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Revision for Solid-Body Breakage of the 3D-Printed Implant Following Joint-Sparing Surgery: A Technical Note.

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  • Additional Information
    • Source:
      Publisher: Wiley on behalf of the Chinese Orthopedic Association Country of Publication: Australia NLM ID: 101501666 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1757-7861 (Electronic) Linking ISSN: 17577853 NLM ISO Abbreviation: Orthop Surg Subsets: MEDLINE
    • Publication Information:
      Publication: 2013- : Richmond, Vic. Wiley on behalf of the Chinese Orthopedic Association
      Original Publication: Richmond, Vic. : Tianjin : Blackwell Pub. Asia ; Tianjin Hospital, 2009-
    • Subject Terms:
      Knee Joint*/surgery ; Tibia*/surgery; Humans ; Prosthesis Design ; Printing, Three-Dimensional ; Retrospective Studies
    • Abstract:
      Background: The advent of three-dimensional (3D)-printed custom-made implants has revolutionized orthopaedic surgery, particularly in limb- and joint-sparing surgeries. However, clinical experience in the revision for 3D-printed implant breakage is lacking, and the revision surgery remains challenging. This study reported the revision of proximal tibial prosthetic reconstruction necessitated by solid-body breakage of a 3D-printed implant, aiming to detail the surgical techniques and evaluate postoperative outcomes.
      Case Presentation: A patient diagnosed with osteosarcoma underwent joint-sparing surgery with a 3D-printed implant, but implant breakage occurred during subsequent follow-up. The initial implant was broken into two parts: the proximal implant breakage part (IBP) integrated with the host bone and the distal IBP left in the prosthetic component. Four revision protocols were devised, each based on one of the four hypothesis results of taking out the initial implant. A new custom-made implant and a series of assistance devices ("positioning devices," "drill devices," "tap devices," and "separator devices") were specifically prepared for revision surgery. The proximal IBP was taken out from the host bone, but the distal IBP was not taken out from the initial prosthetic component. The patient received the new custom-made implant for reconstruction, with the knee joint preserved. The patient recovered uneventfully after revision surgery and achieved satisfactory function. The Musculoskeletal Tumor Society was 28 at the last follow-up. No complications were detected during the follow-up period.
      Conclusion: Comprehensive preoperative planning and preparation, enabling the surgeon to effectively address intraoperative challenges, are crucial for the successful revision of 3D-printed implant breakage. It is feasible to re-implant a 3D-printed custom-made implant, demonstrating satisfactory clinical and functional results.
      (© 2024 The Authors. Orthopaedic Surgery published by Tianjin Hospital and John Wiley & Sons Australia, Ltd.)
    • References:
      J Orthop Surg Res. 2023 Jun 29;18(1):468. (PMID: 37386639)
      Case Rep Orthop. 2015;2015:485729. (PMID: 25793134)
      Int Orthop. 2022 Dec;46(12):2971-2981. (PMID: 36083497)
      Clin Orthop Relat Res. 2010 Nov;468(11):2904-13. (PMID: 20544320)
      BMC Cancer. 2023 Aug 24;23(1):795. (PMID: 37620771)
      J Arthroplasty. 2017 Feb;32(2):610-615. (PMID: 27665242)
      Clin Orthop Relat Res. 2010 Aug;468(8):2198-210. (PMID: 20033359)
      J Pers Med. 2021 Apr 28;11(5):. (PMID: 33924789)
      Eur J Orthop Surg Traumatol. 2013 Apr;23(3):357-60. (PMID: 23412286)
      World J Surg Oncol. 2021 Aug 8;19(1):235. (PMID: 34365976)
      World J Surg Oncol. 2018 Mar 6;16(1):47. (PMID: 29510728)
      J Surg Oncol. 2020 Mar;121(3):570-577. (PMID: 31902136)
      Case Rep Orthop. 2014;2014:896348. (PMID: 24587928)
      J Oncol. 2019 Dec 26;2019:9417284. (PMID: 32082379)
      Recent Results Cancer Res. 2009;179:39-50. (PMID: 19230533)
      Eklem Hastalik Cerrahisi. 2014;25(2):112-6. (PMID: 25036399)
      Orthopade. 2019 Sep;48(9):744-751. (PMID: 31392387)
      Front Bioeng Biotechnol. 2023 Jan 12;10:1098973. (PMID: 36714618)
      Bioact Mater. 2021 Apr 06;6(11):3659-3670. (PMID: 33898870)
    • Grant Information:
      ZYJC18036 1·3·5 project for disciplines of excellence, West China Hospital, Sichuan University
    • Contributed Indexing:
      Keywords: 3D‐Printed Implant; Breakage; Proximal Tibia; Reconstruction; Revision
    • Publication Date:
      Date Created: 20240205 Date Completed: 20240403 Latest Revision: 20240404
    • Publication Date:
      20250114
    • Accession Number:
      PMC10984813
    • Accession Number:
      10.1111/os.13983
    • Accession Number:
      38316419