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基于3D打印模具铸造的定制型全膝关节置换植入物的早期结果

Early Results of a Patient-Specific Total Knee Arthroplasty Implant Cast From a 3D-Printed Mold.

作者信息

Roy Adam E, Mestriner Alexandre Barbieri, Antonelli Brielle, Ackermann Jakob, Chen Antonia F, Lange Jeffrey K

机构信息

Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, MA, USA.

Universidade Federal de Sao Paulo-Escola Paulista de Medicina, Sao Paulo, Brazil.

出版信息

Arthroplast Today. 2024 Nov 16;30:101558. doi: 10.1016/j.artd.2024.101558. eCollection 2024 Dec.

Abstract

BACKGROUND

The second generation of a custom total knee arthroplasty (TKA) implant cast from a 3D-printed mold was introduced into the market in 2012. The purpose of this retrospective study was to investigate short- to mid-term survivorship and complication rates of this novel implant.

METHODS

This study is a retrospective analysis of 314 TKA procedures (264 patients) performed by a single surgeon using a customized TKA from September 2012 to November 2015. Patient demographics, rate of implant revision, rate of reoperation for any reason, and rate of postoperative complications were recorded.

RESULTS

At the time of index surgery, the mean patient age was 64.7 years, and the mean follow-up duration was 3 years. At the final follow-up, implant survivorship free from revision was 98.1%, and survivorship free from reoperation for any reason was 92.4%.

CONCLUSIONS

Our analysis revealed favorable short- to mid-term survivorship for a customized TKA implant. While the short- to mid-term outcomes for this implant are promising, future studies are required to assess long-term outcomes and durability.

摘要

背景

2012年,一种由3D打印模具铸造的定制全膝关节置换术(TKA)植入物第二代产品进入市场。本回顾性研究的目的是调查这种新型植入物的短期至中期生存率和并发症发生率。

方法

本研究是对2012年9月至2015年11月期间由一名外科医生使用定制TKA进行的314例TKA手术(264例患者)的回顾性分析。记录患者人口统计学资料、植入物翻修率、因任何原因再次手术的发生率以及术后并发症发生率。

结果

在初次手术时,患者平均年龄为64.7岁,平均随访时间为3年。在最后一次随访时,无需翻修的植入物生存率为98.1%,因任何原因无需再次手术的生存率为92.4%。

结论

我们的分析显示定制TKA植入物具有良好的短期至中期生存率。虽然这种植入物的短期至中期结果很有前景,但需要进一步的研究来评估长期结果和耐用性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81af/11612652/a786bf5374e1/gr1.jpg

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