Objective: 

To determine the level of interest in standardization of design for fracture fixation implants within the orthopaedic trauma community.

Methods: 

A survey regarding implant removal concerns and implant design preferences was electronically distributed to members of Orthopaedic Trauma Association (OTA).

Results: 

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; >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.

Conclusions: 

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.

中文翻译：

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标准化螺钉头骨科创伤植入物。有兴趣吗？OTA 会员调查

客观的： 

确定骨科创伤社区对骨折固定植入物设计标准化的兴趣程度。

方法： 

一份关于植入物移除问题和植入物设计偏好的调查以电子方式分发给骨科创伤协会 (OTA) 的成员。

结果： 

330 名受访者参与了调查（回复率为 19%） 只有 2.4% 的受访者表示在术前护理计划阶段始终能够识别植入物供应商和/或保留植入物制造商；>75% 的受访者表示，他们的手术时间至少要多投入 30 分钟才能卸下螺钉，从而成功取出钢板。超过 80% 的受访者报告多次发生由于植入物无法移除而需要修改手术计划的情况，从而无法完成计划的手术。大多数受访者表示有兴趣为迷你、小型和大型螺钉尺寸组采用标准化锁定头螺钉 (63.5%)；84.8%的受访者希望标准化整个行业的螺丝头和驱动器尺寸。此外，83.6% 的受访者表示有兴趣为每个空心螺钉采用标准化的锁定螺钉头，无论制造商如何。

结论： 

以 OTA 成员为代表的骨科界成员对在植入物设计中采用通用标准很感兴趣。建立标准螺钉头和驱动器将优化手术护理的提供。