Skip to main content
Top
Published in: Archives of Orthopaedic and Trauma Surgery 4/2018

Open Access 01-04-2018 | Orthopaedic Surgery

3D printing lunate prosthesis for stage IIIc Kienböck’s disease: a case report

Authors: Mei-ming Xie, Kang-lai Tang, Chen-song Yuan

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 4/2018

Login to get access

Abstract

Stage IIIc Kienböck’s disease is a clinical challenge to treat collapse of the lunate bone. A new reconstructive surgery was described in one patient using 3D printing lunate prosthesis. The prosthesis shape was designed by tomographic image processing and segmentation using technology compared with the intact side matched by mirror symmetry and 3D post-processing technologies. The patient recovered nearly full range of motion of the wrist after 12 months. The visual analog scale scores and Cooney scores were 2 points and 91 points. We demonstrated that an anatomical reconstruction to Kienböck’s Disease is possible using 3D printing lunate prosthesis.
Literature
1.
go back to reference Wagner JP, Chung KC (2005) A historical report on Robert Kienbock (1871–1953) and Kienbock’s disease. J Hand Surg Am 30:1117–1121CrossRefPubMed Wagner JP, Chung KC (2005) A historical report on Robert Kienbock (1871–1953) and Kienbock’s disease. J Hand Surg Am 30:1117–1121CrossRefPubMed
2.
go back to reference Bain GI, Yeo CJ, Morse LP (2015) Kienbock disease: recent advances in the basic science, assessment and treatment. Hand Surg 20:352–365CrossRefPubMed Bain GI, Yeo CJ, Morse LP (2015) Kienbock disease: recent advances in the basic science, assessment and treatment. Hand Surg 20:352–365CrossRefPubMed
3.
go back to reference Lichtman DM, Lesley NE, Simmons SP (2010) The classification and treatment of Kienbock’s disease: the state of the art and a look at the future. J Hand Surg Eur Vol 35:549–554CrossRefPubMed Lichtman DM, Lesley NE, Simmons SP (2010) The classification and treatment of Kienbock’s disease: the state of the art and a look at the future. J Hand Surg Eur Vol 35:549–554CrossRefPubMed
4.
go back to reference Bain GI, Ondimu P, Hallam P et al (2009) Radioscapholunate arthrodesis—a prospective study. Hand Surg 14:73–82CrossRefPubMed Bain GI, Ondimu P, Hallam P et al (2009) Radioscapholunate arthrodesis—a prospective study. Hand Surg 14:73–82CrossRefPubMed
6.
go back to reference Salt O, Sayhan MB (2016) Avascular necrosis of lunate bone: Kienbock disease. Am J Emerg Med 34:1185 (e1185–1186)CrossRefPubMed Salt O, Sayhan MB (2016) Avascular necrosis of lunate bone: Kienbock disease. Am J Emerg Med 34:1185 (e1185–1186)CrossRefPubMed
7.
go back to reference Iorio ML, Kennedy CD, Huang JI (2015) Limited intercarpal fusion as a salvage procedure for advanced Kienbock disease. Hand (N Y) 10:472–476CrossRef Iorio ML, Kennedy CD, Huang JI (2015) Limited intercarpal fusion as a salvage procedure for advanced Kienbock disease. Hand (N Y) 10:472–476CrossRef
8.
go back to reference Kolovich GP, Kalu CM, Ruff ME (2016) Current trends in treatment of Kienbock disease: a survey of hand surgeons. Hand (N Y) 11:113–118CrossRef Kolovich GP, Kalu CM, Ruff ME (2016) Current trends in treatment of Kienbock disease: a survey of hand surgeons. Hand (N Y) 11:113–118CrossRef
9.
go back to reference Spies CK, Hohendorff B, Müller LP et al (2016) Proximal carpal row carpectomy. Oper Orthop Traumatol 28:204–217CrossRefPubMed Spies CK, Hohendorff B, Müller LP et al (2016) Proximal carpal row carpectomy. Oper Orthop Traumatol 28:204–217CrossRefPubMed
10.
go back to reference Unglaub F, Langer MF, Unglaub JM et al (2017) (Partial) fusion of the wrist: indications and surgical procedures. Oper Orthop Traumatol 28:204–217. (Unfallchirurg 120:513–526) Unglaub F, Langer MF, Unglaub JM et al (2017) (Partial) fusion of the wrist: indications and surgical procedures. Oper Orthop Traumatol 28:204–217. (Unfallchirurg 120:513–526)
11.
