3D打印技术辅助重建髋臼骨缺损的临床研究进展
Clinical Research Progress on 3D Printing Technology Assisted Reconstruction of Acetabular Bone Defects
DOI: 10.12677/ACM.2023.1371593, PDF,   
作者: 依力亚尔·吐达洪：新疆医科大学研究生院，新疆 乌鲁木齐；韩衍龙, 王 利*：新疆维吾尔自治区人民医院骨科中心，新疆 乌鲁木齐
关键词: 髋关节置换术；髋臼骨缺损；3D打印技术；Hip Joint Replacement； Acetabular Bone Defect； 3D Printing Technology
摘要: 全髋关节置换术中髋臼骨的缺损对于骨科医师是巨大的挑战。既往的髋臼骨缺损重建技术都有一定的缺点，然而随着3D打印技术的快速发展，该技术在关节外科中的应用也得到了飞速的发展。3D打印在髋臼骨缺损中的应用包括3D打印解剖模型和3D打印定制假体等。根据国内外研究者的中长期随访结果来看，该技术明显的提高的手术的精确性和假体的稳定性，术后患者的活动度和生活质量也得到了明显的改善。同时3D打印技术同样也面临着一些挑战和问题，但是随着研究的推进、临床病例的积累和新的材料的应用，3D打印技术在髋臼骨缺损的应用一定会得到迅速的发展。
Abstract: The acetabular bone defect during total hip Joint replacement is a great challenge for orthopedic surgeons. Previous techniques for reconstructing acetabular bone defects have certain drawbacks, but with the rapid development of 3D printing technology, its application in joint surgery has also been rapidly developed. The application of 3D printing in acetabular bone defects includes 3D printed anatomical models and 3D printed customized prostheses. According to the long-term fol-low-up results of domestic and foreign researchers, this technology has significantly improved the accuracy of surgery and the stability of the prosthesis, as well as the postoperative mobility and quality of life of patients. At the same time, 3D printing technology also faces some challenges and problems. However, with the advancement of research, the accumulation of clinical cases, and the application of new materials, the application of 3D printing technology in acetabular bone defects will definitely develop rapidly.
文章引用：依力亚尔·吐达洪, 韩衍龙, 王利. 3D打印技术辅助重建髋臼骨缺损的临床研究进展[J]. 临床医学进展, 2023, 13(7): 11395-11401. https://doi.org/10.12677/ACM.2023.1371593

参考文献

[1] 马骏, 张子安, 王英振. MAKO机械臂辅助全髋关节置换术在不同类型髋关节疾病中的早期疗效分析[J]. 临床医学进展, 2023(4): 6221-6229.
[2] Kurtz, S., Ong, K., Lau, E., Mowat, F. and Halpern, M. (2007) Projections of Primary and Revision Hip and Knee Arthroplasty in the United States from 2005 to 2030. The Journal of Bone & Joint Surgery, 89, 780-785. [Google Scholar] [CrossRef] 
[3] De La Torre-Escuredo, B., GóMez-Garcí, A.E., ÁLva-rez-Villar, S., Bujan, J. and Ortega, M.A. (2020) Bone Impaction Grafting with Trabecular Metal Augments in Large Defects in Young Patients: Unravelling a New Perspective in Surgical Technique. BMC Musculoskeletal Disorders, 21, Article No. 581. [Google Scholar] [CrossRef] [PubMed]
[4] Whitehouse, M.R., Masri, B.A., Duncan, C.P. and Garbuz, D.S. (2015) Continued Good Results with Modular Trabecular Metal Augments for Acetabular Defects in Hip Arthroplasty at 7 to 11 Years. Clinical Orthopaedics and Related Research, 473, 521-527. [Google Scholar] [CrossRef] [PubMed]
[5] Innocenti, M., Muratori, F., Mazzei, G., et al. (2022) The Use of a Non-Biological, Bridging, Antiprotrusio Cage in Complex Revision Hip Arthroplasty and Periacetabular Reconstructive Oncologic Surgery. Is Still Today a Valid Option? A Mid/Long-Term Survival and Complications’ Analysis. Archives of Orthopaedic and Trauma Surgery, 142, 681-690. [Google Scholar] [CrossRef] [PubMed]
[6] Sershon, R.A., Mcdonald, J.F., Nagda, S., Hamilton, W.G. and Engh Jr, C.A. (2021) Custom Triflange Cups: 20-Year Experience. The Journal of Arthroplasty, 36, 3264-3268. [Google Scholar] [CrossRef] [PubMed]
