{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:45:40Z","timestamp":1787755540074,"version":"build-2784847793"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>In this case, we report on a carbon-fiber-reinforced polyetheretherketone plate failure 4 months after implantation, radiation therapy, chemotherapy, and protective weight-bearing in a 75-year-old woman who sustained a nontraumatic pathological distal femur fracture due to lymphoma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Although carbon-fiber composite implants are regularly used and, to date, there have been no reports of early clinical failures, the longevity of the implant's structural integrity after high-dose radiation and\/or chemotherapy treatment has not been fully explored. Therefore, we deem it too early to conclude that carbon-fiber-reinforced polyetheretherketone implants are superior to conventional implants in treating (pathological) fractures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.20.00041","type":"journal-article","created":{"date-parts":[[2020,8,18]],"date-time":"2020-08-18T20:00:49Z","timestamp":1597780849000},"page":"e20.00041-e20.00041","source":"Crossref","is-referenced-by-count":9,"title":["Early Failure of a Carbon-Fiber-Reinforced Polyetheretherketone Distal Femur Plate"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0972-6433","authenticated-orcid":false,"given":"W. Alexander","family":"Goudriaan","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Leiden University Medical Center- Leiden, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0763-1692","authenticated-orcid":false,"given":"Rutger L.","family":"Tordoir","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Leiden University Medical Center- Leiden, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3125-5028","authenticated-orcid":false,"given":"Demien","family":"Broekhuis","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Leiden University Medical Center- Leiden, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2570-6988","authenticated-orcid":false,"given":"Robert J.P.","family":"van der Wal","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Leiden University Medical Center- Leiden, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020]]},"reference":[{"key":"bib1-20230720","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1097\/BOT.0000000000000302","article-title":"Management of distal femur fractures with modern plates and nails: state of the art","volume":"29","author":"Beltran","year":"2015","journal-title":"J Orthop Trauma."},{"issue":"suppl 2","key":"bib2-20230720","doi-asserted-by":"crossref","first-page":"S25","DOI":"10.1097\/BOT.0000000000000621","article-title":"Treatment options for distal femur fractures","volume":"30","author":"von Keudell","year":"2016","journal-title":"J Orthop Trauma."},{"issue":"1","key":"bib5-20230720","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1080\/17453670902807490","article-title":"The effects of nail rigidity on fracture healing in rats with osteoporosis","volume":"80","author":"Sha","year":"2009","journal-title":"Acta Orthop."},{"key":"bib6-20230720","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1016\/j.wneu.2017.04.091","article-title":"Radiolucent carbon fiber-reinforced pedicle screws for treatment of spinal tumors: advantages for radiation planning and follow-up imaging","volume":"105","author":"Ringel","year":"2017","journal-title":"World Neurosurg."},{"issue":"2","key":"bib7-20230720","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1002\/acm2.12046","article-title":"Pertubation effects of the carbon fiber-PEEK screws on radiotherapy dose distribution","volume":"18","author":"Nevelsky","year":"2017","journal-title":"J Appl Clin Med Phys."},{"key":"bib8-20230720","doi-asserted-by":"crossref","first-page":"33","DOI":"10.4137\/CMAMD.S20354","article-title":"The use of carbon-fiber-reinforced (CFR) PEEK material in orthopedic implants: a systematic review","volume":"8","author":"Li","year":"2015","journal-title":"Clin Med Insights Arthritis Musculoskelet Disord."},{"key":"bib10-20230720","doi-asserted-by":"crossref","first-page":"e83","DOI":"10.2106\/JBJS.CC.18.00096","article-title":"Catastrophic failure of a carbon-fiber-reinforced polyetheretherketone tibial intramedullary nail","volume":"8","author":"Loeb","year":"2018","journal-title":"JBJS Case Connector."},{"issue":"5","key":"bib11-20230720","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1177\/1071100715625291","article-title":"Torsional failure of carbon fiber composite plates versus stainless steel plates for communited distal fibula fractures","volume":"37","author":"Wilson","year":"2016","journal-title":"Foot Ankle Int."},{"key":"bib12-20230720","doi-asserted-by":"crossref","first-page":"877","DOI":"10.1016\/j.otsr.2018.05.002","article-title":"Biomechanical comparison between stainless steel, titanium and carbon-fiber reinforced polyetheretherketone volar 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applications","volume":"236","author":"Rouif","year":"2005","journal-title":"Nucl Instr Methods Phys Res B."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.20.00041","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:44:39Z","timestamp":1787751879000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.20.00041"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":12,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.20.00041","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020]]}}}