go back to reference Trombetta R, Inzana JA, Schwarz EM et al (2017) 3D printing of calcium phosphate ceramics for bone tissue engineering and drug delivery. Ann Biomed Eng 45:23–44CrossRefPubMed Trombetta R, Inzana JA, Schwarz EM et al (2017) 3D printing of calcium phosphate ceramics for bone tissue engineering and drug delivery. Ann Biomed Eng 45:23–44CrossRefPubMed
12.
go back to reference He HY, Zhang JY, Mi X et al (2015) Rapid prototyping for tissue-engineered bone scaffold by 3D printing and biocompatibility study. Int J Clin Exp Med 8:11777–11785PubMedPubMedCentral He HY, Zhang JY, Mi X et al (2015) Rapid prototyping for tissue-engineered bone scaffold by 3D printing and biocompatibility study. Int J Clin Exp Med 8:11777–11785PubMedPubMedCentral
13.
go back to reference Jeong HS, Park KJ, Kil KM et al (2014) Minimally invasive plate osteosynthesis using 3D printing for shaft fractures of clavicles: technical note. Arch Orthop Trauma Surg 134:1551–1555CrossRefPubMed Jeong HS, Park KJ, Kil KM et al (2014) Minimally invasive plate osteosynthesis using 3D printing for shaft fractures of clavicles: technical note. Arch Orthop Trauma Surg 134:1551–1555CrossRefPubMed
14.
go back to reference Xu Y, Li C, Zhu Y (2015) A novel nickel-titanium memory alloy arthrodesis concentrator for the treatment of stage IIIIc aseptic lunate necrosis (Kienbock’s disease). J Hand Surg Eur Vol 42:90–103CrossRef Xu Y, Li C, Zhu Y (2015) A novel nickel-titanium memory alloy arthrodesis concentrator for the treatment of stage IIIIc aseptic lunate necrosis (Kienbock’s disease). J Hand Surg Eur Vol 42:90–103CrossRef
16.
go back to reference Kuehn BM (2016) Clinicians embrace 3D printers to solve unique clinical challenges. JAMA 315:333–335CrossRefPubMed Kuehn BM (2016) Clinicians embrace 3D printers to solve unique clinical challenges. JAMA 315:333–335CrossRefPubMed
17.
go back to reference MacDonald E, Wicker R (2016) Multiprocess 3D printing for increasing component functionality. Science 353:2093CrossRef MacDonald E, Wicker R (2016) Multiprocess 3D printing for increasing component functionality. Science 353:2093CrossRef
18.
go back to reference Savage N (2016) Technology: the promise of printing. Nature 540:S56–S57 Savage N (2016) Technology: the promise of printing. Nature 540:S56–S57
19.
go back to reference Lee N (2016) The Lancet Technology: 3D printing for instruments, models, and organs? Lancet 388:1368CrossRefPubMed Lee N (2016) The Lancet Technology: 3D printing for instruments, models, and organs? Lancet 388:1368CrossRefPubMed
20.
go back to reference Swanson AB, de Groot Swanson G (1993) Implant resection arthroplasty in the treatment of Kienbock’s disease. Hand Clin 9:483–491PubMed Swanson AB, de Groot Swanson G (1993) Implant resection arthroplasty in the treatment of Kienbock’s disease. Hand Clin 9:483–491PubMed
21.
go back to reference Lippman EM, Mc DL (1949) Vitallium replacement of lunate in Kienbock’s disease. Mil Surg 105:482–484PubMed Lippman EM, Mc DL (1949) Vitallium replacement of lunate in Kienbock’s disease. Mil Surg 105:482–484PubMed
22.
go back to reference Bellemere P, Maes-Clavier C, Loubersac T et al (2012) Pyrocarbon interposition wrist arthroplasty in the treatment of failed wrist procedures. J Wrist Surg 1:31–38CrossRefPubMedPubMedCentral Bellemere P, Maes-Clavier C, Loubersac T et al (2012) Pyrocarbon interposition wrist arthroplasty in the treatment of failed wrist procedures. J Wrist Surg 1:31–38CrossRefPubMedPubMedCentral
Metadata
Title
3D printing lunate prosthesis for stage IIIc Kienböck’s disease: a case report
Authors
Mei-ming Xie
Kang-lai Tang
Chen-song Yuan
Publication date
01-04-2018
Publisher
Springer Berlin Heidelberg
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 4/2018
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-017-2854-0

Other articles of this Issue 4/2018

Archives of Orthopaedic and Trauma Surgery 4/2018 Go to the issue