Evidence map›Paper›PMID 36342573›Full record

Article3D printing in medicine2022

Morphometric analysis of patient-specific 3D-printed acetabular cups: a comparative study of commercially available implants from 6 manufacturers.

Harry Hothi, Johann Henckel, Sean Bergiers, Anna Di Laura, Klaus Schlueter-Brust, Alister Hart

Abstract read
In one paragraph

Article in 3D printing in medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

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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

2 citing papers in PubMed.

  1. Article
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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

6 authors.

Harry HothiThe Royal National Orthopaedic Hospital, Stanmore, HA74LP, UK. harry.hothi@nhs.net.
Johann HenckelThe Royal National Orthopaedic Hospital, Stanmore, HA74LP, UK.
Sean BergiersThe Institute of Orthopaedics and Musculoskeletal Science, University College London, London, UK.
Anna Di LauraThe Royal National Orthopaedic Hospital, Stanmore, HA74LP, UK.
Klaus Schlueter-BrustDepartment of Orthopaedic Surgery, St. Franziskus Hospital Köln, 50825, Cologne, Germany.
Alister HartThe Royal National Orthopaedic Hospital, Stanmore, HA74LP, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background3D printed patient-specific titanium acetabular cups are used to treat patients with massive acetabular defects. These have highly porous surfaces, with the design intent of enhancing bony fixation. Our aim was to characterise these porous structures in commercially available designs.

methodsWe obtained 12 final-production, patient-specific 3D printed acetabular cups that had been produced by 6 manufacturers. High resolution micro-CT imaging was used to characterise morphometric features of their porous structures: (1) strut thickness, 2) the depth of the porous layer, (3) pore size and (4) the level of porosity. Additionally, we computed the surface area of each component to quantify how much titanium may be in contact with patient tissue. Statistical comparisons were made between the designs.

resultsWe found a variability between designs in relation to the thickness of the struts (0.28 to 0.65 mm), how deep the porous layers are (0.57 to 11.51 mm), the pore size (0.74 to 1.87 mm) and the level of porosity (34 to 85%). One manufacturer printed structures with different porosities between the body and flange; another manufacturer had two differing porous regions within the body of the cups. The cups had a median (range) surface area of 756.5 mm

conclusionsThere is a wide variability between manufacturers in the porous titanium structures they 3D print. We do not currently know whether there is an optimal porosity and how this variability will impact clinically on the integrity of bony fixation; this will become clearer as post market surveillance data is generated.

Indexed as

3D printingAdditive manufacturingMicro-CTPorosity

Identifiers

PMID36342573
PMCPMC9639285

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