[7] Sharma, A., Kirkland, K.S., Holloway, R.M. and Parekh, S.G. (2021) Incorporating 3D Printing into Your Practice: Lessons Learned. Foot & Ankle Specialist, 14, 361-365. [Google Scholar] [CrossRef] [PubMed]
[8] Galvez, M., Asahi, T., Baar, A., et al. (2018) Use of Three-Dimensional Printing in Orthopaedic Surgical Planning. AAOS: Global Research and Reviews, 2, e071. [Google Scholar] [CrossRef] 
[9] Cassar-Gheiti, A.J., Mei, X.Y., Afenu, E.A., et al. (2021) Midterm Outcomes after Reconstruction of Superolateral Acetabular Defects Using Flying Buttress Porous Tan-talum Augments during Revision Total Hip Arthroplasty. The Journal of Arthroplasty, 36, 2936-2941. [Google Scholar] [CrossRef] [PubMed]
[10] Ciriviri, J., Nestorovski, Z., Talevski, D., Vranishkovski, T. and Kosto, H. (2019) Treatment of Acetabular Defects with Porous Metal Augments in Revision Hip Surgery. Prilozi, 40, 33-39. [Google Scholar] [CrossRef] [PubMed]
[11] Eachempati, K.K., Malhotra, R., Pichai, S., et al. (2018) Re-sults of Trabecular Metal Augments in Paprosky IIIA and IIIB Defects: A Multicentre Study. The Bone & Joint Journal, 100-B, 903-908. [Google Scholar] [CrossRef] 
[12] Wang, C.X., Huang, Z.D., Wu, B.J., et al. (2020) Cup-Cage Solution for Massive Acetabular Defects: A Systematic Review and Meta-Analysis. Orthopaedic Sur-gery, 12, 701-707. [Google Scholar] [CrossRef] [PubMed]
[13] Buttaro, M.A., Comba, F., Pusso, R. and Piccaluga, F. (2008) Acetabular Revision with Metal Mesh, Impaction Bone Grafting, and a Cemented Cup. Clinical Orthopaedics and Related Research, 466, 2482-2490. [Google Scholar] [CrossRef] [PubMed]
[14] Goodman, S., Saastamoinen, H., Shasha, N. and Gross, A. (2004) Complications of Ilioischial Reconstruction Rings in Revision Total Hip Arthroplasty. The Journal of Arthroplasty, 19, 436-446. [Google Scholar] [CrossRef] [PubMed]
[15] Taunton, M.J., Fehring, T.K., Edwards, P., et al. (2017) Pelvic Discontinuity Treated with Custom Triflange Component: A Reliable Option. Clinical Orthopaedics and Related Research, 470, 428-434. [Google Scholar] [CrossRef] [PubMed]
[16] Fryhofer, G.W., Ramesh, S. and Sheth, N.P. (2020) Acetabular Reconstruction in Revision Total Hip Arthroplasty. Journal of Clinical Orthopaedics and Trauma, 11, 22-28. [Google Scholar] [CrossRef] [PubMed]
[17] Babis, G.C. and Nikolaou, V.S. (2021) Pelvic Discontinuity: A Challenge to Overcome. EFORT Open Reviews, 6, 459-471. [Google Scholar] [CrossRef] [PubMed]
[18] Peng, Y.W., Shen, J.M., Zhang, Y.C., et al. (2021) Jumbo Cup in Hip Joint Renovation May Cause the Center of Rotation to Increase. World Journal of Clinical Cases, 9, 6300-6307. [Google Scholar] [CrossRef] [PubMed]
[19] Nwankwo, C.D. and Ries, M.D. (2014) Do Jumbo Cups Cause Hip Center Elevation in Revision THA? A Radiographic Evaluation. Clinical Orthopaedics and Related Research, 472, 2793-2798. [Google Scholar] [CrossRef] [PubMed]
[20] Woo, S.H., Sung, M.J., Park, K.S. and Yoon, T.R. (2020) Three-Dimensional-Printing Technology in Hip and Pelvic Surgery: Current Landscape. Hip Pelvis, 32, 1-10. [Google Scholar] [CrossRef] [PubMed]
[21] Yan, L., Wang, P. and Zhou, H. (2020) 3D Printing Navigation Tem-plate Used in Total Hip Arthroplasty for Developmental Dysplasia of the Hip. Indian Journal of Orthopaedics, 54, 856-862. [Google Scholar] [CrossRef] [PubMed]
[22] Klein, G.T., Lu, Y. and Wang, M.Y. (2013) 3D Printing and Neurosurgery—Ready for Prime Time? World Neurosurgery, 80, 233-235. [Google Scholar] [CrossRef] [PubMed]
