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AccuShape PEEK implants, in comparison, are designed to match the defect and require minimal modification. The combination of titanium mesh and bone cement can amount to reportedly similar costs to PEEK if you include surgical involvement in the cost analysis.
Bone Cement Con’s: brittle, messy, wait time for material curing process in OR. Bone Cement Pro’s: osseointegrates with patient anatomy. PEEK: PEEK is stronger and more durable (similar to cortical bone) Peek pro skin#
Titanium Mesh Con’s: extended customization time in the OR, risk of sharp edges, “checkerboard pattern” through patient skin in cases without bone cement. Titanium Mesh Pro’s: osseointegrates with patient anatomy, customizable. While bone cement quickly begins osseointegration with patient anatomy, it may take several years to fully integrate. Titanium mesh and bone cement are commonly used in cases with a smaller defect sizes (under 100cm²) with the expectation of vascularizing the void with hydroxyapatite. PEEK: PEEK is stronger, PEEK is autoclavable vs. PMMA Con’s: PMMA traps microscopic air bubbles when manufactured – increasing risk of unsterilized exposure if modified in OR. PMMA Pro’s: Cost effective, not likely to break when modified with a burr tool. PMMA (polymethyl methacrylate) or Acrylic is useful in procedures needing increased modification. PEEK: Comparable, PEEK may be easier to sterilize PEKK Con’s: Porous, potential sterilization risk, may not support soft tissue adhesion due to its inert characteristics. PEKK Pro’s: Marketed minor osseointegration, manufactured patient-specific, similar to cortical bone. The 3D-printing process of PEKK leaves pores in the implant that the manufacturer sells as “promoting bone growth” while MedCAD would flag the implant as a sterilization risk. PEKK (poly ether ketone ketone) is a 3D-printed variant similar to PEEK material, operating in much the same way as PEEK. Other companies offer patient-specific PEEK implants in two weeks or more while MedCAD delivers within 4-5 days on average. Other Companies: MedCAD provides patient-specific PEEK implants to meet customer-specific needs like timeframe, customization, and high quality. PEEK Con’s: may not support soft tissue adhesion due to its inert characteristics. PEEK Pro’s: tough, durable, similar to cortical bone, receptive to common titanium fixation and screws, bio-inert, radiolucent, customized fit and ability to provide finely tapered edges, easy to remove if needed, manufactured patient-specific for minimal modification in OR. While the perception of PEEK is premium, MedCAD is continually improving the patient-specific medical device process in a way that makes PEEK competitive against all options. It is the “gold standard” for large defects and also well suited for small and standard defects. PEEK (poly ether ether ketone) is the preferred material for cranioplasty implants in hospitals around the world. The information below has been gathered from whitepapers and anecdotally from representatives in the field in an effort to best evaluate the market for cranial implants. 
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Here is a list of cranioplasty products used to fill voids and patch defects in the cranial skeleton.
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This special version of the famous Rider Back card design is inspired by the custom card back being uses on the table at the World Series of Poker® beginning in 2007.When choosing cranioplasty implants, how do you know which option is best? Know the pro’s and con’s of each material and application. Some players may prefer a couple extra shuffles in order to fine-tune the feel before the deck’s first use. The paper is slightly heavier than traditional Bicycle cards, and provides a premium feel.
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The Bicycle Pro Playing Cards Poker Peek are printed on custom casino paper, which includes cotton for extra durability. These Bicycle playing cards are also suitable for most other card games too.Įach Bicycle Pro™ playing card is individually cut, with a barely visible beveled edge that grips fingers for better control during shuffling. When the cards are on the table the jumbo center marking makes them more visible. The small, angled corner pip allows card peeking on any corner.
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Here are a few reasons:ĭeveloped especially for Texas Hold’em with input from professional poker players. Bicycle Pro Playing Cards Poker Peek BlueĬongratulations on owning the finest paper playing cards from the world’s top brand, Bicycle playing cards! No matter your level of play, Bicycle Pro Playing Cards Poker Peek are a great choice to put on the poker table at your next game.
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