Radial head replacement using personalized 3D printed porous tantalum prosthesis

Fractures of the radial head account for 33% of elbow fractures. More and more studies have found that the radial head plays an important role in the normal function of the elbow joint, and many complications will occur after resection of the radial head. Accurate treatment of radial head fractures...

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Main Authors: Changgui Zhang, Hao Chen, Huaquan Fan, Ran Xiong, Chengjun Huang, Yang Peng, Yangjing Lin, Fuyou Wang, Xiaojun Duan, Liu Yang
Format: Article
Language:English
Published: Elsevier 2022-09-01
Series:Journal of Materials Research and Technology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2238785422012601
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author Changgui Zhang
Hao Chen
Huaquan Fan
Ran Xiong
Chengjun Huang
Yang Peng
Yangjing Lin
Fuyou Wang
Xiaojun Duan
Liu Yang
author_facet Changgui Zhang
Hao Chen
Huaquan Fan
Ran Xiong
Chengjun Huang
Yang Peng
Yangjing Lin
Fuyou Wang
Xiaojun Duan
Liu Yang
author_sort Changgui Zhang
collection DOAJ
description Fractures of the radial head account for 33% of elbow fractures. More and more studies have found that the radial head plays an important role in the normal function of the elbow joint, and many complications will occur after resection of the radial head. Accurate treatment of radial head fractures is crucially important. At this stage, commercialized radial head prosthesis of fixed size is commonly used in radial head replacement, but the mismatch of prosthesis and material problems have resulted in many complications. The three-dimensional (3D) printed porous tantalum has good biocompatibility, is conducive to bone ingrowth, has ideal elastic modulus, and can be prepared into a highly porous material that can be designed to match the radial head according to each patient's personalized anatomical structure. The purpose of this study was to investigate the elbow joint function, complications and prosthesis conditions after radial head replacement using 3D printed porous tantalum. Seven patients with comminuted fracture of radial head in our Center received radial head replacement using 3D printed porous tantalum. Patients were followed on the elbow joint function, range of motion (ROM), elbow radiographs, postoperative complications, and bone condition of tantalum metal. quality situation. Follow-up data showed that the patients had less postoperative pain, improved elbow function and ROM, and bone ingrowth in the tantalum prosthesis. The 3D printing porous tantalum can be applied to hip replacement, knee replacement, and other patients with irregular bone defects such as bone tumor, bone deformity, etc., which has the potential to realize personalized and precise treatment.
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spelling doaj.art-d1f5cd44539f45b68c9663ffcf573eae2022-12-22T02:01:50ZengElsevierJournal of Materials Research and Technology2238-78542022-09-012037053713Radial head replacement using personalized 3D printed porous tantalum prosthesisChanggui Zhang0Hao Chen1Huaquan Fan2Ran Xiong3Chengjun Huang4Yang Peng5Yangjing Lin6Fuyou Wang7Xiaojun Duan8Liu Yang9Center for Joint Surgery, Southwest Hospital, Army Medical University, Chongqing, 400038, ChinaCenter for Joint Surgery, Southwest Hospital, Army Medical University, Chongqing, 400038, ChinaCenter for Joint Surgery, Southwest Hospital, Army Medical University, Chongqing, 400038, ChinaCenter for Joint Surgery, Southwest Hospital, Army Medical University, Chongqing, 400038, ChinaCenter for Joint Surgery, Southwest Hospital, Army Medical University, Chongqing, 400038, ChinaCenter for Joint Surgery, Southwest Hospital, Army Medical University, Chongqing, 400038, ChinaCenter for Joint Surgery, Southwest Hospital, Army Medical University, Chongqing, 400038, ChinaCorresponding author.; Center for Joint Surgery, Southwest Hospital, Army Medical University, Chongqing, 400038, ChinaCorresponding author.; Center for Joint Surgery, Southwest Hospital, Army Medical University, Chongqing, 400038, ChinaCorresponding author.; Center for Joint Surgery, Southwest Hospital, Army Medical University, Chongqing, 400038, ChinaFractures of the radial head account for 33% of elbow fractures. More and more studies have found that the radial head plays an important role in the normal function of the elbow joint, and many complications will occur after resection of the radial head. Accurate treatment of radial head fractures is crucially important. At this stage, commercialized radial head prosthesis of fixed size is commonly used in radial head replacement, but the mismatch of prosthesis and material problems have resulted in many complications. The three-dimensional (3D) printed porous tantalum has good biocompatibility, is conducive to bone ingrowth, has ideal elastic modulus, and can be prepared into a highly porous material that can be designed to match the radial head according to each patient's personalized anatomical structure. The purpose of this study was to investigate the elbow joint function, complications and prosthesis conditions after radial head replacement using 3D printed porous tantalum. Seven patients with comminuted fracture of radial head in our Center received radial head replacement using 3D printed porous tantalum. Patients were followed on the elbow joint function, range of motion (ROM), elbow radiographs, postoperative complications, and bone condition of tantalum metal. quality situation. Follow-up data showed that the patients had less postoperative pain, improved elbow function and ROM, and bone ingrowth in the tantalum prosthesis. The 3D printing porous tantalum can be applied to hip replacement, knee replacement, and other patients with irregular bone defects such as bone tumor, bone deformity, etc., which has the potential to realize personalized and precise treatment.http://www.sciencedirect.com/science/article/pii/S22387854220126013D printingPorous tantalumRadial head replacementPersonalized
spellingShingle Changgui Zhang
Hao Chen
Huaquan Fan
Ran Xiong
Chengjun Huang
Yang Peng
Yangjing Lin
Fuyou Wang
Xiaojun Duan
Liu Yang
Radial head replacement using personalized 3D printed porous tantalum prosthesis
Journal of Materials Research and Technology
3D printing
Porous tantalum
Radial head replacement
Personalized
title Radial head replacement using personalized 3D printed porous tantalum prosthesis
title_full Radial head replacement using personalized 3D printed porous tantalum prosthesis
title_fullStr Radial head replacement using personalized 3D printed porous tantalum prosthesis
title_full_unstemmed Radial head replacement using personalized 3D printed porous tantalum prosthesis
title_short Radial head replacement using personalized 3D printed porous tantalum prosthesis
title_sort radial head replacement using personalized 3d printed porous tantalum prosthesis
topic 3D printing
Porous tantalum
Radial head replacement
Personalized
url http://www.sciencedirect.com/science/article/pii/S2238785422012601
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