Clinical application of three-dimensional printed metal prosthesis in joint surgery_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

CUI Yutao ¹ , LI Zuhao ¹ , WAN Qian ^1,2 , WANG Xianggang ^1,2 , LI Shengyang ¹ , REN Zhenxiao ^1,2 , WANG Zhonghan ¹ , YANG Fan ¹ ,  LIU He ¹ ,  WU Dankai ¹

1. Orthopaedic Medical Center, the Second Hospital of Jilin University, Changchun Jilin, 130041, P.R.China;
2. Clinical Medical College of Jilin University, Changchun Jilin, 130041, P.R.China;

Corresponding author：

LIU He, Email: heliu@ciac.ac.cn; WU Dankai, Email: wudankai@163.com

Keywords：

Three-dimensional printing; joint surgery; prosthesis design; clinical application

DOI：

10.7507/1002-1892.201901022

Video：

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Objective To summarize the application progress of three-dimensional (3D) printed metal prosthesis in joint surgery. Methods The related literature was extensively reviewed. The effectiveness of 3D printed metal prosthesis in treatment of joint surgery diseases were discussed and summarized, including the all key issues in prosthesis transplantation such as prosthesis stability, postoperative complications, bone ingrowth, etc. Results 3D printed metal prosthesis has good matching degree, can accurately reconstruct and restore joint function, reduce operation time, and achieve high patient satisfaction in short- and medium-term follow-up. Its application in joint surgery has made good progress. Conclusion The personalized microporous structure prostheses of different shapes produced by 3D printing can solve the problem of poor personalized matching of joints for special patients existing in traditional prostheses. Therefore, 3D printing technology is full of hope and will bring great potential to the reform of orthopedic practice in the future.

Citation： CUI Yutao, LI Zuhao, WAN Qian, WANG Xianggang, LI Shengyang, REN Zhenxiao, WANG Zhonghan, YANG Fan, LIU He, WU Dankai. Clinical application of three-dimensional printed metal prosthesis in joint surgery. Chinese Journal of Reparative and Reconstructive Surgery, 2019, 33(6): 774-777. doi: 10.7507/1002-1892.201901022 Copy

