JZUS - Journal of Zhejiang University SCIENCE

Journal of Zhejiang University SCIENCE B

Accepted manuscript available online (unedited version)

Application of custom-made joint prostheses in wrist

Author(s): Xiaodi ZOU, Yanzhao DONG, Changxing WANG, Hui LU
Affiliation(s): Department of Orthopedics, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China; more
Corresponding email(s): huilu@zju.edu.cn
Key Words: Polycomb repressive complexes (PRC); CBX proteins; Epigenetic regulation; Cancer

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Xiaodi ZOU, Yanzhao DONG, Changxing WANG, Hui LU. Application of custom-made joint prostheses in wrist[J]. Journal of Zhejiang University Science B,in press.Frontiers of Information Technology & Electronic Engineering,in press.https://doi.org/10.1631/jzus.B2400102

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author="Xiaodi ZOU, Yanzhao DONG, Changxing WANG, Hui LU",
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doi="https://doi.org/10.1631/jzus.B2400102"
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%T Application of custom-made joint prostheses in wrist
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%A Yanzhao DONG
%A Changxing WANG
%A Hui LU
%J Journal of Zhejiang University SCIENCE B
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doi="https://doi.org/10.1631/jzus.B2400102"

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T1 - Application of custom-made joint prostheses in wrist
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A1 - Hui LU
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PB - Zhejiang University Press & Springer
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doi="https://doi.org/10.1631/jzus.B2400102"

Abstract
Chinese Summary
Academic Network
Reviewer Comment

Abstract: The wrist joint is a highly mobile functional joint. Wrist conditions including traumatic and degenerative arthritis, rheumatoid arthritis, and giant cell tumors of the distal radius, cause significant pain and mobility impairment. In joint surgery, the decision to use joint prostheses to reconstruct joint function is greatly influenced by the characteristics of the prosthesis (Mok et al., 2016). However, traditional implants have limitations such as shape mismatch, inadequate implant–bone interface strength which causes loosening, and poor bone ingrowth (Zhang et al., 2014).

定制化关节假体在腕关节的应用

邹晓迪^1,2, 董延钊¹, 王昌兴², 卢荟¹
¹浙江大学医学院附属第一医院骨科，中国杭州市，310003
²浙江中医药大学附属第二医院（浙江省新华医院）骨科，中国杭州市，310014
摘要：手腕关节是高度活动的功能性关节，各种创伤和退行性疾病均可导致严重的疼痛和活动受限。关节置换术是重建关节功能的主要治疗方式，但传统假体存在诸如形状不匹配、植入物-骨界面强度不足导致松动以及骨内生长欠佳等缺陷。三维（3D）打印技术的应用为解决这些问题提供了新的解决方案，能实现更加个性化的设计，并改善假体与骨骼的契合度。本文回顾了手腕关节假体的发展历程，从最早的Swanson假体到当前广泛使用的第四代假体，分析了各代假体的设计特点及临床应用情况。研究发现，相比传统定制假体，3D打印假体在缓解疼痛和恢复关节功能等方面表现更优。但目前关于3D打印假体的长期临床随访数据仍有限，需进一步评估其长期疗效及并发症。此外，金属假体存在的腐蚀问题也是亟待解决的挑战，未来需要通过探索新的生物材料和表面处理技术以提高假体的生物相容性和抗菌性。3D打印技术为手腕关节假体的个性化设计和性能提升带来了新的契机，有望为患者提供更优质的治疗选择。但现有研究仍有待深化，还需在长期临床疗效和新材料开发等方面进一步推进。

关键词组：定制化假体；3D打印假体；关节置换术；假体进展；3D打印技术

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Reference

[1]ChikarakaraE, FitzpatrickP, MooreE, et al., 2014. In vitro fibroblast and pre-osteoblastic cellular responses on laser surface modified Ti-6Al-4V. Biomed Mater, 10(1):015007.

[2]DamertHG, KoberM, MehlingI, 2020. Custom-made wrist prothesis (UNI-2^TM) in a patient with giant cell tumor of the distal radius: 10-year follow-up. Arch Orthop Trauma Surg, 140(12):2109-2114.

[3]DennisDA, FerlicDC, ClaytonML, 1986. Volz total wrist arthroplasty in rheumatoid arthritis: a long-term review. J Hand Surg Am, 11(4):483-490.

[4]GislasonMK, FosterE, Bransby-ZacharyM, et al., 2017. Biomechanical analysis of the Universal 2 implant in total wrist arthroplasty: a finite element study. Comput Methods Biomech Biomed Eng, 20(10):1113-1121.

[5]HoangD, PerraultD, StevanovicM, et al., 2016. Surgical applications of three-dimensional printing: a review of the current literature & how to get started. Ann Transl Med, 4(23):456.

[6]KiaC, AntonacciCL, WellingtonI, et al., 2022. Spinal implant osseointegration and the role of 3D printing: an analysis and review of the literature. Bioengineering (Basel), 9(3):108.

[7]LiY, ZhengJB, SunCN, et al., 2024. Transfer film effects induced by 3D-printed polyether-ether-ketone with excellent tribological properties for joint prosthesis. Bio-Des Manuf, 7(1):43-56.

[8]MitraI, BoseS, DernellWS, et al., 2021. 3D printing in alloy design to improve biocompatibility in metallic implants. Mater Today (Kidlington), 45:20-34.

[9]MokSW, NizakR, FuSC, et al., 2016. From the printer: potential of three-dimensional printing for orthopaedic applications. J Orthop Translat, 6:42-49.

[10]PinheiroM, KrairiA, WillaertR, et al., 2022. Structural optimization of patient-specific temporomandibular joint replacement implants for additive manufacturing: novel metrics for safety evaluation and biomechanical performance. Bio-Des Manuf, 5(2):333-347.

[11]ShaoXH, DingH, LiJM, et al., 2023. Primary cooperative application of a LARS^® tube and 3D‐printed prosthesis for reconstruction of the distal radius after en bloc resection of giant cell tumor of bone: a comparative retrospective study. Orthop Surg, 15(6):1521-1533.

[12]SummersB, HubbardMJS, 1984. Wrist joint arthroplasty in rheumatoid arthritis: a comparison between the Meuli and Swanson prostheses. J Hand Surg Br, 9(2):171-176.

[13]TredanDAM, MobbsRJ, MaharajM, et al., 2022. Combining virtual surgical planning and patient-specific 3D-printing as a solution to complex spinal revision surgery. J Pers Med, 13(1):19.

[14]WangYT, MinL, LuMX, et al., 2020. The functional outcomes and complications of different reconstruction methods for giant cell tumor of the distal radius: comparison of osteoarticular allograft and three-dimensional-printed prosthesis. BMC Musculoskelet Disord, 21:69.

[15]ZhangBGX, MyersDE, WallaceGG, et al., 2014. Bioactive coatings for orthopaedic implants-recent trends in development of implant coatings. Int J Mol Sci, 15(7):11878-11921.

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定制化关节假体在腕关节的应用

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