ArticleOTA international : the open access journal of orthopaedic trauma2021
A systematic review of the use of titanium versus stainless steel implants for fracture fixation.
Article in OTA international : the open access journal of orthopaedic trauma, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
46 citing papers in PubMed, 89 citations in OpenAlex.
- Peri-periprosthetic femoral fractures: a single-centre case series of a rare and challenging clinical scenario.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- [Practical guidelines for difficult and complex hardware removal in orthopedic surgery].Operative Orthopadie und Traumatologie · 2026Article
- Staged screw removal in external plate fixation for distal tibial fractures: a finite element study on adaptive biomechanics.Scientific reports · 2026Article
- Multicenter Comparison of Modern Plating Options in Fibula, Scapula, and Osteocutaneous Radial Forearm Free Flaps.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026Article
- SAR-Based Thermal Assessment of Dielectrophoretic Pulsed Electromagnetic Stimulation in Tibia Fractures with Metallic Implants.Bioengineering (Basel, Switzerland) · 2026Article
- In vitro electrical stimulation devices: practical framework for design, fabrication, and operation.Journal of biological engineering · 2026Article
- Mechanobiological Implications of Low-Young's Modulus TiNbSn Alloy Plates for Fracture Fixation: A Focused Review.Medical sciences (Basel, Switzerland) · 2026Review
- Foot and ankle biomaterials: a comprehensive review of current applications, challenges, and future directions.Journal of orthopaedic translation · 2026Review
- Allergic Reaction to Titanium Alloy Osteosynthesis Implants: A Case Report of Three Patients.Life (Basel, Switzerland) · 2026Article
- Corrigendum to "Strong living scaffolds for load-bearing musculoskeletal tissue regeneration" [Mater. Today Bio 35 (2025) 102571].Materials today. Bio · 2026Article
- Electrical stimulation properties of carbon fiber versus titanium pedicle screw instrumentation: illustrative case.Journal of neurosurgery. Case lessons · 2026Article
- Titanium versus Biodegradable Implants for Fracture Fixation: A Retrospective Comparative Study.Orthopedic research and reviews · 2026Article
- Evaluation of Implant Removal Difficulty in Distal Femur Fractures: A Comparison between Stainless Steel and Titanium Locking Compression Plate.The archives of bone and joint surgery · 2026Article
- Combination of Noble Metal and Gold-Silver Nanoclusters as Enhanced Antibacterial Coatings for Ti-Based Medical Implants.International journal of molecular sciences · 2025Article
- Original Locking Rod System Designed for Diaphyseal Fractures of Long Bones.Journal of functional biomaterials · 2025Article
- Implant Infectious Diseases: An Introduction to Biomaterials for ID Physicians.Open forum infectious diseases · 2025Review
- Advancements in Nanotechnology for Spinal Surgery: Innovations in Spinal Fixation Devices for Enhanced Biomechanical Performance and Osteointegration.Nanomaterials (Basel, Switzerland) · 2025Review
- Finite element analysis of sliding vs static configuration of partial threaded cannulated compression screws for Pauwels type III fracture neck of femur.Journal of clinical orthopaedics and trauma · 2025Article
- Systematic Review of Incidence of Cold-Welding Phenomenon in Use of Implants for Fracture Fixation and Collation of Removal Techniques.Journal of clinical medicine · 2025Review
- Porous threaded titanium implant screws have higher insertional torque compared to standard screws.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundControversy exists regarding the use of titanium and stainless steel implants in fracture surgery. To our knowledge, no recent, comprehensive review on this topic has been reported. PURPOSE: To perform a systematic review of the evidence in the current literature comparing differences between titanium and stainless steel implants for fracture fixation.
methodsA systematic review of original research articles was performed through the PubMed database using PRISMA guidelines. Inclusion criteria were English-language studies comparing titanium and stainless steel implants in orthopaedic surgery, and outcome data were extracted.
resultsThe search returned 938 studies, with 37 studies meeting our criteria. There were 12 clinical research articles performed using human subjects, 11 animal studies, and 14 biomechanical studies. Clinical studies of the distal femur showed the stainless steel cohorts had significantly decreased callus formation and an increased odds radio (OR 6.3, 2.7-15.1;
conclusionStainless steel implants have equal or superior biomechanical properties when compared with titanium implants. However, there is clinical evidence that titanium plates have a lower rate of failure and fewer complications than similar stainless steel implants in some situations. Although our review supports the use of titanium implants in these clinical scenarios, we emphasize that further prospective, comparative clinical studies are required before the conclusions can be made.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.