Beyond Titanium: Why Radiolucency Changes Everything
- Hamid Khan
- Sep 28
- 3 min read
Updated: Oct 3
When surgeons evaluate implants for complex reconstruction, titanium has long been the
default. Strong and reliable, yes, but it is far from perfect. Imaging artefacts, post operative
guesswork, and the inflexibility of a fixed opaque material have always been compromises that surgeons accepted.
Now they do not have to. OsteoFab® PEKK custom implants are redefining what is possible by combining bone like density with complete radiolucency, creating a new gold standard in patient specific reconstruction.
Bone Like Density, Metal Free Confidence

PEKK (polyetherketoneketone) shares a density close to native cortical bone, allowing a
natural interface with surrounding tissue and significantly reducing the potential for stress
shielding. Surgeons can assess healing without the shadows or scatter that metal creates on
CT or MRI scans. Every contour of the bone, every subtle sign of regeneration, remains visible and uncompromised. The ability to monitor long term outcomes with absolute clarity gives
both surgeon and patient a level of confidence that titanium simply cannot match.
Radiolucency that Transforms Imaging

Traditional titanium plates obscure critical details. Even the most advanced imaging struggles to cut through metal. PEKK eliminates that barrier entirely. Post operative scans reveal crisp, unobstructed views, allowing earlier detection of complications, more accurate surveillance
of bone disease including tumours, faster assessment of graft integration, and more precise planning for any future interventions. The difference is immediate in theatre and invaluable
across years of follow up care.
The Only Truly Modifiable Custom Implant
Precision is essential, but so is flexibility. PEKK’s unique material properties make OsteoFab
the only custom implant that can be safely modified in the operating room. Surgeons can
adjust contours, drill, or trim edges without compromising strength or biocompatibility. This
intraoperative adaptability means that if the surgical plan evolves mid procedure, the implant can evolve with it. Titanium offers no such margin for refinement.
Strength without Compromise
Despite its lightweight profile, PEKK delivers strength and stability that meet or exceed the
mechanical demands of orthopaedic reconstruction. It resists deformation and maintains structural integrity under the stresses of normal healing and everyday function. Patients gain
the reassurance of a long term solution engineered to perform like natural bone while
remaining fully biocompatible and inert.

Surgical Efficiency and Patient Outcomes
A custom PEKK implant arrives ready for precise placement, reducing theatre time and eliminating the need for extensive intraoperative adjustments. Combined with the ability to visualise healing clearly, this efficiency translates to fewer repeat procedures, faster recovery, and better long term monitoring. Surgeons gain control, patients gain comfort, and healthcare systems benefit from lower overall costs.

Looking Beyond Titanium
The era of accepting imaging artefacts and post operative uncertainty is ending. Radiolucent,
modifiable, and biomechanically matched to bone, OsteoFab PEKK implants are not just an
alternative to titanium. They are a leap forward in reconstructive surgery. For surgeons seeking
the clearest images, the greatest flexibility, and the most natural integration, the choice is no
longer between materials. It is between old limitations and a future defined by clarity and
control.
Key Advantages at a Glance
Bone like density for improved biocompatibility
Complete radiolucency for enhanced ongoing surveillance
Only custom implant that can be modified intraoperatively
Lightweight yet mechanically robust
Reduced theatre time and faster recovery

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