Evaluating Effectiveness, Safety, and Patient Outcomes of 3D Printing in Orthopedic Implant Design and Customization: A PRISMA-Complaint Systematic Review.

Mainak Roy, Madhan Jeyaraman, Naveen Jeyaraman, Arpit Sahu, Sanjeevi Bharadwaj, Abhijith K Jayan
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引用次数: 0

Abstract

Introduction: The advent of 3D printing technology has revolutionized the field of orthopedics, particularly in the design and customization of implants. This study aims to evaluate the effectiveness, safety, and patient outcomes associated with the use of 3D-printed custom implants for various orthopedic conditions.

Materials and methods: The systematic review was registered in PROSPERO (CRD42025648097). The literature search analyzed studies from multiple databases, focusing on parameters, such as implant fit, functionality, surgical outcomes, and patient satisfaction. Studies were selected based on their relevance to 3D-printed custom implants for various orthopedic conditions.

Results: The analysis included data from numerous studies, highlighting several key findings, such as (a) customization: 3D-printed implants provide a highly personalized fit that conforms precisely to individual anatomies, enhancing biomechanical performance and reducing complications, (b) surgical outcomes: The use of 3D-printed implants significantly reduces surgery time and intraoperative errors due to advanced imaging and meticulous pre-operative planning, (c) patient satisfaction: Patients reported higher satisfaction rates due to improved implant stability and functionality, leading to quicker recovery and a better quality of life post-surgery, and (d) challenges: The high costs of 3D printing technology and concerns about the long-term durability and performance of 3D-printed implants remain significant barriers to widespread adoption.

Conclusion: The integration of 3D printing technology into orthopedic implant design represents a transformative advancement, offering significant improvements in patient-specific outcomes and surgical precision. Despite financial and technical challenges, the potential benefits of delivering personalized, high-quality care are substantial. Future research should focus on long-term follow-up studies to provide comprehensive evidence on the safety and durability of 3D-printed implants, and efforts should be made to reduce production costs and streamline manufacturing processes to enhance accessibility.

Level of evidence: Systematic review and meta-analysis, Level II.

评估3D打印在骨科植入物设计和定制中的有效性、安全性和患者结果:prism投诉系统综述。
导读:3D打印技术的出现彻底改变了骨科领域,特别是在植入物的设计和定制方面。本研究旨在评估在各种骨科疾病中使用3d打印定制植入物的有效性、安全性和患者预后。材料和方法:系统评价在PROSPERO注册(CRD42025648097)。文献检索分析了来自多个数据库的研究,重点关注参数,如种植体配合度、功能、手术结果和患者满意度。研究是根据其与各种骨科疾病的3d打印定制植入物的相关性来选择的。结果:分析包括来自大量研究的数据,突出了几个关键发现,例如:(a)定制:3d打印植入物提供高度个性化的配合,完全符合个人解剖结构,增强生物力学性能并减少并发症;(b)手术结果:由于先进的成像和细致的术前计划,使用3d打印植入物显着减少了手术时间和术中错误;(c)患者满意度。由于植入物的稳定性和功能得到改善,患者的满意度更高,从而更快恢复,术后生活质量更好。(d)挑战:3D打印技术的高成本以及对3D打印植入物长期耐用性和性能的担忧仍然是广泛采用的重大障碍。结论:将3D打印技术整合到骨科植入物设计中代表了一种变革性的进步,在患者特异性结果和手术精度方面提供了显着改善。尽管存在资金和技术方面的挑战,但提供个性化、高质量护理的潜在好处是巨大的。未来的研究应侧重于长期的随访研究,为3d打印植入物的安全性和耐用性提供全面的证据,并努力降低生产成本,简化制造工艺,提高可及性。证据水平:系统评价和荟萃分析,二级。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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