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OsteoFab®
in Hand & Wrist Surgery

Personalised Implants for Complex Wrist Reconstruction

 

OsteoFab® offers a new frontier in hand and wrist surgery — combining patient-specific design with metal-free, infection-resistant material. For surgeons treating bone loss, instability, or degenerative wrist conditions, PEKK custom implants enable reconstruction options that were previously impossible or high-risk.

OsteoFab® Case Studies for Hand & Wrist Reconstruction?

Real-world examples of OsteoFab® in complex hand & wrist cases:

 

Ulnar Head Replacement 

President of the BSSH, Mr Carlos Heras-Palou, is leading with the UK’s first PEKK ulnar head reconstruction — providing a patient-specific, metal-free alternative to the unavailable UHP implant.
[Download Case Study PDF]

 

Scaphoid & Lunate Replacement

Custom carpal bone implants designed for young patients with avascular necrosis and degenerative collapse.

[Download Case Study PDF]

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Metacarpal Cutting guides

[Download Case Study PDF]

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Patient advantages of Rejoint

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Improved functionality

Significantly enhances limb function by restoring joint mobility.

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Decreases pain during movement, improving quality of life.

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As a bioabsorbable implant, RegJoint™ eliminates the need for removal surgeries.

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Clinical Advantages of OsteoFab®

Tailored Fit

Custom design improves joint alignment and optimises biomechanics.

Infection-Sensitive Design

PEKK’s inherent bacteriostatic surface reduces infection risk compared to metal.

Minimally Invasive Pathways

Precise planning reduces intraoperative guesswork.

Metal-Free Imaging

Ideal for follow-up with MRI or CT scans.

Better Integration

Porous structure encourages bone growth and stability.

Applications in the Hand & Wrist

OsteoFab® implants and guides are currently being used or developed in the following areas:

  • Custom ulnar head replacements are designed for patients with severe arthritis, post-traumatic deformity, or revision surgery. By accurately matching the patient’s native anatomy, these implants help restore forearm rotation and ulnocarpal stability.

    • Alternative to off-the-shelf implants with limited sizing

    • Ideal for revision procedures or rare pathologies

    • Eliminates metal artifact in follow-up imaging

  • OsteoFab® lunate and scaphoid implants are used for reconstruction following advanced Kienböck’s disease, scaphoid non-union, or avascular necrosis.

    • Patient-specific design improves carpal congruity and load distribution

    • Radiolucency allows ongoing monitoring of surrounding joint health

    • Porous surface promotes long-term integration and stability

  • Cutting guides assist with osteotomies and complex reconstruction — especially in cases involving angular correction, trauma, or tumour resection.

    • Built from CT data and aligned to each patient’s anatomy

    • Improve intraoperative accuracy and reduce surgical time

    • Available for both bone resection and implant placement

    • Custom capitate and triquetrum replacements

    • Hemi-wrist reconstruction following trauma or tumour

    • Complex carpal reconstructions in congenital and acquired deformities

    • Joint replacements

Interested in a Case?

If you're considering a custom case or would like to discuss a patient-specific approach, we offer surgeon-led planning support, digital design previews, and pre-surgical modelling.

Let us help you deliver the best solution for your most complex hand & wrist patients.

Contact us

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