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Management of failed stainless steel implants in the oromaxillofacial region of dogs

Management of complications of fracture fixation in the oromaxillofacial (OMF) region may present a diagnostic and therapeutic challenge. While titanium and stainless steel implants have been utilized in successful fracture fixation in the OMF region, the use of titanium implants is preferred due to...

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Autores principales: Evenhuis, Janny V., Verstraete, Frank J. M., Arzi, Boaz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9539114/
https://www.ncbi.nlm.nih.gov/pubmed/36213415
http://dx.doi.org/10.3389/fvets.2022.992730
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author Evenhuis, Janny V.
Verstraete, Frank J. M.
Arzi, Boaz
author_facet Evenhuis, Janny V.
Verstraete, Frank J. M.
Arzi, Boaz
author_sort Evenhuis, Janny V.
collection PubMed
description Management of complications of fracture fixation in the oromaxillofacial (OMF) region may present a diagnostic and therapeutic challenge. While titanium and stainless steel implants have been utilized in successful fracture fixation in the OMF region, the use of titanium implants is preferred due to the superior intrinsic properties of titanium. Nonetheless, stainless steel materials are still used due to their availability and familiarity. In the present methods report, we describe our approach to the management of failed stainless steel plates and screws used to treat traumatic injuries in the OMF region. Furthermore, we exemplify our approach with five dogs that exhibited complications of stainless steel implants in the OMF region and their subsequent management. In those cases, all failed implants were removed. Reconstruction with a combination of recombinant human bone morphogenetic protein-2 (rhBMP-2) and titanium implants was utilized in two cases while a mandibulectomy was performed in one case. Three cases required removal of the stainless-steel implant with no additional surgical therapy. We conclude that the success of treatment of failed stainless steel implants depends on the use of advanced imaging findings, appropriate antimicrobial therapy, as well as potentially regenerative reconstructive surgery.
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spelling pubmed-95391142022-10-08 Management of failed stainless steel implants in the oromaxillofacial region of dogs Evenhuis, Janny V. Verstraete, Frank J. M. Arzi, Boaz Front Vet Sci Veterinary Science Management of complications of fracture fixation in the oromaxillofacial (OMF) region may present a diagnostic and therapeutic challenge. While titanium and stainless steel implants have been utilized in successful fracture fixation in the OMF region, the use of titanium implants is preferred due to the superior intrinsic properties of titanium. Nonetheless, stainless steel materials are still used due to their availability and familiarity. In the present methods report, we describe our approach to the management of failed stainless steel plates and screws used to treat traumatic injuries in the OMF region. Furthermore, we exemplify our approach with five dogs that exhibited complications of stainless steel implants in the OMF region and their subsequent management. In those cases, all failed implants were removed. Reconstruction with a combination of recombinant human bone morphogenetic protein-2 (rhBMP-2) and titanium implants was utilized in two cases while a mandibulectomy was performed in one case. Three cases required removal of the stainless-steel implant with no additional surgical therapy. We conclude that the success of treatment of failed stainless steel implants depends on the use of advanced imaging findings, appropriate antimicrobial therapy, as well as potentially regenerative reconstructive surgery. Frontiers Media S.A. 2022-09-23 /pmc/articles/PMC9539114/ /pubmed/36213415 http://dx.doi.org/10.3389/fvets.2022.992730 Text en Copyright © 2022 Evenhuis, Verstraete and Arzi. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Veterinary Science
Evenhuis, Janny V.
Verstraete, Frank J. M.
Arzi, Boaz
Management of failed stainless steel implants in the oromaxillofacial region of dogs
title Management of failed stainless steel implants in the oromaxillofacial region of dogs
title_full Management of failed stainless steel implants in the oromaxillofacial region of dogs
title_fullStr Management of failed stainless steel implants in the oromaxillofacial region of dogs
title_full_unstemmed Management of failed stainless steel implants in the oromaxillofacial region of dogs
title_short Management of failed stainless steel implants in the oromaxillofacial region of dogs
title_sort management of failed stainless steel implants in the oromaxillofacial region of dogs
topic Veterinary Science
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9539114/
https://www.ncbi.nlm.nih.gov/pubmed/36213415
http://dx.doi.org/10.3389/fvets.2022.992730
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