The Possibilities of Personalized 3D Printed Implants—A Case Series Study
Abstract
:1. Introduction
2. Materials and Methods
3. Results
3.1. Clinical Case 1
3.2. Clinical Case 2
3.3. Clinical Case 3
3.4. Clinical Case 4
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Barcik, J.; Ernst, M.; Schwyn, R.; Freitag, L.; Dlaska, C.E.; Drenchev, L.; Todorov, S.; Skulev, H.; Epari, D.R.; Zeiter, S. Development of surgical tools and procedures for experimental preclinical surgery using computer simulations and 3D printing. Int. J. Online Biomed. Eng. 2020, 16, 183–195. [Google Scholar] [CrossRef]
- Ivanov, S.; Valchanov, P.; Hristov, S.; Veselinov, D.; Gueorguiev, B. Management of Complex Acetabular Fractures by Using 3D Printed Models. Medicina 2022, 58, 1854. [Google Scholar] [CrossRef] [PubMed]
- Pastor, T.; Nagy, L.; Fürnstahl, P.; Roner, S.; Pastor, T.; Schweizer, A. Three-Dimensional Planning and Patient-Specific Instrumentation for the Fixation of Distal Radius Fractures. Medicina 2022, 58, 744. [Google Scholar] [CrossRef] [PubMed]
- Rengier, F.; Mehndiratta, A.; von Tengg-Kobligk, H.; Zechmann, C.M.; Unterhinninghofen, R.; Kauczor, H.U.; Giesel, F.L. 3D printing based on imaging data: Review of medical applications. Int. J. Comput. Assist. Radiol. Surg. 2010, 5, 335–341. [Google Scholar] [CrossRef]
- Wong, K.C. 3D-printed patient-specific applications in orthopedics. Orthop. Res. Rev. 2016, 8, 57–66. [Google Scholar] [CrossRef] [Green Version]
- Jain, S.; Giannoudis, P.V. Arthrodesis of the hip and conversion to total hip arthroplasty: A systematic review. J. Arthroplast. 2013, 28, 1596–1602. [Google Scholar] [CrossRef]
- Citak, M.; Kochsiek, L.; Gehrke, T.; Haasper, C.; Suero, E.M.; Mau, H. Preliminary results of a 3D-printed acetabular component in the management of extensive defects. Hip. Int. 2018, 28, 266–271. [Google Scholar] [CrossRef]
- Amiot, L.P.; Labelle, H.; DeGuise, J.A.; Sati, M.; Brodeur, P.; Rivard, C.H. Computer-assisted pedicle screw fixation. A feasibility study. Spine 1995, 20, 1208–1212. [Google Scholar] [CrossRef]
- Nolte, L.P.; Zamorano, L.J.; Jiang, Z.; Wang, Q.; Langlotz, F.; Berlemann, U. Image-guided insertion of transpedicular screws. A laboratory set-up. Spine 1995, 20, 497–500. [Google Scholar] [CrossRef]
- Zheng, G.; Nolte, L.P. Computer-Assisted Orthopedic Surgery: Current State and Future Perspective. Front. Surg. 2015, 2, 66. [Google Scholar] [CrossRef]
- Foley, K.T.; Simon, D.A.; Rampersaud, Y.R. Virtual fluoroscopy: Computer-assisted fluoroscopic navigation. Spine 2001, 26, 347–351. [Google Scholar] [CrossRef] [PubMed]
- Joskowicz, L.; Milgrom, C.; Simkin, A.; Tockus, L.; Yaniv, Z. FRACAS: A system for computer-aided image-guided long bone fracture surgery. Comput. Aided Surg. 1998, 3, 271–288. [Google Scholar] [CrossRef] [PubMed]
- Rajasekaran, S.; Karthik, K.; Chandra, V.R.; Rajkumar, N.; Dheenadhayalan, J. Role of intraoperative 3D C-arm-based navigation in percutaneous excision of osteoid osteoma of long bones in children. J. Pediatr. Orthop. B 2010, 19, 195–200. [Google Scholar] [CrossRef] [PubMed]
- Qureshi, S.; Lu, Y.; McAnany, S.; Baird, E. Three-dimensional Intraoperative Imaging Modalities in Orthopaedic Surgery: A Narrative Review. J. Am. Acad. Orthop. Surg. 2014, 22, 800–809. [Google Scholar] [CrossRef] [PubMed]
