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Related Experiment Video

Updated: Apr 14, 2026

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Published on: January 5, 2015

Titanium Implant Failure After Chest Wall Osteosynthesis.

Jean-Philippe Berthet¹, Abel Gomez Caro², Laurence Solovei³

¹Thoracic Surgery Department, University Hospital Arnaud de Villeneuve, Montpellier, France; U1046, INSERM, Montpellier University, Montpellier, France.

The Annals of Thoracic Surgery

|April 29, 2015

Summary

Titanium chest wall osteosynthesis implants frequently fail, particularly those placed anteriorly. Early removal and improved implant design are recommended due to a high failure rate within one year.

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Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

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Multi-Scale Modification of Metallic Implants With Pore Gradients, Polyelectrolytes and Their Indirect Monitoring In vivo

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Published on: July 1, 2013

3D Planning and Printing of Patient Specific Implants for Reconstruction of Bony Defects

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Published on: August 4, 2020

Area of Science:

Thoracic Surgery
Biomaterials Engineering
Orthopedic Surgery

Background:

Titanium implants are used for chest wall reconstruction.
Implant failure, including displacement or rupture, is a concern.
Factors contributing to failure require investigation.

Purpose of the Study:

To identify factors contributing to titanium implant failure after chest wall osteosynthesis.
To evaluate the incidence and characteristics of implant failure.

Main Methods:

Retrospective review of 54 patients undergoing chest wall osteosynthesis with titanium implants (Stratos or Matrix Fixation System).
Analysis of clinical data and CT scans.
Assessment of implant type, number, topography, and associated procedures (mesh, flap).

Main Results:

A high rate of implant failure (44%) was observed within a mean follow-up of 20.2 months.
Broken implants (83.3%) were more common than displaced implants (16.7%).
Anterior topography of osteosynthesis was significantly associated with implant failure (p=0.02).

Conclusions:

Chest wall osteosynthesis with titanium implants has a high failure rate, particularly for anteriorly placed devices.
Long-term follow-up is crucial, and early implant removal should be considered.
Improvements in titanium implant design are needed to enhance durability.