3D Printing Hip Prostheses Offer Accurate Reconstruction, Stable Fixation, and Functional Recovery for Revision Total Hip Arthroplasty with Complex Acetabular Bone Defect
Complicated and large acetabular bone defects present the main challenges and difficulty in the revision of total hip arthroplasty (THA). This study aimed to explore the advantages of three-dimensional (3D) printing technology in the reconstruction of such acetabular bone defects. We retrospectively...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2020-11-01
|
| Series: | Engineering |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2095809920302356 |
| _version_ | 1819075973903024128 |
|---|---|
| author | Yongqiang Hao Lei Wang Wenbo Jiang Wen Wu Songtao Ai Lu Shen Shuang Zhao Kerong Dai |
| author_facet | Yongqiang Hao Lei Wang Wenbo Jiang Wen Wu Songtao Ai Lu Shen Shuang Zhao Kerong Dai |
| author_sort | Yongqiang Hao |
| collection | DOAJ |
| description | Complicated and large acetabular bone defects present the main challenges and difficulty in the revision of total hip arthroplasty (THA). This study aimed to explore the advantages of three-dimensional (3D) printing technology in the reconstruction of such acetabular bone defects. We retrospectively analyzed the prognosis of four severe bone defects around the acetabulum in three patients who were treated using 3D printing technology. Reconstruction of bone defect by conventional methods was difficult in these patients. In this endeavor, we used radiographic methods, related computer software such as Materialise's interactive medical image control system and Siemens NX software, and actual surgical experience to estimate defect volume, prosthesis stability, and installation accuracy, respectively. Moreover, a Harris hip score was obtained to evaluate limb function. It was found that bone defects could be adequately reconstructed using a 3D printing prosthesis, and its stability was reliable. The Harris hip score indicated a very good functional recovery in all three patients. In conclusion, 3D printing technology had a good therapeutic effect on both complex and large bone defects in the revision of THA. It was able to achieve good curative effects in patients with large bone defects. |
| first_indexed | 2024-12-21T18:33:55Z |
| format | Article |
| id | doaj.art-a8a167a610874532a05ec4ed5cb39010 |
| institution | Directory Open Access Journal |
| issn | 2095-8099 |
| language | English |
| last_indexed | 2024-12-21T18:33:55Z |
| publishDate | 2020-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Engineering |
| spelling | doaj.art-a8a167a610874532a05ec4ed5cb390102022-12-21T18:54:12ZengElsevierEngineering2095-80992020-11-01611128512903D Printing Hip Prostheses Offer Accurate Reconstruction, Stable Fixation, and Functional Recovery for Revision Total Hip Arthroplasty with Complex Acetabular Bone DefectYongqiang Hao0Lei Wang1Wenbo Jiang2Wen Wu3Songtao Ai4Lu Shen5Shuang Zhao6Kerong Dai7Department of Orthopedics, Shanghai Ninth People’s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200011, China; Corresponding authors.Department of Orthopedics, Shanghai Ninth People’s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200011, China; Corresponding authors.Medical 3D Printing Innovation Research Center, Shanghai Ninth People’s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200011, ChinaDepartment of Orthopedics, Shanghai Ninth People’s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200011, ChinaDepartment of Radiology, Shanghai Ninth People’s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200011, ChinaMedical 3D Printing Innovation Research Center, Shanghai Ninth People’s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200011, ChinaDepartment of Orthopedics, Shanghai Ninth People’s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200011, ChinaDepartment of Orthopedics, Shanghai Ninth People’s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200011, China; Corresponding authors.Complicated and large acetabular bone defects present the main challenges and difficulty in the revision of total hip arthroplasty (THA). This study aimed to explore the advantages of three-dimensional (3D) printing technology