- Zheng, G.; Kowal, J.; Ballester, M.A.G.; Caversaccio, M.; Nolte, L.-P. (i) Registration techniques for computer navigation. Curr. Orthop. 2007, 21, 170–179. [Google Scholar] [CrossRef]
- Varga, P.; Inzana, J.A.; Gueorguiev, B.; Südkamp, N.P.; Windolf, M. Validated computational framework for efficient systematic evaluation of osteoporotic fracture fixation in the proximal humerus. Med. Eng. Phys. 2018, 57, 29–39. [Google Scholar] [CrossRef]
- Schader, J.F.; Mischler, D.; Dauwe, J.; Richards, R.G.; Gueorguiev, B.; Varga, P. One size may not fit all: Patient-specific computational optimization of locking plates for improved proximal humerus fracture fixation. J. Shoulder Elbow. Surg. 2022, 31, 192–200. [Google Scholar] [CrossRef]
- Różyło, P. Numerical analysis of crack propagation in a steel specimen under bending. Appl. Comput. Sci. 2015, 11, 20–29. [Google Scholar]
- Karpiński, R.; Jaworski, Ł.; Szabelski, J. The design and structural analysis of the endoprosthesis of the hip joint. Appl. Comput. Sci. 2016, 12, 87–95. [Google Scholar]
- Karpiński, R.; Zubrzycki, J. Structural analysis of articular cartilage of the hip joint using finite element method. Adv. Sci. Technol. Res. J. 2016, 10, 240–246. [Google Scholar] [CrossRef] [Green Version]
- Czyżewski, W.; Jachimczyk, J.; Hoffman, Z.; Szymoniuk, M.; Litak, J.; Maciejewski, M.; Kura, K.; Rola, R.; Torres, K. Low-Cost Cranioplasty-A Systematic Review of 3D Printing in Medicine. Materials 2022, 15, 4731. [Google Scholar] [CrossRef] [PubMed]
- Lisiak-Myszke, M.; Marciniak, D.; Bieliński, M.; Sobczak, H.; Garbacewicz, Ł.; Drogoszewska, B. Application of Finite Element Analysis in Oral and Maxillofacial Surgery-A Literature Review. Materials 2020, 13, 3063. [Google Scholar] [CrossRef]
- Aimar, A.; Palermo, A.; Innocenti, B. The Role of 3D Printing in Medical Applications: A State of the Art. J. Healthc. Eng. 2019, 2019, 5340616. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Liang, H.; Ji, T.; Zhang, Y.; Wang, Y.; Guo, W. Reconstruction with 3D-printed pelvic endoprostheses after resection of a pelvic tumour. Bone Jt. J. 2017, 99, 267–275. [Google Scholar] [CrossRef] [PubMed]
- Sakai, T.; Sugano, N.; Nishii, T.; Haraguchi, K.; Ochi, T.; Ohzono, K. Stem length and canal filling in uncemented custom-made total hip arthroplasty. Int. Orthop. 1999, 23, 219–223. [Google Scholar] [CrossRef] [Green Version]
- Sharma, N.; Aghlmandi, S.; Dalcanale, F.; Seiler, D.; Zeilhofer, H.F.; Honigmann, P.; Thieringer, F.M. Quantitative Assessment of Point-of-Care 3D-Printed Patient-Specific Polyetheretherketone (PEEK) Cranial Implants. Int. J. Mol. Sci. 2021, 22, 8521. [Google Scholar] [CrossRef]
- Smellie, J.M. Commentary: Management of children with severe vesicoureteral reflux. J. Urol. 1992, 148, 1676–1678. [Google Scholar] [CrossRef]
- Sutradhar, A.; Park, J.; Carrau, D.; Nguyen, T.H.; Miller, M.J.; Paulino, G.H. Designing patient-specific 3D printed craniofacial implants using a novel topology optimization method. Med. Biol. Eng. Comput. 2016, 54, 1123–1135. [Google Scholar] [CrossRef]
