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Related Experiment Video

Updated: Jun 8, 2026

Multi-Scale Modification of Metallic Implants With Pore Gradients, Polyelectrolytes and Their Indirect Monitoring In vivo
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Metal implants in children.

Peter John Cundy1, Nicole Williams1

  • 1Women's & Children's Hospital, University of Adelaide, Adelaide, SA, Australia.

Journal of Children'S Orthopaedics
|November 14, 2024
PubMed
Summary
This summary is machine-generated.

Metal implants in children require careful consideration due to removal risks and potential long-term health effects. Judicious decisions about implant removal can reduce complications and healthcare costs.

Keywords:
chromiumcobaltcomplicationsdeformityfractureimplantsmetalmetal ionsoffspringremovalserumtitaniumtitanium dioxidetoxicity

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Area of Science:

  • Orthopedic surgery
  • Biomaterials science
  • Pediatric medicine

Background:

  • Metal implants are increasingly utilized in pediatric patients for trauma and deformity correction.
  • This review synthesizes current knowledge on metal implant materials, removal indications, and potential long-term health concerns in children.

Purpose of the Study:

  • To review the types of metals used in pediatric orthopedic implants.
  • To explore reasons for implant removal and associated risks.
  • To discuss potential long-term health implications of metal implants in children.

Main Methods:

  • A comprehensive literature review was conducted.
  • Relevant studies on pediatric metal implants were identified and summarized.

Main Results:

  • Pediatric-specific implants and metal alloys have evolved, improving deformity correction and potentially reducing costs.
  • Implant removal indications are often unclear, with a known minimum 6% complication rate; removal should be reserved for infection, failure, or significant symptoms.
  • Significant metal ion release, particularly titanium, is observed in spinal implants, with long-term health effects in humans not well-defined but evident in animal models.

Conclusions:

  • The risks associated with metal implant removal in children are substantial.
  • Clinicians must be aware of potential covert toxicity and long-term health risks, especially given children's extended lifespan.
  • Enhanced understanding of metal alloy composition and implant design is crucial to minimize risks in pediatric patients.