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  3. 3D-Printed Knee Replacement: Advanced Orthopedic Surgery

3D-Printed Knee Replacement: Advanced Orthopedic Surgery

Experience the future of knee replacement with 3D-printed technology. Discover precision, durability, and personalized solutions for enhanced mobility and comfort.

  • Orthopedic
By Aditi Singh 13th June '23 26th Mar '24
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Overview

3D-printed knee replacements have come to the fore, giving an exciting answer for those looking for more mobility and life. without the restrictions of traditional knee replacements. The fantastic advantages and potential of 3D-printed knee replacements are explored in this blog, showing how this cutting-edge technology has changed the face of orthopedic care.

Learn how 3D printing is redefining knee replacements for a new era by pushing the limits of medical innovation.

Take charge of your health and your life. Contact us today!

Can knees be 3D printed?


 

Yes, knees can be produced in 3D. Since a functional human knee cannot currently be made via 3D printing, the technique is used to create knee implants or artificial limbs. Compared to traditional off-the-shelf knee replacements, these implants are more exact and specific, since they are made to match the patient's unique anatomy. 

A digital model of the patient's knee joint is produced using modern imaging methods, such as MRI or CT scans. This model uses the design and manufacture of the 3D-printed implant. Better alignment, fit, and biomechanics are made possible by this technology. which enhances the knee replacement's performance and functioning. 

Yet, it's crucial to understand that 3D-printed knee replacements cannot copy a native knee exactly.

Are you curious about the formulation of 3D-printed knees? Keep on reading.

What are 3D-printed knees made from? 

The materials used in making 3D-printed knees are also known as knee implants. They are usually biocompatible and suitable for use within the human body. Titanium alloy is the most commonly used material for 3D printing knee implants. For orthopedic implants, titanium is a great option because of its

Also, it has the benefit of allowing advanced and complex designs. 

For 3D-printed knee implants, other materials like Cobalt-chromium alloys or medical-grade polymers can be used. Depending on the unique needs of the patient and the implant's design, these materials provide a variety of features and benefits. But, given its biocompatibility, toughness, and ability to fit in with the surrounding bone, titanium remains to be a popular and often utilized choice to ensure that they are secure and effective in medical applications.

Enter the realm of innovation as we examine the revolutionary 3D method that is transforming the knee replacement industry.

What is the 3D technique for knee replacement?

A three-dimensional digital model of a patient's knee joint is created using computer-aided design (CAD).

The design and production of a specific knee implant or device are then based on this model.

The main phases in the 3D method for knee replacement are as follows:

1. Imaging: 

The first step in the process is taking high-resolution pictures of the patient's knee joint. By using MRI or CT scans, among other imaging methods. The bone structure, soft tissues.

2. Digital modeling:

Using specialized software, the obtained photos are turned into a three-dimensional digital model. The patient's knee joint is shown in this model, allowing accurate measurements and analysis.

3. Customization: 

Surgeons and biomedical engineers change the knee implant design using the digital model. By considering elements including 

They can change the implant's size, shape, and alignment to fit the patient's specific anatomy. 

4. 3-D Printer:

After the implant design is finished, it is sent to a 3D printer for printing. By adding biocompatible materials like titanium alloy or medical-grade polymers. The printer constructs the implant using additive manufacturing steps. The expand and exact structures that may be produced with 3D printing are very similar to the knee joint's natural anatomy and mechanics.

5. Function Placement: 

The specialized 3D-printed implant is positioned and attached to the patient's knee joint. For ideal placement and alignment, the surgeon uses surgical guides or navigation systems based on the digital model.

Many benefits come with the 3D approach for knee replacement, including 

  • better implant fit.
  • better surgical quality.
  • improved working
  • fewer recovery periods. 

The implant is made to fit each patient's individual anatomy to achieve the best results. 

Let's Learn about the 3D knee replacements' typical lifetime and the significance of routine follow-up treatment.

How long does a 3D knee replacement last?

Like any knee replacement, the lifespan of a 3D-printed knee replacement might vary on some factors. But studies have shown that current knee replacements, including those using 3D-printed implants, may often endure for 15 to 20 years or more. There is no clear answer on how long a 3D knee replacement will last.

The following factors may affect a knee replacement's life lifespan:

  1. Design and Materials Used in the Implant: 

The 3D-printed knee implant's design and materials may have an impact on its longevity. For their strength and durability, titanium alloys and other premium materials are employed in 3D-printed knee replacements. But, advancements are being made to materials and implant types to extend the lifespan of knee replacements.

2. Patient Factors:

  • Patient's age 
  • weight
  • amount of exercise
  • general health
  • and bone quality, are all patient-specific factors that might determine how long a knee replacement lasts. 

People who are younger and more active may put more stress on the implant. Thereby reducing its lifespan as compared to people who are older and less active.

3. Surgical method:  

The implant's long-term success may be affected by the surgical approach used during the knee replacement process. For best implant achievement and lifetime, precise surgical technique, soft tissue balance, and implant alignment are essential.

4. Rehabilitation and Post-Operative Care: 

Following surgery, adhering to treatment rules, keeping a healthy weight, and taking in the right level of physical exercise can all help ensure that a knee replacement goes well in the long run.

It's important to remember that knee replacements, especially those made using 3D printing, are not meant to suffer long. Wear and tear occurs over time, which might result in implant loosening, component wear, or other issues. The implant may need to be removed or fixed during revision surgery if a knee replacement develops discomfort or loses function.

