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Erschienen in: Wiener klinische Wochenschrift 5-6/2013

01.03.2013 | original article

Rapid prototyping technique in the preoperative planning for total hip arthroplasty with custom femoral components

verfasst von: MD, PhD Cosmin Faur, PhD Nicolae Crainic, PhD Carmen Sticlaru, MD, PhD Cristian Oancea

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 5-6/2013

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Summary

One of the problems we come across in our practice is related to the patients with very disturbed anatomy structures of the hip joint due to the incompatibilities between standard implants and host bone. These incompatibilities are usually represented by an extreme narrowing of the femoral medullary canal or sometimes by disturbances of the diaphyseal anatomical axis of the femur and are encountered in younger patients who usually require pressfit uncemented implants in order to achieve a normal survivorship of the implant. In these particular cases, customized prosthetic components may represent an alternative, but there are still controversies regarding the biomechanical behavior of these implants compared to the standard components.
The use of prototypes for the receiving bone and for the prosthetic implant, respectively, is helpful in the validation process of the optimal model of custom implant by eliminating those designs that cannot be inserted into the medullar canal or those that could injure the receiving bone structure.
Prototype design and execution for both the implant and femoral structure by means of rapid prototyping technology represents a major advantage in carrying out the preoperative planning of this type of surgical interventions due to the possibility of preoperative simulation of the insertion of femoral component into the medullar canal.
Literatur
1.
Zurück zum Zitat Huo MH, Brown BS. What’s new in hip arthroplasty. J Bone Joint Surg Am. 2003;85(A):1852–64. PubMed Huo MH, Brown BS. What’s new in hip arthroplasty. J Bone Joint Surg Am. 2003;85(A):1852–64. PubMed
2.
Zurück zum Zitat Bibb R. Medical modelling. The application of advanced design and development techniques in medicine. s.l.: Woodhead Publishing Limited. 2006;100–10. Bibb R. Medical modelling. The application of advanced design and development techniques in medicine. s.l.: Woodhead Publishing Limited. 2006;100–10.
3.
Zurück zum Zitat Benum P, Aamodt A. Customized femoral stems. Review of 10 years experimental clinical research. Acta Orthopedica et Traumatologica Hellenica. 2000;51:346–57. Benum P, Aamodt A. Customized femoral stems. Review of 10 years experimental clinical research. Acta Orthopedica et Traumatologica Hellenica. 2000;51:346–57.
4.
Zurück zum Zitat Kosmas S, Koulouvaris PS, Mavrodontidis AN, Mitsionis GI, Xenakis TA. Total hip arthroplasty for congenital hip disease: Surgical difficulties and complications. J Bone Joint Surg Br. 2004;90B(Supp I):172. Kosmas S, Koulouvaris PS, Mavrodontidis AN, Mitsionis GI, Xenakis TA. Total hip arthroplasty for congenital hip disease: Surgical difficulties and complications. J Bone Joint Surg Br. 2004;90B(Supp I):172.
5.
Zurück zum Zitat Sun W, Lal P. Recent development on computer aided tissue engineering—a review. Comput Methods Programs Biomed. 2002;67:85–103. PubMedCrossRef Sun W, Lal P. Recent development on computer aided tissue engineering—a review. Comput Methods Programs Biomed. 2002;67:85–103. PubMedCrossRef
6.
Zurück zum Zitat Cruz F, Coole T. Fabrication of bioceramic/biopolymer bone implants using selective laser sintering. Int J Comput Appl T. 2009;36(1):16–24. CrossRef Cruz F, Coole T. Fabrication of bioceramic/biopolymer bone implants using selective laser sintering. Int J Comput Appl T. 2009;36(1):16–24. CrossRef
7.
Zurück zum Zitat Hollander DA, von Walter M, Wirtz T, Sellei R, Schmidt-Rohlfing B, Paar O, Erli HJ. Structural, mechanical and in vitro characterization of 6 custom implants for bone replacement and growth 105 individually structured Ti-6Al-4V produced by direct laser forming. Biomaterials. 2006;27(7):955–63. PubMedCrossRef Hollander DA, von Walter M, Wirtz T, Sellei R, Schmidt-Rohlfing B, Paar O, Erli HJ. Structural, mechanical and in vitro characterization of 6 custom implants for bone replacement and growth 105 individually structured Ti-6Al-4V produced by direct laser forming. Biomaterials. 2006;27(7):955–63. PubMedCrossRef
8.
Zurück zum Zitat Yang P, Wang C, Wang K, Shi Z, Gong F. Selection of femoral prosthesis in total hip replacement for ankylosing spondylitis. J First Mil Med Univ. 2005;25(12):1468–73. Yang P, Wang C, Wang K, Shi Z, Gong F. Selection of femoral prosthesis in total hip replacement for ankylosing spondylitis. J First Mil Med Univ. 2005;25(12):1468–73.
