Application of Personalized Three-Dimensional Printing for Shoulder Joint Prosthesis in the Treatment of Shoulder Joint Tuberculosis: A Case Report

Abstract

Background: This article presents an application of the use of a personalized three-dimensional (3D)-printed reverse shoulder prosthesis to be used in a reverse total shoulder arthroplasty (RTSA) for a patient with tuberculosis of the shoulder joint. Background: Patient concerns: A 37-year-old female, who suffered a trauma on her left shoulder 17 years ago, reported significant worsening pain and limited physical activity within the last 6 months. The left shoulder joint activity was clearly restricted. Diagnosis: Her clinical manifestations, bone changes in shoulder joint, and imaging results were all consistent with extended exposure to tuberculosis of the shoulder joint. Interventions: For this patient, a personalized 3D-printed titanium alloy shoulder joint prosthesis was used in the RTSA. The patient’s stability was regularly monitored and followed up after operation. During pre-operation, post-operation, and follow-up, the scores of ASES, Neer Shoulder score, and Constant-Murley Shoulder were evaluated. Results: 3D shoulder prosthesis was successfully implanted into the patient and complete anatomic reconstruction was performed intraoperatively. ASES, Neer, and Constant-Murley scores were gradually improved on follow-up. The X-ray image showed good bone healing and no changes in the position of the prosthesis seven and a half years post-operation. The functionality of the shoulder joint was well restored and no restrictions were found in activities of daily living. Conclusion: Personalized 3D-printed shoulder joint prosthesis is very effective in the treatment of advanced tuberculosis of the shoulder joint. 3D-printed technology may be a novel and efficient method for similar arthroplasties and severe bone defects.

Various approaches to improving adherence of patients with tuberculosis. Prospects for the use of additive technologies in TB practice

“…В отечественной и зарубежной литературе фактически отсутствуют работы, посвященные вопросам примене ния аддитивных технологий во фтизиатрической пра ктике [69][70][71][72]. Те, что есть, в основном затрагивают особенности реализации аддитивного производства в аспекте фабрикации персонифицированных форм лекарственных препаратов для нужд практического здравоохранения [73,74], в т. ч. для фтизиопульмо нологии [75][76][77].…”

“…37летней женщине из Китая (городской округ Урумчи), перенесшей ТБ левого плечевого сустава, была проведена операция тотальной артропластики с протезированием титанового имплантата, изго товленного по индивидуальному заказу при помощи оборудования для трехмерной печати [71]. Операции предшествовала процедура виртуальной и матери альной реконструкции пораженной конечности для тщательной детализации техники хирургического вме шательства.…”

On the Use of New 3D Modelization, Reconstruction and Printing Techniques to Improve the Metatarsophalangeal Cancerous Lesion Management

“…It enhances preoperative planning by allowing precise three-dimensional imagery of severe injuries. Moreover, it makes it easier to create personalized implants, cutting guides, and fixation plates, all of which have the potential to enhance patient outcomes by enhancing fit and precision during surgery [8,9].…”

“…Medical applications of three-dimensional (3D) printing technology are increasing, and 3Dprinted implants have demonstrated high accuracy and customizability and achieved good clinical performance in repair and orthopedic reconstruction [9].…”