According to experts at HealthReporter,

“In my experience, 3D-printed knee replacements have comparable longevity to traditional implants. Many patients can expect their implant to last 15-20 years, although this can vary based on factors like activity level and overall health.”

Let’s find out what are the advantages of 3D knee replacement.

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What are the advantages of 3D knee replacement?

Compared to traditional knee replacement methods, 3D knee replacement has some benefits. Here are several major advantages:

1. Customization:

The 3D knee replacement's ability to be adjusted to each patient's specific anatomy is one of the procedure's key benefits. A patient's knee joint may be examined using cutting-edge imaging techniques and computer-aided design (CAD), and a unique implant can be made as a result. This personalization ensures better alignment, a better fit, and optimized biomechanics, which increase working and may produce better long-term results.

2. Precision and Accuracy: 

The planning and placing of the knee implant may be done with due precision and accuracy because of the use of 3D technology. A digital model may be used by surgeons to imitate the treatment and ensure ideal soft tissue balance, implant size, and alignment. This degree of accuracy can help improve the stability of the implant, the range of motion, and the risk of problems.


3. Improved Implant lifetime: 

Through 3D knee replacement, the customized fit and improved implant alignment may be done, which may increase the implant's lifetime. An implant that fits better might see less wear and tear, reducing the possibility of implant loosening or early failure. As a result, the implant may last longer and the need for revision surgery may be avoided.

4. Reduced Recovery Time:  

While individual experiences with recovery may vary, 3D knee replacement methods have the potential to result in faster cures than traditional knee replacement methods. Fewer changes of soft tissue during surgery due to the custom fit and exact alignment may result in less pain, less swelling, and a quicker return to regular activities.

5. Personalized Patient Experience: 

Patients who get 3D knee replacements report a more personalized experience and a sense of control over their care. Patients' pleasure and trust in the operation may increase if they have access to their own digital model, can see and understand it, and can take part in decision-making.

6. Future Innovations:

 As the field of 3D printing continues to improve, new materials, methods, and designs should be expected. This offers chances for further advances in implant toughness, biocompatibility, and the use of cutting-edge technology, which may end in even greater advantages for patients.

What are the disadvantages of 3D knee replacement?

Given the fact that 3D knee replacement has many advantages, it's important to be aware of any possible disadvantages and other factors. Here are a few possible negatives:

1. Cost:

When compared with traditional off-the-shelf knee implants, 3D knee replacements may be more costly. Higher expenses may be a result of the changes in procedure, complex imaging, and 3D printing technologies needed to create a unique implant. When deciding on a 3D knee replacement, it's vital to take insurance coverage and financial factors into account.

2. Accessibility and Availability: 

Not every hospital could have access to 3D printing tools or the necessary knowledge. As a result, depending on where you live, 3D knee replacements may not be accessible or available. Certain geographic areas or healthcare systems may have limits on access to this technology.

3. Learning Curve:

While 3D knee replacement is a newer process, adopting this method may include a learning curve for surgeons and medical workers. For the best results, surgeons must have the necessary training and experience. To maximize the potential advantages, it's essential to select a surgeon with expertise doing 3D knee replacements.

4. Limitations in Implant Design:

Although 3D knee replacements offer incredible customization perks, there may still be limits to implant design choices. It's possible that not all knee problems or anatomical variances can be met by the current designs. A regular off-the-shelf implant may be more suitable or desirable in some cases.

5. Long-Term Studies:

While the early outcomes and results of 3D knee replacements are positive, there is still much to be learned about the long-term function and durability of these implants.

6. Revision and Compatibility:

If revision surgery is ever needed, having a made 3D-printed implant may provide difficulties. A unique implant may must extra imaging, design, and manufacturing steps to assure compatibility with the new implant, making changes or replacements easier.

It's vital to have an honest and open conversation with your doctor about the potential benefits and drawbacks of a 3D knee replacement for your particular situation. 

Here we are highlighting the value of seeking advice from skilled orthopedic surgeons to attain the best results.

3D-printed Knee Replacement Success Rate 

In general, the success rates of traditional and 3D-printed knee replacements are equal. Based on research and clinical searches, 3D-printed knee replacements can offer better implant fit, alignment, and biomechanics.  improving working and improving long-term results. A more exact fit and fewer difficulties may result from the implant being adjusted to the patient's individual anatomy.

It's important to keep in mind that success rates and treatments might differ among people. Regardless of the procedure employed, variables include: 

  • patient age
  • general well-being
  • amount of activity
  • adherence to recovery guidelines 

might affect the efficacy and lifespan of a knee replacement.

It is crucial to speak with a skilled orthopedic surgeon who specializes in knee replacements to secure the best outcome. 

Your well-being is our priority - call us to book your appointment today.

References:

https://www.fairfield.org.uk/

https://www.conformis.com/

https://myacare.com/

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Question and Answers

Sir I am suffering from shoulder disclocation coz of heavy load ... It's been one month now . Can I remove my strap now or do wear long to make it fully recovered. After watching some you tube video that's after some time it's dislocat again make me scared ???? I don't want to do surgery please advice me sir what to do

Male | 18

Shoulders can become dislocated again if they aren’t given enough time to heal completely. It would be best to continue using the brace so your shoulder receives more support. Taking it off prematurely might cause another dislocation. If you rest your shoulder adequately, then no surgery will be necessary. 

Answered on 24th June '24

Dr. Pramod Bhor

Dr. Pramod Bhor

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