{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T01:44:39Z","timestamp":1770515079365,"version":"3.49.0"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec>\n            <jats:title>Objective:<\/jats:title>\n            <jats:p>To determine the level of interest in standardization of design for fracture fixation implants within the orthopaedic trauma community.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>A survey regarding implant removal concerns and implant design preferences was electronically distributed to members of Orthopaedic Trauma Association (OTA).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Three hundred thirty respondents participated in the survey (response rate of 19%) Only 2.4% of respondents indicated a consistent ability to identify the implant vendor and\/or manufacturer of retained implants in the preoperative planning phase of care; &gt;75% of respondents reported investing a minimum of an additional 30 minutes to their operative times to remove screw(s) to successfully extract a plate. More than 80% of respondents reported multiple occurrences requiring modification of their surgical plans because of implants that could not be removed, preventing the completion of the planned procedure. The majority of respondents expressed interest in the adoption of standardized locking head screws for mini, small, and large screw sizes sets (63.5%); 84.8% of respondents desire standardization of screw head and driver sizes across the industry. Also, 83.6% of respondents expressed interest in the adoption of a standardized locking screw head for each cannulated screw, regardless of manufacturer.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>Members of the orthopaedic community, as represented in the membership of the OTA, are interested in the adoption of universal standards in implant design. Establishing standard screw heads and drivers will optimize the delivery of operative care.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/bot.0000000000002402","type":"journal-article","created":{"date-parts":[[2022,5,17]],"date-time":"2022-05-17T21:00:58Z","timestamp":1652821258000},"page":"e393-e398","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Standardizing Screw Head Orthopaedic Trauma Implants. Is There an Interest? An OTA Member Survey"],"prefix":"10.1097","volume":"36","author":[{"given":"Brian P.","family":"Cunningham","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, TRIA Orthopaedic Center, Bloomington, MN;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas F.","family":"Higgins","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather A.","family":"Vallier","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brendan M.","family":"Patterson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Cleveland Clinic Health System, Cleveland, OH; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arthur J.","family":"Only","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, TRIA Orthopaedic Center, Bloomington, MN;"},{"name":"Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20250614","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1177\/2192568219874768","article-title":"No difference in risk of implant removal between orthogonal mini-fragment and single small-fragment plating of midshaft clavicle fractures in a military population: a preliminary study","volume":"10","author":"Lee","year":"2020","journal-title":"Glob Spine J."},{"key":"R2-20250614","doi-asserted-by":"crossref","first-page":"1275","DOI":"10.1016\/j.jse.2020.01.091","article-title":"Can low-profile double-plate osteosynthesis for olecranon fractures reduce implant removal? A retrospective multicenter study","volume":"29","author":"Ellwein","year":"2020","journal-title":"J Shoulder Elbow Surg."},{"key":"R3-20250614","doi-asserted-by":"crossref","first-page":"2089","DOI":"10.2106\/JBJS.20.02231","article-title":"Complications of hardware removal","volume":"103","author":"Kellam","year":"2021","journal-title":"J Bone Joint Surg Am."},{"key":"R4-20250614","doi-asserted-by":"crossref","first-page":"113","DOI":"10.5435\/00124635-200602000-00006","article-title":"Hardware removal: indications and expectations","volume":"14","author":"Busam","year":"2006","journal-title":"J Am Acad Orthop Surg."},{"key":"R5-20250614","doi-asserted-by":"crossref","first-page":"e92","DOI":"10.5435\/JAAOS-D-17-00658","article-title":"A compatibility guide for the orthopaedic surgeon planning to perform hardware removal surgery","volume":"27","author":"Riedel","year":"2019","journal-title":"J Am Acad Orthop Surg."},{"key":"R6-20250614","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1177\/1071100718757719","article-title":"Functional outcomes of symptomatic implant removal following ankle fracture open reduction and internal fixation","volume":"39","author":"Williams","year":"2018","journal-title":"Foot Ankle Int."},{"key":"R7-20250614","first-page":"e20.00137","article-title":"Improvement in functional outcomes after elective symptomatic orthopaedic implant removal","volume":"4","author":"Williams","year":"2020","journal-title":"J Am Acad Orthop Surg Glob Res Rev."},{"key":"R8-20250614","doi-asserted-by":"crossref","first-page":"705","DOI":"10.3928\/0147-7447-19830601-05","article-title":"Slipped capital femoral epiphysis: complications related to internal fixation","volume":"6","author":"Swiontkowski","year":"1983","journal-title":"Orthopedics"},{"key":"R9-20250614","doi-asserted-by":"crossref","first-page":"1691","DOI":"10.1007\/s00402-014-2079-4","article-title":"Removal of forearm plate leads to a high risk of refracture: decision regarding implant removal after fixation of the forearm and analysis of risk factors of refracture","volume":"134","author":"Yao","year":"2014","journal-title":"Arch Orthop Trauma Surg."},{"key":"R10-20250614","first-page":"39","article-title":"Physician preference items: what factors matter to surgeons? Does the vendor matter?","volume":"11","author":"Burns","year":"2018","journal-title":"Med Devices (Auckl)."},{"key":"R11-20250614","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1177\/1938640018791015","article-title":"Implant removal matrix for the foot and ankle orthopaedic surgeon","volume":"12","author":"Kaiser","year":"2019","journal-title":"Foot Ankle Spec."},{"key":"R12-20250614","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1097\/BOT.0000000000002134","article-title":"Setting standards","volume":"35","author":"Sanders","year":"2021","journal-title":"J Orthop Trauma."},{"key":"R13-20250614","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1186\/1471-2474-9-73","article-title":"Surgeons' beliefs and perceptions about removal of orthopaedic implants","volume":"9","author":"Hanson","year":"2008","journal-title":"BMC Musculoskelet Disord."},{"key":"R14-20250614","doi-asserted-by":"crossref","first-page":"e499","DOI":"10.1097\/BOT.0000000000000364","article-title":"Professional demands and job satisfaction in orthopaedic trauma: an OTA member survey","volume":"29","author":"Cunningham","year":"2015","journal-title":"J Orthop Trauma."},{"key":"R15-20250614","first-page":"99","article-title":"Implant removal matrix for the upper extremity orthopedic surgeon","volume":"8","author":"Cronin","year":"2020","journal-title":"Arch Bone Jt Surg."}],"container-title":["Journal of Orthopaedic Trauma"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/BOT.0000000000002402","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,14]],"date-time":"2025-06-14T19:00:52Z","timestamp":1749927652000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/BOT.0000000000002402"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10]]},"references-count":15,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.1097\/bot.0000000000002402","relation":{},"ISSN":["0890-5339"],"issn-type":[{"value":"0890-5339","type":"print"}],"subject":[],"published":{"date-parts":[[2022,10]]},"assertion":[{"value":"2022-05-13","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}