Management of tibial nonunion and osteoarthritis using a 3D-printed titanium cone: A case report
The use of customized 3D-printed structures has been gaining popularity in non-union management, as it allows for bypassing the defect while promoting osseointegration. Additionally, porous titanium implants minimize stress shielding due to their stiffness and elastic modulus being closer to that of...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S235264402300184X |
| _version_ | 1827596403153567744 |
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| author | Arash Sharafat Vaziri Ghazaleh Moradkhani Morad Karimpour Mohammad Naghi Tahmasebi Soodabeh Esfandiary Fardis Vosoughi Seyedeh Reihaneh Hosseini |
| author_facet | Arash Sharafat Vaziri Ghazaleh Moradkhani Morad Karimpour Mohammad Naghi Tahmasebi Soodabeh Esfandiary Fardis Vosoughi Seyedeh Reihaneh Hosseini |
| author_sort | Arash Sharafat Vaziri |
| collection | DOAJ |
| description | The use of customized 3D-printed structures has been gaining popularity in non-union management, as it allows for bypassing the defect while promoting osseointegration. Additionally, porous titanium implants minimize stress shielding due to their stiffness and elastic modulus being closer to that of bone. The interconnected channels increase the surface area and provide space for cell adhesion and proliferation. This study presents the case of a 62-year-old female patient with concomitant knee osteoarthritis recalcitrant aseptic atrophic nonunion in the tibial proximal metaphysis. Due to the small distance between the nonunion site and the joint line, nonunion treatment had to be included in the treatment plan, as it would result in a lack of mechanical stability of the tibial component, and techniques such as plating were not an option. A customized 3D-printed porous titanium cone was used to bypass the fracture site and support the stem used with the CCK prosthesis, allowing for simultaneous nonunion and osteoarthritis management. |
| first_indexed | 2024-03-09T03:09:08Z |
| format | Article |
| id | doaj.art-8e6a781f56d94e1cad172584cd5f5cc0 |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-03-09T03:09:08Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-8e6a781f56d94e1cad172584cd5f5cc02023-12-04T05:23:15ZengElsevierTrauma Case Reports2352-64402023-12-0148100937Management of tibial nonunion and osteoarthritis using a 3D-printed titanium cone: A case reportArash Sharafat Vaziri0Ghazaleh Moradkhani1Morad Karimpour2Mohammad Naghi Tahmasebi3Soodabeh Esfandiary4Fardis Vosoughi5Seyedeh Reihaneh Hosseini6Center of Orthopedic Trans-Disciplinary Applied Research (COTAR), Tehran University of Medical Sciences, Tehran, IranSchool of Mechanical Engineering, College of Engineering, University of Tehran, Tehran, IranSchool of Mechanical Engineering, College of Engineering, University of Tehran, Tehran, Iran; Corresponding author at: School of Mechanical Engineering, College of Engineering, University of Tehran, North Kargar St., Tehran, Iran.Center of Orthopedic Trans-Disciplinary Applied Research (COTAR), Tehran University of Medical Sciences, Tehran, IranCenter of Orthopedic Trans-Disciplinary Applied Research (COTAR), Tehran University of Medical Sciences, Tehran, IranDepartment of Orthopedic and Trauma Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, IranCenter of Orthopedic Trans-Disciplinary Applied Research (COTAR), Tehran University of Medical Sciences, Tehran, IranThe use of customized 3D-printed structures has been gaining popularity in non-union management, as it allows for bypassing the defect while promoting osseointegration. Additionally, porous titanium implants minimize stress shielding due to their stiffness and elastic modulus being closer to that of bone. The interconnected channels increase the surface area and provide space for cell adhesion and proliferation. This study presents the case of a 62-year-old female patient with concomitant knee osteoarthritis recalcitrant aseptic atrophic nonunion in the tibial proximal metaphysis. Due to the small distance between the nonunion site and the joint line, nonunion treatment had to be included in the treatment plan, as it would result in a lack of mechanical stability of the tibial component, and techniques such as plating were not an option. A customized 3D-printed porous titanium cone was used to bypass the fracture site and support the stem used with the CCK prosthesis, allowing for simultaneous nonunion and osteoarthritis management.http://www.sciencedirect.com/science/article/pii/S235264402300184XTibial nonunionCustomized implantsPorous titanium3D printingTotal knee arthroplasty |
| spellingShingle | Arash Sharafat Vaziri Ghazaleh Moradkhani Morad Karimpour Mohammad Naghi Tahmasebi Soodabeh Esfandiary Fardis Vosoughi Seyedeh Reihaneh Hosseini Management of tibial nonunion and osteoarthritis using a 3D-printed titanium cone: A case report Trauma Case Reports Tibial nonunion Customized implants Porous titanium 3D printing Total knee arthroplasty |
| title | Management of tibial nonunion and osteoarthritis using a 3D-printed titanium cone: A case report |
| title_full | Management of tibial nonunion and osteoarthritis using a 3D-printed titanium cone: A case report |
| title_fullStr | Management of tibial nonunion and osteoarthritis using a 3D-printed titanium cone: A case report |
| title_full_unstemmed | Management of tibial nonunion and osteoarthritis using a 3D-printed titanium cone: A case report |
| title_short | Management of tibial nonunion and osteoarthritis using a 3D-printed titanium cone: A case report |
| title_sort | management of tibial nonunion and osteoarthritis using a 3d printed titanium cone a case report |
| topic | Tibial nonunion Customized implants Porous titanium 3D printing Total knee arthroplasty |
| url | http://www.sciencedirect.com/science/article/pii/S235264402300184X |
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