1.	Hoang D, Perrault D, Stevanovic M, et al. Surgical applications of three-dimensional printing: a review of the current literature & how to get started. Ann Transl Med, 2016, 4(23): 456.
2.	Mok SW, Nizak R, Fu SC, et al. From the printer: Potential of three-dimensional printing for orthopaedic applications. J Orthop Translat, 2016, 6: 42-49.
3.	王碧菠, 陈博, 李星辰, 等. 3D 打印距骨部件修复重建距骨病损的生物力学研究. 中国修复重建外科杂志, 2018, 32(3): 306-310.
4.	Zhang BG, Myers DE, Wallace GG, et al. Bioactive coatings for orthopaedic implants-recent trends in development of implant coatings. Int J Mol Sci, 2014, 15(7): 11878-11921.
5.	赵星, 余黎, 陶圣祥, 等. 3D 打印技术在严重肱骨远端骨缺损治疗中的应用观察. 中国修复重建外科杂志, 2018, 32(12): 1534-1539.
6.	Gross BC, Erkal JL, Lockwood SY, et al. Evaluation of 3D printing and its potential impact on biotechnology and the chemical sciences. Anal Chem, 2014, 86(7): 3240-3253.
7.	Derby B. Printing and prototyping of tissues and scaffolds. Science, 2012, 338(6109): 921-926.
8.	Brunello G, Sivolella S, Meneghello R, et al. Powder-based 3D printing for bone tissue engineering. Biotechnol Adv, 2016, 34(5): 740-753.
9.	Le Cann S, Galland A, Rosa B, et al. Does surface roughness influence the primary stability of acetabular cups? A numerical and experimental biomechanical evaluation. Med Eng Phys, 2014, 36(9): 1185-1190.
10.	Chikarakara E, Fitzpatrick P, Moore E, et al. In vitro fibroblast and pre-osteoblastic cellular responses on laser surface modified Ti-6Al-4V. Biomed Mater, 2014, 10(1): 015007.
11.	Chang B, Song W, Han T, et al. Influence of pore size of porous titanium fabricated by vacuum diffusion bonding of titanium meshes on cell penetration and bone ingrowth. Acta Biomater, 2016, 33: 311-321.
12.	Stoffelen DV, Eraly K, Debeer P. The use of 3D printing technology in reconstruction of a severe glenoid defect: a case report with 2.5 years of follow-up. J Shoulder Elbow Surg, 2015, 24(8): e218-e222.
13.	Fan H, Fu J, Li X, et al. Implantation of customized 3-D printed titanium prosthesis in limb salvage surgery: a case series and review of the literature. World J Surg Oncol, 2015, 13: 308.
14.	Boeckstyns ME. Wrist arthroplasty—a systematic review. Dan Med J, 2014, 61(5): A4834.
15.	Yeoh D, Tourret L. Total wrist arthroplasty: a systematic review of the evidence from the last 5 years. J Hand Surg Eur Vol, 2015, 40(5): 458-468.
16.	Reigstad O, Holm-Glad T, Thorkildsen R, et al. Successful conversion of wrist prosthesis to arthrodesis in 11 patients. J Hand Surg Eur Vol, 2017, 42(1): 84-89.
17.	Han Q, Qin YG, Zou Y, et al. Novel exploration of 3D printed wrist arthroplasty to solve the severe and complicated bone defect of wrist. Rapid Prototyping Journal, 2017, 23(3): 465-473.
18.	Unger AS, Lewis RJ, Gruen T. Evaluation of a porous tantalum uncemented acetabular cup in revision total hip arthroplasty: clinical and radiological results of 60 hips. J Arthroplasty, 2005, 20(8): 1002-1009.
19.	Nakashima Y, Mashima N, Imai H, et al. Clinical and radiographic evaluation of total hip arthroplasties using porous tantalum modular acetabular components: 5-year follow-up of clinical trial. Mod Rheumatol, 2013, 23(1): 112-118.
20.	Gruen TA, Poggie RA, Lewallen DG, et al. Radiographic evaluation of a monoblock acetabular component: a multicenter study with 2- to 5-year results. J Arthroplasty, 2005, 20(3): 369-378.
21.	Marin E, Fusi S, Pressacco M, et al. Characterization of cellular solids in Ti6Al4V for orthopaedic implant applications: Trabecular titanium. J Mech Behav Biomed Mater, 2010, 3(5): 373-381.
22.	Li H, Qu X, Mao Y, et al. Custom acetabular Cages offer stable fixation and improved hip scores for revision THA with severe bone defects. Clin Orthop Relat Res, 2016, 474(3): 731-740.
23.	Li H, Wang L, Mao Y, et al. Revision of complex acetabular defects using cages with the aid of rapid prototyping. J Arthroplasty, 2013, 28(10): 1770-1775.
24.	Berasi CC 4th, Berend KR, Adams JB, et al. Are custom triflange acetabular components effective for reconstruction of catastrophic bone loss? Clin Orthop Relat Res, 2015, 473(2): 528-535.
25.	Wong KC, Kumta SM, Geel NV, et al. One-step reconstruction with a 3D-printed, biomechanically evaluated custom implant after complex pelvic tumor resection. Comput Aided Surg, 2015, 20(1): 14-23.
26.	Keenan J, Chakrabarty G, Newman JH. Treatment of supracondylar femoral fracture above total knee replacement by custom made hinged prosthesis. Knee, 2000, 7(3): 165-170.
27.	Daines BK, Dennis DA. Management of bone defects in revision total knee arthroplasty. J Bone Joint Surg (Am), 2012, 94(12): 1131-1139.
28.	Luo W, Huang L, Liu H, et al. Customized knee prosthesis in treatment of giant cell tumors of the proximal tibia: application of 3-dimensional printing technology in surgical design. Med Sci Monit, 2017, 23: 1691-1700.
29.	Yin Q, Liu W, Wang S. Application of customized augments fabricated by rapid prototyping for severe bone defects of the knee. Chin Med J (Engl), 2014, 127(15): 2870-2871.
30.	Imanishi J, Choong PF. Three-dimensional printed calcaneal prosthesis following total calcanectomy. Int J Surg Case Rep, 2015, 10: 83-87.