- Tse, I.; Jay, A.; Na, I.; Murphy, S.; Niño-Martínez, N.; Martínez-Castañon, G.A.; Magrill, J.; Bach, H. Antimicrobial Activity of 3D-Printed Acrylonitrile Butadiene Styrene (ABS) Polymer-Coated with Silver Nanoparticles. Materials 2021, 14, 7681. [Google Scholar] [CrossRef]
- Yuan, W.; He, X.; Zhou, X.; Zhu, Y. Hydroxyapatite Nanoparticle-Coated 3D-Printed Porous Ti6Al4V and CoCrMo Alloy Scaffolds and Their Biocompatibility to Human Osteoblasts. J. Nanosci. Nanotechnol. 2018, 18, 4360–4365. [Google Scholar] [CrossRef]
- Zheng, J.; Chen, X.; Jiang, W.; Zhang, S.; Chen, M.; Yang, C. An innovative total temporomandibular joint prosthesis with customized design and 3D printing additive fabrication: A prospective clinical study. J. Transl. Med. 2019, 17, 4. [Google Scholar] [CrossRef] [PubMed]
- Berlinberg, E.J.; Kavian, J.A.; Roof, M.A.; Shichman, I.; Frykberg, B.; Lutes, W.B.; Schnaser, E.A.; Jones, S.A.; McCalden, R.W.; Schwarzkopf, R. Minimum 2-Year Outcomes of a Novel 3D-printed Fully Porous Titanium Acetabular Shell in Revision Total Hip Arthroplasty. Arthroplast. Today 2022, 18, 39–44. [Google Scholar] [CrossRef] [PubMed]
- Darwich, K.; Ismail, M.B.; Al-Mozaiek, M.Y.A.; Alhelwani, A. Reconstruction of mandible using a computer-designed 3D-printed patient-specific titanium implant: A case report. Oral Maxillofac. Surg. 2021, 25, 103–111. [Google Scholar] [CrossRef]
- Meglioli, M.; Naveau, A.; Macaluso, G.M.; Catros, S. 3D printed bone models in oral and cranio-maxillofacial surgery: A systematic review. 3D Print Med. 2020, 6, 30. [Google Scholar] [CrossRef] [PubMed]
- Safali, S.; Eravsar, E.; Özdemir, A.; Çiftci, S.; Ertaş, E.S.; Acar, M.A. Treatment of Comminuted Radial Head Fractures with Personalized Radial Head Prosthesis Produced with 3D Printing Technology. J. Shoulder Elbow. Surg. 2022, 22, 812–816. [Google Scholar] [CrossRef] [PubMed]
- Valente, G.; Benedetti, M.G.; Paolis, M.; Sambri, A.; Frisoni, T.; Leardini, A.; Donati, D.M.; Taddei, F. Long-term functional recovery in patients with custom-made 3D-printed anatomical pelvic prostheses following bone tumor excision. Gait Posture 2022, 97, 73–79. [Google Scholar] [CrossRef] [PubMed]
- Xu, L.; Qin, H.; Tan, J.; Cheng, Z.; Luo, X.; Tan, H.; Huang, W. Clinical study of 3D printed personalized prosthesis in the treatment of bone defect after pelvic tumor resection. J. Orthop. Translat. 2021, 29, 163–169. [Google Scholar] [CrossRef]
- Wong, K.C.; Kumta, S.M.; Geel, N.V.; Demol, J. One-step reconstruction with a 3D-printed, biomechanically evaluated custom implant after complex pelvic tumor resection. Comput. Aided Surg. 2015, 20, 14–23. [Google Scholar] [CrossRef]
- Harrysson, O.L.; Cansizoglu, O.; Marcellin-Little, D.J.; Cormier, D.R.; West II, H.A. Direct metal fabrication of titanium implants with tailored materials and mechanical properties using electron beam melting technology. Mater. Sci. Eng. C 2008, 28, 366–373. [Google Scholar] [CrossRef]
- Honigmann, P.; Sharma, N.; Okolo, B.; Popp, U.; Msallem, B.; Thieringer, F.M. Patient-Specific Surgical Implants Made of 3D Printed PEEK: Material, Technology, and Scope of Surgical Application. Biomed. Res. Int. 2018, 2018, 4520636. [Google Scholar] [CrossRef] [Green Version]
- Kim, J.W.; Yang, B.E.; Hong, S.J.; Choi, H.G.; Byeon, S.J.; Lim, H.K.; Chung, S.M.; Lee, J.H.; Byun, S.H. Bone Regeneration Capability of 3D Printed Ceramic Scaffolds. Int. J. Mol. Sci. 2020, 21, 4837. [Google Scholar] [CrossRef] [PubMed]