[23] Kumar, P., Vatsya, P., Rajnish, R.K., Hooda, A. and Dhillon, M.S. (2021) Application of 3D Printing in Hip and Knee Arthroplasty: A Narrative Review. Indian Journal of Orthopaedics, 55, 14-26. [Google Scholar] [CrossRef] [PubMed]
[24] Jiang, M., Chen, G., Coles-Black, J., Chuen, J. and Hardidge, A. (2020) Three-Dimensional Printing in Orthopaedic Preoperative Planning Improves Intraoperative Metrics: A Systematic Review. ANZ Journal of Surgery, 90, 243-250. [Google Scholar] [CrossRef] [PubMed]
[25] Bizzotto, N., Tami, I., Santucci, A., et al. (2015) 3D Printed Replica of Ar-ticular Fractures for Surgical Planning and Patient Consent: A Two Years Multi-Centric Experience. 3D Printing in Medicine, 2, Article No. 2. [Google Scholar] [CrossRef] [PubMed]
[26] Jentzsch, T., Vlachopoulos, L., FüRnstahl, P., Müller, D.A. and Fuchs, B. (2016) Tumor Resection at the Pelvis Using Three-Dimensional Planning and Patient-Specific Instruments: A Case Series. World Journal of Surgical Oncology, 14, Article No. 249. [Google Scholar] [CrossRef] [PubMed]
[27] Jiang, M., Coles-Black, J., Chen, G., et al. (2021) 3D Printed Pa-tient-Specific Complex Hip Arthroplasty Models Streamline the Preoperative Surgical Workflow: A Pilot Study. Fron-tiers in Surgery, 8, Article 687379. [Google Scholar] [CrossRef] [PubMed]
[28] Zerr, J., Chatzinoff, Y., Chopra, R., Estrera, K. and Chhabra, A. (2016) Three-Dimensional Printing for Preoperative Planning of Total Hip Arthroplasty Revision: Case Report. Skeletal Radiology, 45, 1431-1435. [Google Scholar] [CrossRef] [PubMed]
[29] Hughes, A.J., Debuitleir, C., Soden, P., et al. (2017) 3D Printing Aids Acetabular Reconstruction in Complex Revision Hip Arthroplasty. Advances in Orthopedics, 2017, Article ID: 8925050. [Google Scholar] [CrossRef] [PubMed]
[30] Chen, X.J., Xu, L., Wang, Y.P., Hao, Y.Q. and Wang, L. (2016) Image-Guided Installation of 3D-Printed Patient-Specific Implant and Its Application in Pelvic Tumor Resection and Reconstruction Surgery. Computer Methods and Programs in Biomedicine, 125, 66-78. [Google Scholar] [CrossRef] [PubMed]
[31] Gruber, M.S., Jesenko, M., Burghuber, J., et al. (2020) Function-al and Radiological Outcomes after Treatment with Custom-Made Acetabular Components in Patients with Paprosky Type 3 Acetabular Defects: Short-Term Results. BMC Musculoskeletal Disorders, 21, Article No. 835. [Google Scholar] [CrossRef] [PubMed]
[32] Dall’ava, L., Hothi, H., Henckel, J., et al. (2021) Osseointegra-tion of Retrieved 3D-Printed, Off-the-Shelf Acetabular Implants. Bone and Joint Research, 10, 388-400. [Google Scholar] [CrossRef] 
[33] Dall’ava, L., Hothi, H., Henckel, J., et al. (2020) Characterization of Dimensional, Morphological and Morphometric Features of Retrieved 3D-Printed Acetabular Cups for Hip Arthroplasty. Journal of Orthopaedic Surgery and Research, 15, Article No. 157. [Google Scholar] [CrossRef] [PubMed]
[34] Wyatt, M.C. (2015) Custom 3D-Printed Acetabular Implants in Hip Surgery—Innovative Breakthrough or Expensive Bespoke Upgrade? HIP International, 25, 375-379. [Google Scholar] [CrossRef] [PubMed]
[35] Zhang, Y., Gao, Z., Zhang, B., et al. (2022) The Application of Cus-tom-Made 3D-Printed Titanium Augments Designed through Surgical Simulation for Severe Bone Defects in Complex Revision Total Hip Arthroplasty. Journal of Orthopaedics and Traumatology, 23, Article No. 37. [Google Scholar] [CrossRef] [PubMed]
