Evidence map›Paper›PMID 35384469›Full record

ArticleInternational orthopaedics2022

Three-dimensional-printed titanium implants for severe acetabular bone defects in revision hip arthroplasty: short- and mid-term results.

Sheng Fang, Yiming Wang, Peng Xu, Junke Zhu, Jinbo Liu, Huan Li, Xiaoliang Sun

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Article in International orthopaedics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
5.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 23 citations in OpenAlex.

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  5. Applications of 3D printing in orthopedics: a scoping review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Sheng FangDepartment of Articular Orthopaedics, The Third Affiliated Hospital of Soochow University, 185 Ju Qian Road, Changzhou, Jiangsu, China.
Yiming WangDepartment of Articular Orthopaedics, The Third Affiliated Hospital of Soochow University, 185 Ju Qian Road, Changzhou, Jiangsu, China.
Peng XuDepartment of Articular Orthopaedics, The Third Affiliated Hospital of Soochow University, 185 Ju Qian Road, Changzhou, Jiangsu, China.
Junke ZhuDepartment of Articular Orthopaedics, The Third Affiliated Hospital of Soochow University, 185 Ju Qian Road, Changzhou, Jiangsu, China.
Jinbo LiuDepartment of Articular Orthopaedics, The Third Affiliated Hospital of Soochow University, 185 Ju Qian Road, Changzhou, Jiangsu, China. 529838473@qq.com.
Huan LiDepartment of Articular Orthopaedics, The Third Affiliated Hospital of Soochow University, 185 Ju Qian Road, Changzhou, Jiangsu, China. lihuan1317@sina.com.
Xiaoliang SunDepartment of Articular Orthopaedics, The Third Affiliated Hospital of Soochow University, 185 Ju Qian Road, Changzhou, Jiangsu, China. sunxiaoliang1121@163.com.
Soochow University · CN

Funding

the Youth Talents Science and Technology Project of Changzhou Health Commission QN201919
6 · The paper itself

Abstract

purposeSevere acetabular bone defect is challenging in revision hip arthroplasty. In the present study, we aimed to present new treatment options with the 3D printing technique and analyze the clinical and radiographic outcomes of 3D-printed titanium implants for the treatment of severe acetabular bone defects in revision hip arthroplasty.

methodsA total of 35 patients with Paprosky type 3 bone defect and pelvic discontinuity (PD), who underwent hip revisions using 3D-printed titanium implants between 2016 and 2019 at our institution, were retrospectively reviewed. Patient-specific 3D-printed titanium augments and shells (strategy A) were used in 22 type 3A and two type 3B patients. Custom 3D-printed flanged components (strategy B) were used in 11 type 3B patients, including five PD. The clinical outcomes were evaluated with the Harris hip score (HHS). In addition, radiographic results were analyzed by the hip centre of rotation (V-COR and H-COR), implant failure, and survivorship.

resultsThe mean follow-up was 41.5 months (range, 16-62). The HHS was improved from 47.8 ± 8.2 pre-operatively to 78.1 ± 10.1 at one year follow-up and 86.4 ± 5.1 at the last follow-up (p < 0.01). Post-operative V-COR and H-COR of the operated side were 20.8 ± 2.0 mm and 30.2 ± 1.6 mm compared with 51.4 ± 4.1 mm and 33.9 ± 9.0 mm pre-operatively (p < 0.01). The complications included one dislocation and one partial palsy of the sciatic nerve. At the latest follow-up, no radiological component loosening or screw breakage was present.

conclusions3D-printed titanium implants showed satisfactory short- and mid-term clinical and radiographic outcomes. It was an effective therapeutic regimen with a low rate of complications, providing a patient-specific and reliable strategy for the severe acetabular bone defect in revision hip arthroplasty.

Indexed as

Arthroplasty, Replacement, HipHip ProsthesisAcetabulumFollow-Up StudiesHumansProsthesis FailureReoperationRetrospective StudiesTitaniumTitanium3D printingAcetabular bone defectPelvic discontinuityRevision hip arthroplastyTitanium implant

Identifiers

PMID35384469
OpenAlexW4223657261

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.