- Park, J.H.; Jung, S.Y.; Lee, C.K.; Ban, M.J.; Lee, S.J.; Kim, H.Y.; Oh, H.J.; Kim, B.K.; Park, H.S.; Jang, S.H.; et al. A 3D-printed polycaprolactone/β-tricalcium phosphate mandibular prosthesis: A pilot animal study. Laryngoscope 2020, 130, 358–366. [Google Scholar] [CrossRef] [PubMed]
- Hothi, H.; Dall’Ava, L.; Henckel, J.; Di Laura, A.; Iacoviello, F.; Shearing, P.; Hart, A. Evidence of structural cavities in 3D printed acetabular cups for total hip arthroplasty. J. Biomed. Mater Res. B Appl. Biomater. 2020, 108, 1779–1789. [Google Scholar] [CrossRef]
- Wixted, C.M.; Peterson, J.R.; Kadakia, R.J.; Adams, S.B. Three-dimensional Printing in Orthopaedic Surgery: Current Applications and Future Developments. J. Am. Acad. Orthop. Surg. Glob. Res. Rev. 2021, 5, e20.00230-00211. [Google Scholar] [CrossRef] [PubMed]
- Cho, W.; Job, A.V.; Chen, J.; Baek, J.H. A Review of Current Clinical Applications of Three-Dimensional Printing in Spine Surgery. Asian Spine J. 2018, 12, 171–177. [Google Scholar] [CrossRef] [Green Version]
- Lal, H.; Patralekh, M.K. 3D printing and its applications in orthopaedic trauma: A technological marvel. J. Clin. Orthop. Trauma 2018, 9, 260–268. [Google Scholar] [CrossRef]
- Papagelopoulos, P.J.; Savvidou, O.D.; Koutsouradis, P.; Chloros, G.D.; Bolia, I.K.; Sakellariou, V.I.; Kontogeorgakos, V.A.; Mavrodontis, I.I.; Mavrogenis, A.F.; Diamantopoulos, P. Three-dimensional Technologies in Orthopedics. Orthopedics 2018, 41, 12–20. [Google Scholar] [CrossRef]
- Chung, K.J.; Huang, B.; Choi, C.H.; Park, Y.W.; Kim, H.N. Utility of 3D Printing for Complex Distal Tibial Fractures and Malleolar Avulsion Fractures: Technical Tip. Foot Ankle Int. 2015, 36, 1504–1510. [Google Scholar] [CrossRef]
- Kim, H.N.; Liu, X.N.; Noh, K.C. Use of a real-size 3D-printed model as a preoperative and intraoperative tool for minimally invasive plating of comminuted midshaft clavicle fractures. J. Orthop. Surg. Res. 2015, 10, 91. [Google Scholar] [CrossRef] [Green Version]
- Monica, J.T.; Mudgal, C.S. Radial head arthroplasty. Hand Clin. 2010, 26, 403–410. [Google Scholar] [CrossRef]
- Van Riet, R.P.; Van Glabbeek, F.; Neale, P.G.; Bortier, H.; An, K.N.; O’Driscoll, S.W. The noncircular shape of the radial head. J. Hand Surg. Am. 2003, 28, 972–978. [Google Scholar] [CrossRef] [PubMed]
- Puchwein, P.; Heidari, N.; Dorr, K.; Struger, L.; Pichler, W. Computer-aided analysis of radial head morphometry. Orthopedics 2013, 36, e51–e57. [Google Scholar] [CrossRef] [PubMed]
- Kachooei, A.R.; Baradaran, A.; Ebrahimzadeh, M.H.; van Dijk, C.N.; Chen, N. The Rate of Radial Head Prosthesis Removal or Revision: A Systematic Review and Meta-Analysis. J. Hand Surg. Am. 2018, 43, 39–53.e31. [Google Scholar] [CrossRef] [PubMed]
- Angst, F.; Goldhahn, J.; John, M.; Herren, D.B.; Simmen, B.R. Comparison of rheumatic and post-traumatic elbow joints after total elbow arthroplasty. Comprehensive and specific evaluation of clinical picture, function, and quality of life. Orthopade 2005, 34, 794–800. [Google Scholar] [CrossRef]
