu.edu.ua/article/view/291937

Issue

Vol. 26 No. 1 (2024): Zaporozhye medical journal

Section

Case Reports

License

Authors who publish with this journal agree to the following terms:

    1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.  Лицензия Creative Commons
    2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
    3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)