Clinical and radiological outcomes in three-dimensional printing assisted revision total hip and knee arthroplasty: a systematic review

Rui Zhang,Wenge Liu,Fenyong Chen,Min Chen,Jiajun Lin

doi:10.1186/s13018-021-02646-5

Abstract

BackgroundThis study investigates whether three-dimensional (3D) printing-assisted revision total hip/knee arthroplasty could improve its clinical and radiological outcomes and assess the depth and breadth of research conducted on 3D printing-assisted revision total hip and knee arthroplasty.MethodsA literature search was carried out on PubMed, Web of Science, EMBASE, and the Cochrane Library. Only studies that investigated 3D printing-assisted revision total hip and knee arthroplasty were included. The author, publication year, study design, number of patients, patients’ age, the time of follow-up, surgery category, Coleman score, clinical outcomes measured, clinical outcomes conclusion, radiological outcomes measured, and radiological outcomes conclusion were extracted and analyzed.ResultsTen articles were included in our review. Three articles investigated the outcome of revision total knee arthroplasty, and seven investigated the outcome of revision total hip arthroplasty. Two papers compared a 3D printing group with a control group, and the other eight reported 3D printing treatment outcomes alone. Nine articles investigated the clinical outcomes of total hip/knee arthroplasty, and eight studied the radiological outcomes of total hip/knee arthroplasty.Conclusion3D printing is being introduced in revision total hip and knee arthroplasty. Current literature suggests satisfactory clinical and radiological outcomes could be obtained with the assistance of 3D printing. Further long-term follow-up studies are required, particularly focusing on cost-benefit analysis, resource availability, and, importantly, the durability and biomechanics of customized prostheses using 3D printing compared to traditional techniques.

Highlights

With the increasingly aging global population, the incidence of degenerative joint diseases, such as hip and knee osteoarthritis and necrosis of the femoral head, has increased in recent decades
Demographics According to our inclusion and exclusion criteria, ten articles were included in our review, with publication years ranging from 2015 to 2021
Three articles investigated the outcome of revision total knee arthroplasty (RTKA), while seven articles investigated the outcome of revision total hip arthroplasty (RTHA)

Summary

Introduction

With the increasingly aging global population, the incidence of degenerative joint diseases, such as hip and knee osteoarthritis and necrosis of the femoral head, has increased in recent decades. Total hip arthroplasty and total knee arthroplasty are currently considered effective treatment options for end-stage joint degenerative diseases [1, 2]. As the number of primary arthroplasties has increased, complications such as periprosthetic osteolysis, aseptic loosening, periprosthetic fractures, and periprosthetic infections have increasingly been associated with the need for revision surgery. Revision surgery is often more traumatic and is associated with longer operation times, more blood loss, and a greater impact on patients’ perioperative recovery. This study investigates whether three-dimensional (3D) printing-assisted revision total hip/knee arthroplasty could improve its clinical and radiological outcomes and assess the depth and breadth of research conducted on 3D printing-assisted revision total hip and knee arthroplasty

Objectives

Methods

Results

Discussion

Conclusion