Utility of Carbon Fiber Implants in Orthopedic Surgery: Literature Review

  • Ronald Hillock, MD
  • Shain Howard, BS


Carbon fiber (CF) consists of a multitude of unique physical, chemical and biological characteristics that can be utilized and exploited for a number of diverse applications.  Found in aerospace systems, structural elements, energy storage and other products, the most recent application of CF has expanded into the realm of surgical implants. The material properties of CF, historical development and applications and methods of manufacturing are illustrated upon. The various surgical applications of CF are defined, from biocompatibility within the human body and wound healing products to numerous surgical implantations. 

Keywords: carbon fiber; orthopedics; historical review


Aidoo J, H. K. A., Petrou M F (2004). “Fatigue Behavior of Carbon Fiber Reinforced Polymer-Strengthened Concrete Bridge Girders.” Journal of Composites for Construction 8(6): 501-509.

Kurtz, S. M. and J. N. Devine (2007). “PEEK biomaterials in trauma, orthopedic, and spinal implants.” Biomaterials 28(32): 4845-4869.

http://www.acs.org/content/acs/en/education/whatischemistry/landmarks/carbonfibers.html reviewed 12/8/2013.

http://www.utsi.edu/research/carbonfiber/CF.htm. Reviewed 12/8/2013.

http://en.wikipedia.org/wiki/Carbon-fiber-reinforced_polymer. Reviewed 12/8/2013.

https://www.cytec.com/News/07132012.htm reviewed 12/8/2-13.

http://energy.gov/articles/energy-department-launches-new-clean-energy-manufacturing-initiative. Reviewed 12/8/2013.

http://en.wikipedia.org/wiki/Boeing_787_Dreamliner. Reviewed 12/8/2013.

http://www.airforce-technology.com/projects/f22/. Revuewed 12/8/2013.

http://www.motorauthority.com/news/1077115_the-f1-monocoque-explained-video. Reviewed 12/8/2013.

http://www.caranddriver.com/news/2014-ferrari-laferrari-photos-and-info-news. Reviewed 12/8/2013.

Czaderski C, M. (2004). “Flexural Behaviour of Concrete Beams Strengthened with Pre-stressed Carbon Fibre Reinforced Polymer Sheets Subjected to Sustained Loading and Low Temperature.” Materials and Structures 38(275): 39-46.

http://en.wikipedia.org/wiki/Carbon-fiber-reinforced_polymer. Reviewed 12/8/2013.

http://en.wikipedia.org/wiki/Kevlar.reviewed 12/8/2013.

http://www.fiberforge.com/news/news-detail.php?id=42. Reviewed 12/8/2013.

Huang, W. Y., C. L. Yeh, et al. (2012). “Development of fibroblast culture in three-dimensional activated carbon fiber-based scaffold for wound healing.” J Mater Sci Mater Med 23(6): 1465-1478.

Utzschneider, S., F. Becker, et al. (2010). “Inflammatory response against different carbon fiber-reinforced PEEK wear particles compared with UHMWPE in vivo.” Acta Biomaterialia 6(11): 4296-4304.

Wang, H., M. Xu, et al. (2010). “Mechanical and biological characteristics of diamond-like carbon coated poly aryl-ether-ether-ketone.” Biomaterials 31(32): 8181-8187.

Wurm, G., B. Tomancok, et al. (2004). “Prospective study on cranioplasty with individual carbon fiber reinforced polymer (CFRP) implants produced by means of stereolithography.” Surg Neurol 62(6): 510-521.

Le Bell-Rönnlöf, A.-M., L. V. J. Lassila, et al. (2011). “Load-bearing capacity of human incisor restored with various fiber-reinforced composite posts.” Dental Materials 27(6): e107-e115.

Tancredi, A., A. Agrillo, et al. (2004). “Use of carbon fiber cages for treatment of cervical myeloradiculopathies.” Surg Neurol 61(3): 221-226; discussion 226.

Ryu, S. I., M. Mitchell, et al. (2006). “A prospective randomized study comparing a cervical carbon fiber cage to the Smith-Robinson technique with allograft and plating: up to 24 months follow-up.” Euro Spine J 15(2): 157-164.

Brantigan, J. W. and A. Neidre (2003). “Achievement of normal sagittal plane alignment using a wedged carbon fiber reinforced polymer fusion cage in treatment of spondylolisthesis.” The Spine J 3(3): 186-196.

Ernstberger, T., G. Heidrich, et al. (2007). “The interobserver-validated relevance of intervertebral spacer materials in MRI artifacting.” Euro spine j 16(2): 179-185.

http://www.carbo-fix.com/Company.aspx accessed 12/8/2013.

Steinberg, E. L., E. Rath, et al. (2013). “Carbon fiber reinforced PEEK Optima--a composite material biomechanical properties and wear/debris characteristics of CF-PEEK composites for orthopedic trauma implants.” J Mech Behav Biomed Mater 17: 221-228.

http://www.carbo-fix.com/Products/CarboFixNails/Humerus.aspx reviewed 12/8/2013.

http://www.carbo-fix.com/Products/CarboFixPlates/DistalRadius.aspx reviewed 12/8/2013.

http://www.carbo-fix.com/Products/CarboFixPlates/13Tubular.aspx reviewed 12/8/2013.

Kurtz, S. M. and J. N. Devine (2007). “PEEK biomaterials in trauma, orthopedic, and spinal implants.” Biomaterials 28(32): 4845-4869.

Nakahara, I., M. Takao, et al. (2013). “In vivo implant fixation of carbon fiber-reinforced PEEK hip prostheses in an ovine model.” J Orthop Res 31(3): 485-492.

Wang, Q. Q., J. J. Wu, et al. (2012). “Biotribological study of large diameter ceramic-on-CFR-PEEK hip joint including fluid uptake, wear and frictional heating.” J Mater Sci Mater Med 23(6): 1533-1542.

Baker, D., S. S. Kadambande, et al. (2004). “Carbon fibre plates in the treatment of femoral periprosthetic fractures.” Injury 35(6): 596-598.

Al-Shawi, A. K., S. P. Smith, et al. (2002). “The use of a carbon fiber plate for periprosthetic supracondylar femoral fractures.” The Journal of arthroplasty 17(3): 320-324.

http://www.carbo-fix.com/Products/CarboFixNails/Femur.aspx reviewed 12/8/2013.

http://www.carbo-fix.com/Products/CarboFixNails/Tibia.aspx reviewed 12/8/2013.

SooHoo, N. F., D. S. Zingmond, et al. (2007). “Comparison of reoperation rates following ankle arthrodesis and total ankle arthroplasty.” J Bone Joint Surg Am 89(10): 2143-2149.

How to Cite
Hillock, MD, R., & Howard, BS, S. (2014). Utility of Carbon Fiber Implants in Orthopedic Surgery: Literature Review. Reconstructive Review, 4(1). https://doi.org/10.15438/rr.v4i1.55
Original Article

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