cmf & Sternal fixation solutions

PEEK-OPTIMA™ polymers solutions for strong, permanent implants following trauma

Why PEEK is an Excellent Solution for CMF & Sternal Fixation Implants

Permanent, low profile PEEK solutions for craniomaxillofacial surgery and sternotomy reconstructions

 Applications of PEEK-OPTIMA™

Craniomaxillofacial plates

Patient-specific CMF implants

PEEK-OPTIMATM high performance polymer is a strong, permanent, functional alternative to traditional structural materials like metal that can be used to manufacture custom cranial implants. PEEK-OPTIMA’s biomechanical properties are similar to bone, result in better clinical outcomes and have improved cosmetic satisfaction compared to titanium1-9.

Sternal closure plate

Sternal fixation solutions

Studies have shown rigid fixation results in better outcomes compared to standard cerclage wires10-12. PEEK-OPTIMATM polymers have been used to innovate in this space, with OEMs developing new metal-free technologies for fixation plate, ties and zips, offering benefits including:

  • Reduced stress at the bone-implant interface
  • Reduced cut through and device failure14-16
  • Better fusion healing assessment on imaging18
  • Easier insertion15, and revision as the material can be cut or burred17
  • Lower risk of glove puncture compared to wires
  • Flexibility and ease of handling15,16
  • Continuous compression14,16

Patient-specific cranial implants

 
Implant options, custom fit and clinical outcomes of using PEEK-OPTIMATM polymers for CMF. PEEK expert, Michael Veldman reports

Featured resources

Medical Sternal Closure Rib Cage Able Medical
news
FDA approves Able Medical Devices’ ValkyrieTM thoracic fixation system made with PEEK-OPTIMATM polymer13
Read more about Able Medical
Patient specific CMF implant
brochure

Remember when titanium was the best you could offer CMF patients? Discover how PEEK polymers are the future

Download brochure
Medical CMF Neos Cranial Loop
case study
NEOS Surgery's Cranial LOOPTM PEEK-OPTIMA™ polymer system securely fixes craniotomy bone flaps14
Watch video
Reinforced brochure
Brochure

Carbon fiber-reinforced PEEK for greater mechanical strength & enhanced creep resistance

Download PEEK-OPTIMA Reinforced brochure
Victrex ALM additivite 3d printing
3d printing
Unlocking the possibilities of PEEK & PAEK 3D printing
Learn more
Neos surgery stern fix image from brochure
NEWs
PEEK-OPTIMATM Reinforced used in NEOS's STERNFixTM  for bone-like tailored stiffness & flexible fixation14
Read more
Medical_Magazine
Peer reviewed paper
Comparison of PEEK cables vs. stainless steel wires for sternal fixation after median sternotomy
Read the paper

References

1. Zhang Q, Yuan Y, Li X, et al. A Large Multicenter Retrospective Research on Embedded Cranioplasty and Covered Cranioplasty. World Neurosurg. 2018;112:e645-e651.
2. Jack Henry, Michael Amoo, Joseph Taylor, David P.O'Brien, MMedSc, Complications of Cranioplasty in Relation to Material: Systematic Review, Network Meta-Analysis and Meta-Regression, Neurosurgery 89:383–394, 2021.
3. Yirui Sun, Yue Hu, et al. Association between metal hypersensitivity and implant failure in patient who underwent titanium cranioplasty, J Neurosurg July6, 2018
4. Lethaus B, Bloebaum M, Koper D, Poort-Ter Laak M, Kessler P. Interval cranioplasty with patient-specific implants and autogenous bone grafts-success and cost analysis. J Craniomaxillofac Surg. 2014;42(8):1948-1951.
5. Punchak M, Chung LK, Lagman C, et al. Outcomes following polyetheretherketone (PEEK) cranioplasty: Systematic review and meta analysis. J Clin Neurosci. 2017;41:30-35.
6. Camarini ET, Tomeh JK, Dias RR, et al. Reconstruction of frontal bone using specific implant polyether-ether-ketone. J Craniofac Surg 2011;22:2205-7
7. Rho, JY et al (1993). “Young’s modulus of trabecular and cortical bone material: Ultrasonic and microtensile measurements”. Journal of Biomechanics 26 (2); 111–119
8. Victrex property guide.
9. Jalbert F, Boetto S, Nadon F, Lauwers F, Schmidt E, Lopez R. One-step primary reconstruction for complex craniofacial resection with PEEK custom-made implants. J Craniomaxillofac Surg. 2014;42(2):141-148.
*non-metal – PEEK is a polymer containing metal ions at levels below ppb
Pouya Nezafati, et al. ZipFix Versus Conventional Sternal Closure: One-Year Follow-Up. Heart Lung Circ. 2019 Mar;28(3):443-449.
10. Ludovic Melly, et al. A new cable-tie-based sternal closure device: infectious considerations. Interact Cardiovasc Thorac Surg. 2013 Aug;17(2):219-23.
11. Martin TR Grapow, et al. A new cable-tie based sternal closure system: description of the device, technique of implantation and first clinical evaluation. J Cardiothorac Surg. 2012 Jun 25;7:59.
12. Kazuma Takashima, et al. A carbon fiber-reinforced polyetheretherketone intramedullary nail improves fracture site visibility on postoperative radiographic images. Injury. 2021 Aug;52(8):2225-2232.
13. Images courtesy of Able Medical Devices. ValkyrieTM is a registered trademark of Able Medical Devices Inc.
14. Images courtesy of Neos Surgery. CranialLoopTM and SternfixTM are registered trademarks of Neos Surgery SL
15. Pouya Nezafati, et al. ZipFix Versus Conventional Sternal Closure: One-Year Follow-Up. Heart Lung Circ. 2019 Mar;28(3):443-449.
16. Ludovic Melly, et al. A new cable-tie-based sternal closure device: infectious considerations. Interact Cardiovasc Thorac Surg. 2013 Aug;17(2):219-23. 
17. Martin TR Grapow, et al. A new cable-tie based sternal closure system: description of the device, technique of implantation and first clinical evaluation. J Cardiothorac Surg. 2012 Jun 25;7:59.
18. Kazuma Takashima, et al. A carbon fiber-reinforced polyetheretherketone intramedullary nail improves fracture site visibility on postoperative radiographic images. Injury. 2021 Aug;52(8):2225-2232.