Personalized three-dimensional printed polyether-ether-ketone prosthesis for reconstruction after subtotal removal of chronic clavicle osteomyelitis: A case report.

Autor: Chen C; Department of Orthopaedics, The Affiliated Hospital of Southwest Medical University.; Sichuan Province Laboratory of Orthopaedic Engineering, Luzhou City, Sichuan Province., Yin Y; Department of Orthopaedics, The Affiliated Hospital of Southwest Medical University.; Sichuan Province Laboratory of Orthopaedic Engineering, Luzhou City, Sichuan Province., Xu H; Department of Orthopaedics, The Affiliated Hospital of Southwest Medical University.; Sichuan Province Laboratory of Orthopaedic Engineering, Luzhou City, Sichuan Province., Li Z; Department of Orthopaedics, The Affiliated Hospital of Southwest Medical University.; Sichuan Province Laboratory of Orthopaedic Engineering, Luzhou City, Sichuan Province., Wang F; Center for Joint Surgery, Southwest Hospital, Third Military Medical University, Chongqing, China., Chen G; Department of Orthopaedics, The Affiliated Hospital of Southwest Medical University.; Sichuan Province Laboratory of Orthopaedic Engineering, Luzhou City, Sichuan Province.
Jazyk: angličtina
Zdroj: Medicine [Medicine (Baltimore)] 2021 Apr 30; Vol. 100 (17), pp. e25703.
DOI: 10.1097/MD.0000000000025703
Abstrakt: Rationale: Three-dimensional (3D) printing has attracted wide attention for its potential and abilities in the assistance of surgical planning and the development of personalized prostheses. We herewith report a unique case of chronic clavicle osteomyelitis treated with a two-stage subtotal clavicle reconstruction using a 3D printed polyether-ether-ketone (PEEK) prosthesis.
Patient Concerns: A 23-year-old Chinese female presented to our clinic complaining about a progressive pain of her right clavicle for about 1 year.
Diagnoses: Chronic clavicle osteomyelitis confirmed by percutaneous biopsy and lesion biopsy.
Interventions: This patient accepted a long-term conservative treatment, which did not gain satisfactory outcomes. Thus, a subtotal removal and two-stage reconstruction of the right clavicle with a 3D-printed polyether-ether-ketone prosthesis stabilized by screw fixation system was performed.
Outcomes: At 2-year follow-up, complete pain relief and satisfactory functional recovery of her right shoulder were observed.
Lessons: Personalized 3D printed prosthesis is an effective and feasible method for reconstruction of complex bone defects.
Competing Interests: The authors declared that they have no conflicts of interest to this work. We declare that we do not have any commercial or associative interest that represents a conflict of interest in connection with the work submitted.
(Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.)
Databáze: MEDLINE