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Investigation of the short-term in vivo performance of metal-on-carbon fibre reinforced poly ether ether ketone Motec wrists: an explant analysis

Lookup NU author(s): Professor Tom Joyce, Goksu KandemirORCiD

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).

Abstract

© The Author(s) 2024. Total wrist arthroplasty (TWA) aims to restore pain-free motion to diseased joints. One such TWA, the Motec, has demonstrated good results with acceptable complication rates. It has recently been suggested that the metal-on-carbon fibre reinforced poly ether ether ketone (Mo-CFR-PEEK) version of the Motec TWA be implanted instead of the metal-on-metal version. An explant analysis was undertaken on seven Motec Mo-CFR-PEEK TWAs, revised for a variety of reasons, after a mean time of 2 years in vivo. Compared to a new Motec implant, five of the explanted metal heads and three of the CFR-PEEK cups became smoother in vivo, suggesting self-polishing and negative skewness, indicating some material loss in vivo. Two explanted cups showed indentation marks on their rims and one of these was from component impingement with embedded metallic debris. In the short-term, the articulating surfaces of Motec Mo-CFR-PEEK TWAs did not show major damage. Level of evidence: IV

Publication metadata

Author(s): Joyce TJ, Kandemir G, Warwick D, Brown DJ

Publication type: Article

Publication status: Published

Journal: Journal of Hand Surgery (European Volume)

Year: 2024

Pages: ePub ahead of Print

Online publication date: 23/05/2024

Acceptance date: 10/04/2024

Date deposited: 11/06/2024

ISSN (print): 1753-1934

ISSN (electronic): 2043-6289

Publisher: SAGE Publications Ltd

URL: https://doi.org/10.1177/17531934241249919

DOI: 10.1177/17531934241249919

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