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The goal of this retrospective study is to evaluate the clinical characteristics, efficiency, safety, and long-term performance of craniomaxillofacial (CMF) Porous Titanium Implants within the standard of care across children (0 - <12 years old), adolescent (12 - <22 years old), and adult (≥ 22 years old) populations.
The loss of bone substance or continuity in the cranial and/or facial region can result from trauma, infection, benign or malign tumor resection, and therapeutic side effects (e.g., radiotherapy). CMF Porous Titanium Implants are patient-specific solutions matched with the patient's anatomy to reconstruct bone defects accurately. Following a premarket clinical evaluation and considering long-term risk management, the decision to conduct a retrospective post-market clinical follow-up study was based on identifying possible residual risks and uncertainty about long-term safety and clinical performance that may impact the benefit/risk ratio of the CMF porous titanium devices, thereby ensuring the continued safety and efficacy of these CMF devices.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Craniomaxillofacial (CMF) porous titanium implant | Device | All patients were treated, between 2016 and 2023, with patient-specific CMF Porous Titanium Implants for facial and/or cranial reconstruction or restoration of bone defects. |
| Measure | Description | Time Frame |
|---|---|---|
| Last visit success rate of the device after the surgical implantation of Materialise patient-specific CMF Porous Titanium Implants | Success is defined as follows: - The device is securely in place and functional as of the last follow-up or until its removal for reasons unrelated to the device itself. Failure is defined as follows:
| Last visit (up to 8 years post-implantation) |
| Measure | Description | Time Frame |
|---|---|---|
| Perioperative complications related and unrelated to CMF Porous Titanium Implants | Complications related and unrelated to CMF Porous Titanium Implants, including allergic reaction to the anesthetic or titanium (anaphylaxis), complications related to the anesthesia, hematoma, or others. | Up to the moment the patient is discharged from the hospital after the procedure (discharge), up to several weeks, depending on defect severity and recovery progress |
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Inclusion Criteria:
Exclusion Criteria:
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Retrospective collection of a minimum of 200 patients that were treated between 2016 and 2023 with patient-specific CMF Porous Titanium Implants for facial and/or cranial reconstruction or restoration of bone defects. All patients included in the study underwent standard visits and follow-up assessments in-hospital.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Dorien Haesen, PhD | Contact | +32 11 28 69 48 | dorien.haesen@archerresearch.eu |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rigshospitalet | Copenhagen | Denmark |
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| General post-operative complications up to standard of care (SOC) follow-up | Complications related and unrelated to CMF Porous Titanium Implants, including infection, pain, implant migration, implant exposure, failure of implant, device subsidence, device fracture, diplopia, hematoma, dysesthesia, osteolysis, fistula, wound dehiscence, delayed healing, or others. | 4 weeks, 3 months, 1 year, 2-3 years, up to 8 years follow-up |
| Re-intervention rate, implant-related or not | Up to 8 years follow-up |
| Intraoperative blood loss (mL) | Estimated blood loss by visual inspection or gravimetric method | At procedure |
| Technical success of the implantation | Defined by the surgeon, including but not limited to the implantation of the CMF Porous Titanium Implant and guides (if applicable) according to the pre-operative plan without technical difficulties, including design issues, placement issues, planning issues, guides, or others. | At procedure |
| Accuracy of the device implantation compared to the pre-operative plan | Accuracy will be quantified by superpositioning the post-operative images with the planning. | 4 weeks follow-up |
| Implant migration | Migration will be quantified by calculating the difference between the immediate post-operative and 3-month and 1-year post-operative scans. | 3 months, 1 year follow-up |
| Implant time of the device | From surgery up to 8 years |
| Surgical operation time | At procedure |
| Total hospital post-operative stay | Time of discharge will be registered in eCRF. Post-operative treatment carried out according to the standard practice of the investigational sites will be registered in the eCRF. | Up to the moment the patient is discharged from the hospital after the procedure (discharge), up to several weeks, depending on defect severity and recovery progress |
| Hôpital Pitié-Salpêtrière | Paris | France |
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