- Parise, G.K.; Guebur, M.I.; Ramos, G.H.A.; Groth, A.K.; da Silva, A.B.D.; Sassi, L.M. Evaluation of complications and flap losses in mandibular reconstruction with microvascularized fibula flap. Oral Maxillofac. Surg. 2018, 22, 281–284. [Google Scholar] [CrossRef] [PubMed]
- Zheng, J.S.; Wei, X.; Jiao, Z.X.; Liu, X.H.; Chen, M.J.; Jiang, W.B.; Yang, C. Development and clinical application of custom-made temporomandibular joint-skull base combined prosthesis. Zhonghua Kou Qiang Yi Xue Za Zhi 2021, 56, 627–632. [Google Scholar] [CrossRef]
- Fujiwara, T.; Stevenson, J.; Parry, M.; Le Nail, L.R.; Tsuda, Y.; Grimer, R.; Jeys, L. Pelvic reconstruction using an ice-cream cone prosthesis: Correlation between the inserted length of the coned stem and surgical outcome. Int. J. Clin. Oncol. 2021, 26, 1139–1146. [Google Scholar] [CrossRef]
- Wan, L.; Wu, G.; Cao, P.; Li, K.; Li, J.; Zhang, S. Curative effect and prognosis of 3D printing titanium alloy trabecular cup and pad in revision of acetabular defect of hip joint. Exp. Ther. Med. 2019, 18, 659–663. [Google Scholar] [CrossRef] [Green Version]
- Lopez-Heredia, M.A.; Goyenvalle, E.; Aguado, E.; Pilet, P.; Leroux, C.; Dorget, M.; Weiss, P.; Layrolle, P. Bone growth in rapid prototyped porous titanium implants. J. Biomed. Mater. Res. A 2008, 85, 664–673. [Google Scholar] [CrossRef]
- Ryan, G.; Pandit, A.; Apatsidis, D.P. Fabrication methods of porous metals for use in orthopaedic applications. Biomaterials 2006, 27, 2651–2670. [Google Scholar] [CrossRef]
- Trace, A.P.; Ortiz, D.; Deal, A.; Retrouvey, M.; Elzie, C.; Goodmurphy, C.; Morey, J.; Hawkins, C.M. Radiology’s Emerging Role in 3-D Printing Applications in Health Care. J. Am. Coll. Radiol. 2016, 13, 856–862.e854. [Google Scholar] [CrossRef] [PubMed]
Case | Age (Years) | Sex | Weight (kg) | Cardiovascular Disease | Diabetes | Smoking | Other Disease |
---|---|---|---|---|---|---|---|
1 | 41 | M | 78 | No | No | Yes | Not known |
2 | 18 | F | 51 | No | No | No | Not known |
3 | 58 | F | 85 | No | No | No | Not known |
4 | 65 | M | 81 | Hypertension | No | No | Asthma |
Case | Localization | Functional Results | Patient Satisfaction |
---|---|---|---|
1 | Radial head | Full ROM in elbow & forearm | Excellent |
2 | Distal humerus | 140° flexion 10° restricted extension Full supnation and pronation | Good |
3 | Mandibula | Can speak and eat easily Symmetrical mouth opening and closing | Excellent |
4 | Acetabulum | No leg length discrepancy 100° flexion 10° extension 20° internal rotation 30°external rotation 40° abduction 10° adduction Painless walking with full weight-bearing | Excellent |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Safali, S.; Berk, T.; Makelov, B.; Acar, M.A.; Gueorguiev, B.; Pape, H.-C. The Possibilities of Personalized 3D Printed Implants—A Case Series Study. Medicina 2023, 59, 249. https://doi.org/10.3390/medicina59020249
Safali S, Berk T, Makelov B, Acar MA, Gueorguiev B, Pape H-C. The Possibilities of Personalized 3D Printed Implants—A Case Series Study. Medicina. 2023; 59(2):249. https://doi.org/10.3390/medicina59020249
Chicago/Turabian StyleSafali, Selim, Till Berk, Biser Makelov, Mehmet Ali Acar, Boyko Gueorguiev, and Hans-Christoph Pape. 2023. "The Possibilities of Personalized 3D Printed Implants—A Case Series Study" Medicina 59, no. 2: 249. https://doi.org/10.3390/medicina59020249