患者特定的三维打印骨科植入物和手术设备是传统技术的潜在替代品,但需要额外的表征。

IF 1.9 2区 医学 Q2 ORTHOPEDICS
Clinics in Orthopedic Surgery Pub Date : 2025-02-01 Epub Date: 2024-06-26 DOI:10.4055/cios23294
Aidan P McAnena, Taylor McClennen, Hua Zheng
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引用次数: 0

摘要

背景:三维(3D)打印使得解剖模型、引导和植入物可以很容易地为个体患者定制。三维打印设备可用于医疗领域的许多目的,但在骨科中缺乏3d打印患者特定植入物和手术指南的实施数据。这篇文献综述的目的是总结3D打印在骨科手术中的应用,并确定需要进一步研究的领域。方法:使用PubMed和Scopus进行文献检索。文章描述了3d打印患者特异性骨科植入物或术中指南进行了回顾。整理总结相关文章,确定个性化3d打印植入物在骨科手术中的作用。结果:共入选论文58篇。总的来说,3d打印的植入物和手术指南在选定的病例中被证明是有效的。骨肿瘤患者受益于定制的3d打印植入物,它允许积极切除,同时保留肢体的功能和机械稳定性。81%的设备是用钛制成的,48%的文章报道了3D打印在肿瘤学中的应用。一些报道的不良事件包括伤口裂开、假体周围感染、脱位和恶性肿瘤的后遗症。关于使用3d打印手术设备的规定是模糊的。结论:三维打印骨科植入物和引导物提供了商业设备的替代方案,因为它们允许可定制性,在解剖复杂的情况下是有用的。在多个亚专业中调查了各种材料。有必要进行大型对照研究,将患者特异性植入物与标准护理进行比较,并评估其长期的安全性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patient-Specific 3-Dimensional-Printed Orthopedic Implants and Surgical Devices Are Potential Alternatives to Conventional Technology But Require Additional Characterization.

Background: Three-dimensional (3D) printing allows anatomical models, guides, and implants to be easily customized to individual patients. Three-dimensional-printed devices can be used for a number of purposes in the medical field, yet there is a lack of data on the implementation of 3D-printed patient-specific implants and surgical guides in orthopedics. The objective of this review of the literature was to summarize the implementation of 3D printing in orthopedic surgery and identify areas that require more investigation.

Methods: PubMed and Scopus were used to perform a literature search. Articles that described 3D-printed patient-specific orthopedic implants or intraoperative guides were reviewed. Relevant articles were compiled and summarized to determine the role of personalized 3D-printed implants in orthopedic surgery.

Results: A total of 58 papers were selected. Overall, 3D-printed implants and surgical guides were shown to be effective in the selected cases. Patients with bone tumors benefitted from custom 3D-printed implants, which allow aggressive resection while preserving the function and mechanical stability of the limb. Eighty-one percent of devices were made using titanium, and 48% of articles reported the use of 3D printing in oncology. Some reported adverse events including wound dehiscence, periprosthetic infection, dislocation, and sequelae of malignancy. Regulations surrounding the use of 3D-printed surgical devices are ambiguous.

Conclusions: Three-dimensional-printed orthopedic implants and guides present an alternative to commercial devices, as they allow for customizability that is useful in cases of anatomic complexity. A variety of materials were surveyed across multiple subspecialties. Large controlled studies are necessary to compare patient-specific implants with the standard of care and evaluate their safety profiles over time.

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来源期刊
CiteScore
3.50
自引率
4.00%
发文量
85
审稿时长
36 weeks
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