9.
Zurück zum Zitat Noble PC, Alexander JW, Lindajl LJ, Yew DT, Granberry WM, Tullos HS. The anatomic basis of femoral component design. Clin Orthop. 1988;235:148–65. PubMed Noble PC, Alexander JW, Lindajl LJ, Yew DT, Granberry WM, Tullos HS. The anatomic basis of femoral component design. Clin Orthop. 1988;235:148–65. PubMed
10.
Zurück zum Zitat Wettstein M, Mouhsine E, Argenson JN, Rubin PJ, Aubaniac JM, Leyvraz PF. Three-dimensional computed cementless custom femoral stems in young patients: midterm followup. Clin Orthop Relat Res. 2005;437:169–75. PubMedCrossRef Wettstein M, Mouhsine E, Argenson JN, Rubin PJ, Aubaniac JM, Leyvraz PF. Three-dimensional computed cementless custom femoral stems in young patients: midterm followup. Clin Orthop Relat Res. 2005;437:169–75. PubMedCrossRef
11.
Zurück zum Zitat Masár J. Ten-year experience with the Aldinger custom-made total hip arthroplasty: evaluation of the results. Acta Chir Orthop Traumatol Cech. 2007;74(3):175–81. PubMed Masár J. Ten-year experience with the Aldinger custom-made total hip arthroplasty: evaluation of the results. Acta Chir Orthop Traumatol Cech. 2007;74(3):175–81. PubMed
12.
Zurück zum Zitat Koulouvaris P, Stafylas K, Sculco T, Xenakis T. Custom-design implants for severe distorted proximal anatomy of the femur in young adults followed for 4–8 years. Acta Orthop. 2008;79(2):203–10. PubMedCrossRef Koulouvaris P, Stafylas K, Sculco T, Xenakis T. Custom-design implants for severe distorted proximal anatomy of the femur in young adults followed for 4–8 years. Acta Orthop. 2008;79(2):203–10. PubMedCrossRef
13.
Zurück zum Zitat Akbar M, Aldinger G, Krahmer K, Bruckner T, Aldinger P. Custom stems for femoral deformity in patients less than 40 years of age. Acta Orthop. 2009;80(4):420–5. PubMedCrossRef Akbar M, Aldinger G, Krahmer K, Bruckner T, Aldinger P. Custom stems for femoral deformity in patients less than 40 years of age. Acta Orthop. 2009;80(4):420–5. PubMedCrossRef
14.
Zurück zum Zitat Götze C, Rosenbaum D, Hoedemaker J, Bottner F, Steens W. Is there a need of custom-made prostheses for total hip arthroplasty? Gait analysis, clinical and radiographic analysis of customized femoral components. Arch Orthop Trauma Surg. 2009;129. Götze C, Rosenbaum D, Hoedemaker J, Bottner F, Steens W. Is there a need of custom-made prostheses for total hip arthroplasty? Gait analysis, clinical and radiographic analysis of customized femoral components. Arch Orthop Trauma Surg. 2009;129.
16.
Zurück zum Zitat Poukens J, Haex J, Riediger D. The use of rapid prototyping in the preoperative planning of distraction osteogenesis of the cranio-maxillofacial skeleton. Comput Aided Surg. 2003;8(3):146–54. Poukens J, Haex J, Riediger D. The use of rapid prototyping in the preoperative planning of distraction osteogenesis of the cranio-maxillofacial skeleton. Comput Aided Surg. 2003;8(3):146–54.
17.
Zurück zum Zitat Sekou Singare, Qin Lian, Wei Ping Wang, Jue Wang, Yaxiong Liu, Dichen Li, Bingheng Lu. Rapid prototyping assisted surgery planning and custom implant design. Rapid Prototyp J. 2009;15(1):19–23. Sekou Singare, Qin Lian, Wei Ping Wang, Jue Wang, Yaxiong Liu, Dichen Li, Bingheng Lu. Rapid prototyping assisted surgery planning and custom implant design. Rapid Prototyp J. 2009;15(1):19–23.
18.
Zurück zum Zitat Minnsa RJ, Bibb R, Banks R, Sutton RA. The use of a reconstructed three-dimensional solid model from CT to aid the surgical management of a total knee arthroplasty: a case study. Med Eng Phys. 2003;25(6):523–6. CrossRef Minnsa RJ, Bibb R, Banks R, Sutton RA. The use of a reconstructed three-dimensional solid model from CT to aid the surgical management of a total knee arthroplasty: a case study. Med Eng Phys. 2003;25(6):523–6. CrossRef
19.
Zurück zum Zitat Ravi B, Sharma A, Agarwal M. Haptic solid modeling for pelvic bone tumor resection planning and prosthesis development. Comput Aided Des Appl. 2005;2:1–4. Ravi B, Sharma A, Agarwal M. Haptic solid modeling for pelvic bone tumor resection planning and prosthesis development. Comput Aided Des Appl. 2005;2:1–4.
Metadaten
Titel
Rapid prototyping technique in the preoperative planning for total hip arthroplasty with custom femoral components
verfasst von
MD, PhD Cosmin Faur
PhD Nicolae Crainic
PhD Carmen Sticlaru
MD, PhD Cristian Oancea
Publikationsdatum
01.03.2013
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 5-6/2013
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-013-0335-1