in the reconstruction of such acetabular bone defects. We retrospectively analyzed the prognosis of four severe bone defects around the acetabulum in three patients who were treated using 3D printing technology. Reconstruction of bone defect by conventional methods was difficult in these patients. In this endeavor, we used radiographic methods, related computer software such as Materialise's interactive medical image control system and Siemens NX software, and actual surgical experience to estimate defect volume, prosthesis stability, and installation accuracy, respectively. Moreover, a Harris hip score was obtained to evaluate limb function. It was found that bone defects could be adequately reconstructed using a 3D printing prosthesis, and its stability was reliable. The Harris hip score indicated a very good functional recovery in all three patients. In conclusion, 3D printing technology had a good therapeutic effect on both complex and large bone defects in the revision of THA. It was able to achieve good curative effects in patients with large bone defects.http://www.sciencedirect.com/science/article/pii/S20958099203023563D printingHip revisionComplex and large acetabular bone defectAccurate reconstruction |
| spellingShingle | Yongqiang Hao Lei Wang Wenbo Jiang Wen Wu Songtao Ai Lu Shen Shuang Zhao Kerong Dai 3D Printing Hip Prostheses Offer Accurate Reconstruction, Stable Fixation, and Functional Recovery for Revision Total Hip Arthroplasty with Complex Acetabular Bone Defect Engineering 3D printing Hip revision Complex and large acetabular bone defect Accurate reconstruction |
| title | 3D Printing Hip Prostheses Offer Accurate Reconstruction, Stable Fixation, and Functional Recovery for Revision Total Hip Arthroplasty with Complex Acetabular Bone Defect |
| title_full | 3D Printing Hip Prostheses Offer Accurate Reconstruction, Stable Fixation, and Functional Recovery for Revision Total Hip Arthroplasty with Complex Acetabular Bone Defect |
| title_fullStr | 3D Printing Hip Prostheses Offer Accurate Reconstruction, Stable Fixation, and Functional Recovery for Revision Total Hip Arthroplasty with Complex Acetabular Bone Defect |
| title_full_unstemmed | 3D Printing Hip Prostheses Offer Accurate Reconstruction, Stable Fixation, and Functional Recovery for Revision Total Hip Arthroplasty with Complex Acetabular Bone Defect |
| title_short | 3D Printing Hip Prostheses Offer Accurate Reconstruction, Stable Fixation, and Functional Recovery for Revision Total Hip Arthroplasty with Complex Acetabular Bone Defect |
| title_sort | 3d printing hip prostheses offer accurate reconstruction stable fixation and functional recovery for revision total hip arthroplasty with complex acetabular bone defect |
| topic | 3D printing Hip revision Complex and large acetabular bone defect Accurate reconstruction |
| url | http://www.sciencedirect.com/science/article/pii/S2095809920302356 |
| work_keys_str_mv | AT yongqianghao 3dprintinghipprosthesesofferaccuratereconstructionstablefixationandfunctionalrecoveryforrevisiontotalhiparthroplastywithcomplexacetabularbonedefect AT leiwang 3dprintinghipprosthesesofferaccuratereconstructionstablefixationandfunctionalrecoveryforrevisiontotalhiparthroplastywithcomplexacetabularbonedefect AT wenbojiang 3dprintinghipprosthesesofferaccuratereconstructionstablefixationandfunctionalrecoveryforrevisiontotalhiparthroplastywithcomplexacetabularbonedefect AT wenwu 3dprintinghipprosthesesofferaccuratereconstructionstablefixationandfunctionalrecoveryforrevisiontotalhiparthroplastywithcomplexacetabularbonedefect AT songtaoai 3dprintinghipprosthesesofferaccuratereconstructionstablefixationandfunctionalrecoveryforrevisiontotalhiparthroplastywithcomplexacetabularbonedefect AT lushen 3dprintinghipprosthesesofferaccuratereconstructionstablefixationandfunctionalrecoveryforrevisiontotalhiparthroplastywithcomplexacetabularbonedefect AT shuangzhao 3dprintinghipprosthesesofferaccuratereconstructionstablefixationandfunctionalrecoveryforrevisiontotalhiparthroplastywithcomplexacetabularbonedefect AT kerongdai 3dprintinghipprosthesesofferaccuratereconstructionstablefixationandfunctionalrecoveryforrevisiontotalhiparthroplastywithcomplexacetabularbonedefect |