{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:40:06Z","timestamp":1787755206399,"version":"build-2784847793"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 59-year-old man underwent scaphoidectomy and 4-corner arthrodesis with a polyether-ether-ketone (PEEK) circular plate for scapholunate advanced collapse of the wrist. Five years later, he presented with a symptomatic nonunion and radiocarpal arthritis. Total wrist arthrodesis with a dorsal plate was performed. During revision surgery, considerable synovitis was encountered. Histological evaluation revealed a foreign body response likely secondary to PEEK particles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Use of PEEK implants can result in an adverse local tissue reaction if particles are generated. This is a rare biomaterial-related complication, and surgeons should be aware of this adverse tissue response when using this or other PEEK implants.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.21.00102","type":"journal-article","created":{"date-parts":[[2022,1,31]],"date-time":"2022-01-31T23:01:17Z","timestamp":1643670077000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A Failed 4-Corner Arthrodesis Using a Polyether-Ether-Ketone Implant"],"prefix":"10.2106","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1711-0762","authenticated-orcid":false,"given":"Daniel A.","family":"London","sequence":"first","affiliation":[{"name":"Mary S. Stern Hand Surgery Fellowship, Cincinnati, Ohio"},{"name":"Department of Orthopaedic Surgery, University of Cincinnati, Cincinnati, Ohio"},{"name":"Department of Orthopaedic Surgery, University of Missouri, Columbia, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter J.","family":"Stern","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Cincinnati, Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,10]]},"reference":[{"issue":"5","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"588e","DOI":"10.1097\/PRS.0000000000007260","article-title":"Cost-effectiveness analysis of motion-preserving operations for wrist arthritis","volume":"146","author":"Retrouvey","year":"2020","journal-title":"Plast Reconstr Surg."},{"issue":"5","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"1432","DOI":"10.1097\/PRS.0000000000005558","article-title":"Proximal row carpectomy versus four-corner arthrodesis for the treatment of scapholunate advanced collapse\/scaphoid nonunion advanced collapse wrist: a cost-utility analysis","volume":"143","author":"Daar","year":"2019","journal-title":"Plast Reconstr Surg."},{"issue":"10","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1016\/j.jhsa.2017.07.032","article-title":"A comparative analysis of resource utilization between proximal row carpectomy and partial wrist fusion: a population study","volume":"42","author":"Rahgozar","year":"2017","journal-title":"J Hand Surg Am."},{"issue":"2","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"e0080","DOI":"10.2106\/JBJS.OA.19.00080","article-title":"Cost-effectiveness analysis comparing proximal row carpectomy and four-corner arthrodesis","volume":"5","author":"Yoo","year":"2020","journal-title":"JB JS Open Access."},{"issue":"1","key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1055\/s-0038-1675791","article-title":"Comparison of direct surgical costs for proximal row carpectomy and four-corner arthrodesis","volume":"8","author":"Kazmers","year":"2019","journal-title":"J Wrist Surg."},{"issue":"5","key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1016\/j.jhsa.2019.12.010","article-title":"Proximal row carpectomy versus 4-corner fusion: incidence, conversion to fusion, and cost","volume":"45","author":"Kay","year":"2020","journal-title":"J Hand Surg Am."},{"issue":"1","key":"bib7-20240805","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1055\/s-0037-1604395","article-title":"Long-term outcome and secondary operations after proximal row carpectomy or four-corner arthrodesis","volume":"7","author":"Williams","year":"2018","journal-title":"J Wrist Surg."},{"issue":"7","key":"bib8-20240805","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1177\/1753193413475962","article-title":"The rate of successful four-corner arthrodesis with a locking, dorsal circular polyether-ether-ketone (PEEK-Optima) plate","volume":"38","author":"Rhee","year":"2013","journal-title":"J Hand Surg Eur Vol."},{"issue":"1","key":"bib9-20240805","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1007\/s11552-007-9021-y","article-title":"Management of non-united four-corner fusions","volume":"2","author":"Skie","year":"2007","journal-title":"Hand (N Y)."},{"issue":"2","key":"bib10-20240805","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1055\/s-0035-1549277","article-title":"The long-term outcome of four-corner fusion","volume":"4","author":"Trail","year":"2015","journal-title":"J Wrist Surg."},{"issue":"6","key":"bib11-20240805","doi-asserted-by":"crossref","first-page":"568","DOI":"10.1177\/1558944716681949","article-title":"Ten-year minimum follow-up of 4-corner fusion for SLAC and SNAC wrist","volume":"12","author":"Traverso","year":"2017","journal-title":"Hand."},{"issue":"3","key":"bib12-20240805","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1007\/s11552-014-9617-y","article-title":"Four-corner arthrodesis with a radiolucent locking dorsal circular plate: technique and outcomes","volume":"9","author":"Rudnick","year":"2014","journal-title":"Hand."},{"issue":"2","key":"bib15-20240805","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1002\/jbm.a.31310","article-title":"Amorphous and crystalline polyetheretherketone: mechanical properties and tissue reactions during a 3-year follow-up","volume":"84","author":"Nieminen","year":"2008","journal-title":"J Biomed Mater Res A."},{"key":"bib16-20240805","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1016\/j.jmbbm.2012.09.013","article-title":"Carbon fiber reinforced PEEK optima\u2014a composite material biomechanical properties and wear\/debris characteristics of CF-PEEK composites for orthopedic trauma implants","volume":"17","author":"Steinberg","year":"2013","journal-title":"J Mech Behav Biomed Mater."},{"issue":"3","key":"bib17-20240805","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1007\/s10856-015-5664-3","article-title":"Debris of carbon-fibers originated from a CFRP (pEEK) wrist-plate triggered a destruent synovitis in human","volume":"27","author":"Merolli","year":"2016","journal-title":"J Mater Sci Mater Med."},{"issue":"3","key":"bib18-20240805","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1016\/j.injury.2016.01.004","article-title":"Influence of plate material and screw design on stiffness and ultimate load of locked plating in osteoporotic proximal humeral fractures","volume":"47","author":"Katthagen","year":"2016","journal-title":"Injury."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.21.00102","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:39:17Z","timestamp":1787751557000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.21.00102"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2021,10]]},"references-count":16,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.21.00102","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10]]}}}