[36] Wang, S., Wang, L., Liu, Y., et al. (2017) 3D Printing Technol-ogy Used in Severe Hip Deformity. Experimental and Therapeutic Medicine, 14, 2595-2599. [Google Scholar] [CrossRef] [PubMed]
[37] Xia, R.Z., Zhai, Z.J., Chang, Y.Y. and Li, H.W. (2019) Clinical Appli-cations of 3-Dimensional Printing Technology in Hip Joint. Orthopaedic Surgery, 11, 533-544. [Google Scholar] [CrossRef] [PubMed]
[38] Mao, Y., Xu, C., Xu, J., et al. (2015) The Use of Customized Cages in Re-vision Total Hip Arthroplasty for Paprosky Type III Acetabular Bone Defects. International Orthopaedics, 39, 2023-2030. [Google Scholar] [CrossRef] [PubMed]
[39] Kieser, D.C., Ailabouni, R., Kieser, S.C.J., et al. (2018) The Use of an Ossis Custom 3D-Printed Tri-Flanged Acetabular Implant for Major Bone Loss: Minimum 2-Year Follow-Up. HIP International, 28, 668-674. [Google Scholar] [CrossRef] [PubMed]
[40] De Martino, I., Strigelli, V., Cacciola, G., et al. (2019) Survivor-ship and Clinical Outcomes of Custom Triflange Acetabular Components in Revision Total Hip Arthroplasty: A System-atic Review. The Journal of Arthroplasty, 34, 2511-2518. [Google Scholar] [CrossRef] [PubMed]
[41] Baauw, M., Van Hellemondt, G.G., Van Hooff, M.L. and Spruit, M. (2015) The Accuracy of Positioning of a Custom-Made Implant within a Large Acetabular Defect at Revision Arthroplasty of the Hip. The Bone and Joint Journal, 97-B, 780-785. [Google Scholar] [CrossRef] 
[42] Volpin, A., Konan, S., Biz, C., Tansey, R.J. and Haddad, F.S. (2019) Reconstruction of Failed Acetabular Component in the Presence of Severe Acetabular Bone Loss: A Systematic Review. Musculoskeletal Surgery, 103, 1-13. [Google Scholar] [CrossRef] [PubMed]
[43] Chiarlone, F., Zanirato, A., Cavagnaro, L., et al. (2020) Acetabu-lar Custom-Made Implants for Severe Acetabular Bone Defect in Revision Total Hip Arthroplasty: A Systematic Review of the Literature. Archives of Orthopaedic and Trauma Surgery, 140, 415-424. [Google Scholar] [CrossRef] [PubMed]
[44] Malahias, M.A., Ma, Q.L., Gu, A., et al. (2020) Outcomes of Acetabular Reconstructions for the Management of Chronic Pelvic Discontinuity: A Systematic Review. The Journal of Arthroplasty, 35, 1145-1153.E2. [Google Scholar] [CrossRef] [PubMed]
[45] Liang, S., Xie, J., Wang, F.Y., Jing, J.H. and Li, J. (2021) Applica-tion of Three-Dimensional Printing Technology in Peripheral Hip Diseases. Bioengineered, 12, 5883-5891. [Google Scholar] [CrossRef] [PubMed]
[46] Zhang, J.W., Liu, X.L., Zeng, Y.M., et al. (2021) Compari-son of 3D Printing Rapid Prototyping Technology with Traditional Radiographs in Evaluating Acetabular Defects in Re-vision Hip Arthroplasty: A Prospective and Consecutive Study. Orthopaedic Surgery, 13, 1773-1780. [Google Scholar] [CrossRef] [PubMed]
[47] Tack, P., Victor, J., Gemmel, P. and Annemans, L. (2021) Do Custom 3D-Printed Revision Acetabular Implants Provide Enough Value to Justify the Additional Costs? The Health-Economic Comparison of a New Porous 3D-Printed Hip Implant for Revision Arthroplasty of Paprosky Type 3B Acetabular De-fects and Its Closest Alternative. Orthopaedics & Traumatology: Surgery & Research, 107, Article ID: 102600. [Google Scholar] [CrossRef] [PubMed]

为你推荐