Personalized three-dimensional printed osteotomy guider applied in total knee arthroplasty

doi:10.3969/j.issn.2095-4344.1053

Abstract

Abstract:

BACKGROUND: Traditional total knee arthroplasty mainly depends on the intramedullary/extramedullary alignment guiders and intraoperative computer-assisted navigation technology, but both have disadvantages. Personalized three-dimensional printed osteotomy guider in total knee arthroplasty will not open the medullary cavity, can reduce the blood loss and incidence of fat embolism, and hold exact osteotomy.

OBJECTIVE: To explore the effectiveness and safety of three-dimensional printing technology-assisted total knee arthroplasty versus traditional total knee arthroplasty.

METHODS: Ten patients undergoing primary total knee arthroplasty from January 2017 to January 2018 were enrolled, and randomized into three-dimensional printing and traditional groups (n=5 per group), followed by undergoing total knee arthroplasty using personalized three-dimensional printed osteotomy guider and traditional technology, respectively. The Hospital for Special Surgery scores at baseline and 3 months postoperatively, operation time, blood loss, postoperative anatomical parameters on X-ray films (femoral flexion angle at orthographic and lateral knee, tibia angle), and incidence of complications were recorded in both groups.

RESULTS AND CONCLUSION: (1) The operation time and blood loss in the three-dimensional printing group were significantly less than those in the traditional group (P=0.000). (2) There were no significant differences in the Hospital for Special Surgery scores at 3 months postoperatively and anatomical parameters on X-ray films between two groups (P > 0.05). The Hospital for Special Surgery scores at 3 months postoperatively in both groups were significantly improved compared with the baseline (P=0.000). (3) Complications occurred in neither groups. (4) These results indicate that the three-dimensional printing technology and traditional technology both obtain satisfactory treatment outcomes in total knee arthroplasty. Additionally, personalized three-dimensional printed osteotomy can shorten the operation time and reduce blood loss.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

Key words: Arthroplasty, Replacement, Knee, Prostheses and Implants, Joint Prosthesis, Tissue Engineering

CLC Number:

R459.9

Chen Yong, Wang Zenghui, Piao Chengzhe. Personalized three-dimensional printed osteotomy guider applied in total knee arthroplasty[J]. Chinese Journal of Tissue Engineering Research, 2019, 23(8): 1155-1160.

Figures/Tables 4

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