1. Hoang D, Perrault D, Stevanovic M, et al. Surgical applications of three-dimensional printing: a review of the current literature & how to get started. Ann Transl Med, 2016, 4(23): 456.
2. Mok SW, Nizak R, Fu SC, et al. From the printer: Potential of three-dimensional printing for orthopaedic applications. J Orthop Translat, 2016, 6: 42-49.
3. 王碧菠, 陈博, 李星辰, 等. 3D 打印距骨部件修复重建距骨病损的生物力学研究. 中国修复重建外科杂志, 2018, 32(3): 306-310.
4. Zhang BG, Myers DE, Wallace GG, et al. Bioactive coatings for orthopaedic implants-recent trends in development of implant coatings. Int J Mol Sci, 2014, 15(7): 11878-11921.
5. 赵星, 余黎, 陶圣祥, 等. 3D 打印技术在严重肱骨远端骨缺损治疗中的应用观察. 中国修复重建外科杂志, 2018, 32(12): 1534-1539.
6. Gross BC, Erkal JL, Lockwood SY, et al. Evaluation of 3D printing and its potential impact on biotechnology and the chemical sciences. Anal Chem, 2014, 86(7): 3240-3253.
7. Derby B. Printing and prototyping of tissues and scaffolds. Science, 2012, 338(6109): 921-926.
8. Brunello G, Sivolella S, Meneghello R, et al. Powder-based 3D printing for bone tissue engineering. Biotechnol Adv, 2016, 34(5): 740-753.
9. Le Cann S, Galland A, Rosa B, et al. Does surface roughness influence the primary stability of acetabular cups? A numerical and experimental biomechanical evaluation. Med Eng Phys, 2014, 36(9): 1185-1190.
10. Chikarakara E, Fitzpatrick P, Moore E, et al. In vitro fibroblast and pre-osteoblastic cellular responses on laser surface modified Ti-6Al-4V. Biomed Mater, 2014, 10(1): 015007.
11. Chang B, Song W, Han T, et al. Influence of pore size of porous titanium fabricated by vacuum diffusion bonding of titanium meshes on cell penetration and bone ingrowth. Acta Biomater, 2016, 33: 311-321.
12. Stoffelen DV, Eraly K, Debeer P. The use of 3D printing technology in reconstruction of a severe glenoid defect: a case report with 2.5 years of follow-up. J Shoulder Elbow Surg, 2015, 24(8): e218-e222.
13. Fan H, Fu J, Li X, et al. Implantation of customized 3-D printed titanium prosthesis in limb salvage surgery: a case series and review of the literature. World J Surg Oncol, 2015, 13: 308.
14. Boeckstyns ME. Wrist arthroplasty—a systematic review. Dan Med J, 2014, 61(5): A4834.
15. Yeoh D, Tourret L. Total wrist arthroplasty: a systematic review of the evidence from the last 5 years. J Hand Surg Eur Vol, 2015, 40(5): 458-468.
16. Reigstad O, Holm-Glad T, Thorkildsen R, et al. Successful conversion of wrist prosthesis to arthrodesis in 11 patients. J Hand Surg Eur Vol, 2017, 42(1): 84-89.
17. Han Q, Qin YG, Zou Y, et al. Novel exploration of 3D printed wrist arthroplasty to solve the severe and complicated bone defect of wrist. Rapid Prototyping Journal, 2017, 23(3): 465-473.
18. Unger AS, Lewis RJ, Gruen T. Evaluation of a porous tantalum uncemented acetabular cup in revision total hip arthroplasty: clinical and radiological results of 60 hips. J Arthroplasty, 2005, 20(8): 1002-1009.
19. Nakashima Y, Mashima N, Imai H, et al. Clinical and radiographic evaluation of total hip arthroplasties using porous tantalum modular acetabular components: 5-year follow-up of clinical trial. Mod Rheumatol, 2013, 23(1): 112-118.
20. Gruen TA, Poggie RA, Lewallen DG, et al. Radiographic evaluation of a monoblock acetabular component: a multicenter study with 2- to 5-year results. J Arthroplasty, 2005, 20(3): 369-378.
21. Marin E, Fusi S, Pressacco M, et al. Characterization of cellular solids in Ti6Al4V for orthopaedic implant applications: Trabecular titanium. J Mech Behav Biomed Mater, 2010, 3(5): 373-381.
22. Li H, Qu X, Mao Y, et al. Custom acetabular Cages offer stable fixation and improved hip scores for revision THA with severe bone defects. Clin Orthop Relat Res, 2016, 474(3): 731-740.
23. Li H, Wang L, Mao Y, et al. Revision of complex acetabular defects using cages with the aid of rapid prototyping. J Arthroplasty, 2013, 28(10): 1770-1775.
24. Berasi CC 4th, Berend KR, Adams JB, et al. Are custom triflange acetabular components effective for reconstruction of catastrophic bone loss? Clin Orthop Relat Res, 2015, 473(2): 528-535.
25. Wong KC, Kumta SM, Geel NV, et al. One-step reconstruction with a 3D-printed, biomechanically evaluated custom implant after complex pelvic tumor resection. Comput Aided Surg, 2015, 20(1): 14-23.
26. Keenan J, Chakrabarty G, Newman JH. Treatment of supracondylar femoral fracture above total knee replacement by custom made hinged prosthesis. Knee, 2000, 7(3): 165-170.
27. Daines BK, Dennis DA. Management of bone defects in revision total knee arthroplasty. J Bone Joint Surg (Am), 2012, 94(12): 1131-1139.
28. Luo W, Huang L, Liu H, et al. Customized knee prosthesis in treatment of giant cell tumors of the proximal tibia: application of 3-dimensional printing technology in surgical design. Med Sci Monit, 2017, 23: 1691-1700.
29. Yin Q, Liu W, Wang S. Application of customized augments fabricated by rapid prototyping for severe bone defects of the knee. Chin Med J (Engl), 2014, 127(15): 2870-2871.
30. Imanishi J, Choong PF. Three-dimensional printed calcaneal prosthesis following total calcanectomy. Int J Surg Case Rep, 2015, 10: 83-87.

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