Carbon vs. Titanium Nails in the Treatment of Impending and Pathological Fractures: A Literature Review

: Long bones are commonly affected by musculoskeletal tumors, but they also represent one of the most frequent locations for metastases. The treatment is based on pain management and the prevention or stabilization of pathological fractures by intramedullary nailing. While titanium nails are probabl...

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Bibliographic Details
Published in:Journal of clinical medicine 2024-05, Vol.13 (10), p.2940
Main Authors: Pesare, Elisa, Meschini, Cesare, Caredda, Matteo, Messina, Federica, Rovere, Giuseppe, Solarino, Giuseppe, Ziranu, Antonio
Format: Article
Language:English
Subjects:
Biocompatibility
Biomechanics
Bone cancer
Bones
Carbon fibers
Care and treatment
Diagnosis
Fractures
Literature reviews
Medical prognosis
Metastasis
Patient outcomes
Patients
Radiation therapy
Surgery
Surgical techniques
Titanium alloys
Transplants & implants
Tumors
Citations: Items that this one cites
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Summary:: Long bones are commonly affected by musculoskeletal tumors, but they also represent one of the most frequent locations for metastases. The treatment is based on pain management and the prevention or stabilization of pathological fractures by intramedullary nailing. While titanium nails are probably the most used, carbon-fiber-reinforced (CFR) nails have emerged as a new option for oncological patients. The aim of this review is to compare titanium and CFR nails according to current findings. : Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) standards were followed: a total of 1004 articles were identified and 10 were included. : Traditionally, titanium implants are highly valued for their optimal biomechanical properties and ease of insertion, facilitated by their radiopacity. However, the use of titanium poses challenges in radiotherapy due to interference with radiation dosage and the creation of ferromagnetic artifacts. Conversely, CFR implants have emerged as a recommended option for intramedullary fixation, due to their biomechanical and structural properties and their benefits during radiotherapy and follow-up monitoring X-ray. : CFR nailing represents a promising advancement in the surgical management of oncological patients with long bone metastases. However, further studies are needed to increase surgeons' confidence in their use.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm13102940