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Case Reports
. 2024 Oct 26;18(1):521.
doi: 10.1186/s13256-024-04727-5.

Use of scaffolds based on polyetheretherketone tubular implant in the treatment of a gunshot multifragmentary fracture of the proximal part of the shoulder with a bone defect: a case report

Oleksandr Buryanov  1 , Igor Lurin  2 , Bazarov Murat  3 , Yurii Yarmoliuk  4 , Artem Bespalenko  5 , Oleg Smyk  5 , Yurii Klapchuk  6 , Dmytro Los  1
Affiliations
Case Reports

Use of scaffolds based on polyetheretherketone tubular implant in the treatment of a gunshot multifragmentary fracture of the proximal part of the shoulder with a bone defect: a case report

Oleksandr Buryanov et al. J Med Case Rep. .

Abstract

Background: In connection with the war in Ukraine and the use of modern high-energy weapons by the enemy, the nature of injuries have changed. These changes require improvement of approaches to the treatment of patients with gunshot and mine-explosive bone defects.

Case presentation: We present the case of treatment of a 28-year-old Ukranian man with a gunshot multifragmentary fracture of the proximal humerus with a bone defect using three-dimensional printing of a polyetheretherketone frame (scaffold) for alloplastic material. The analysis of this case expands the possibilities of using three-dimensional printing technologies of polyetheretherketone scaffolds in the treatment of significant bone defects.

Conclusion: Modern military trauma requires individualized treatment for each patient. The use of individual polyetheretherketone scaffolds in the treatment of a gunshot multifragmentary fracture with a bone defect has a positive clinical effect.

Keywords: 3D planning; 3D printing; Allobone; Bone defect; PEEK; PEEK frame; PEEK implant; Scaffold.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
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X-ray of the shoulder
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CT scan
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CT scan
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The appearance of the wound at staged surgical interventions (wound)
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The appearance of the wound at staged surgical interventions (wound)
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Preoperative 3D planning
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Multifragmentary fracture of the proximal part of the right shoulder and a bone defect
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The PEEK frame is filled with cortico-spongy bone alloplasty
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A PEEK frame (scaffold) was implanted at the place of the defect in the humerus
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Metalosteosynthesis
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Рostoperative X-ray control
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Рostoperative X-ray control
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CT control was conducted on 28 April 2022
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CT control was conducted on 18 August 2022
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Functional result
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Functional result
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Functional result
See this image and copyright information in PMC

References

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    1. Kang J, Zhang J, Zheng J, Wang L, Li D, Liu S. 3D-printed PEEK implant for mandibular defects repair—a new method. J Mech Behav Biomed Mater. 2021;116: 104335. 10.1016/j.jmbbm.2021.104335. - PubMed
    1. Di Maggio B, Sessa P, Mantelli P. PEEK radiolucent plate for distal radius fractures: multicentre clinical results at 12 months follow up. Injury. 2017. 10.1016/S0020-1383(17)30655-1. - PubMed

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