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Three dimensional (3D) printing in Orthopaedics: Scope of application and future perspectives

Journal of Clinical Orthopaedics | Vol 8 | Issue 2 |  Jul-Dec 2023 | page: 41-44 | Shubhranshu S Mohanty, Tushar Kadam, Sushant Srivastava

DOI: https://doi.org/10.13107/jcorth.2023.v08i02.592


Authors: Shubhranshu S Mohanty [1], Tushar Kadam [1], Sushant Srivastava [2]

[1] Department of Orthopaedics, Seth GS Medical College and KEM Hospital, Parel, Mumbai-12, Hon Consultant, Jaslok, Nanavati & Shushrusha Hospitals, Mumbai, India.
[2] Department of Orthopaedics, Mata Gujri Memorial Medical College, Kishanganj, Bihar, India.

Address of Correspondence
Dr. Shubhranshu S Mohanty,
Dept of Orthopaedics, #608, 6th Floor, MS Building, Seth GS Medical College & King Edward Memorial Hospital,
Parel, Mumbai-400012, India.

Email: drssmohanty@hotmail.com


Abstract

Three dimensional (3D) printing also known as additive manufacturing has the potential to change the paradigm of Orthopaedic practice. Modern times have witnessed exponential growth in 3D-printing technology as well as its uses. A wide spectrum of printers are now available, ranging from the desktop printer to high end manufacturing units. The ability to use a plethora of materials and create almost limitless geometric shapes with varying surface topography makes this method of production highly appealing. Certain inherent advantages include easy customizability, small production runs, less wastage of material, smaller footprint. Challenges such as lack of data, absence of established government regulations and cost considerations remain, but one can expect these to be overcome as the economy of scale plays out and the medical fraternity becomes more accommodating of the new technology.
Keywords: Three dimensional printing, Recent Advances, Arthroplasty, Spine, Tumor Implants


References

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How to Cite this article: Mohanty SS, Kadam T, Srivastava S. Three dimensional (3D) printing in Orthopaedics: Scope of application and future perspectives. Journal of Clinical Orthopaedics July-December 2023;8(2):41-44.

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“ Shoulder Arthroplasty in Young ”

Journal of Clinical Orthopaedics | Vol 6 | Issue 1 |  Jan-Jun 2021 | page: 74-80 | Nagraj Shetty


Author: Nagraj Shetty [1]

[1] Consultant Arthroscopy, Shoulder, Knee preservation Surgeon Lilavati hospital Nanavati Superspeciality hospital Hinduja Healthcare Surgical, Mumbai, India.

Address of Correspondence
Dr. Nagraj Shetty,
Orthopaedic Department, Nanavati Superspeciality Hospital, SV Road, Vile Parle west , Mumbai, India.
E-mail: orthodocshetty@gmail.com


Abstract

Background: Prosthetic shoulder replacement provides excellent pain relief and functional improvement for patients with shoulder arthritis. Total shoulder arthroplasty for osteoarthritis and reverse shoulder arthroplasty for cuff tear arthropathy remains the gold standard for the geriatric patient population. Poor long-term survivorship, implant failure (glenoid component loosening, and glenoid arthrosis), and functional deterioration requiring early revision surgery are major concerns of similar management in younger patients. Young patients prove as a major challenge to shoulder surgeons due to expected longer life expectancy, desire to pursue sports, and active lifestyle thereby placing excessive demands on their shoulder arthroplasty components. Alternative strategies for arthroplasty in young have been developed; however, there is presently no clear consensus, recommendations to guide clinicians toward management. This manuscript reviews the current concepts of shoulder arthroplasty in young patients.
Keywords: Shoulder, arthritis, arthroplasty, glenoid, total shoulder arthroplasty


References

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14. Edwards TB, Boulahia A, Kempf JF, Boileau P, Nemoz C, Walch G. Shoulder arthroplasty in patients with osteoarthritis and dysplastic glenoid morphology. J Shoulder Elbow Surg 2004;13:1-4.
15.Hoenecke HR Jr., Hermida JC, Flores-Hernandez C, D’Lima DD. Accuracy of CT-based measurements of glenoid version for total shoulder arthroplasty. J Shoulder Elbow Surg 2010;19:166-71.
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17. Arner JW, Elrick BP, Nolte CP, Haber DB, Horan MP, Millett PJ. Survivorship and patient-reported outcomes after comprehensive arthroscopic management of glenohumeral osteoarthritis. Am J Sports Med 2020;11:363546520962756.
18.Dunn JC, Lanzi J, Kusnezov N, Bader J, Waterman BR, Belmont PJ Jr. Predictors of length of stay after elective total shoulder arthroplasty in the United States. J Shoulder Elbow Surg 2015;24:754-9.
19. Trofa D, Rajaee SS, Smith EL. Nationwide trends in total shoulder arthroplasty and hemiarthroplasty for osteoarthritis. Am J Orthop 2014;43:166-72.
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24. Schoch B, Schleck C, Cofield RH, Sperling JW. Shoulder Arthroplasty in patients younger than 50 years: Minimum 20-year follow-up. J Shoulder Elbow Surg 2015;24:705-10.
25. Sperling JW, Cofield RH, Rowland CM. Minimum 15-year follow-up of neer hemiarthroplasty and total shoulder arthroplasty in patients aged fifty years or younger. J Shoulder Elbow Surg 2004;13:604-13.
26. Carroll RM, Izquierdo R, Vazquez M, Blaine TA, Levine WN, Bigliani LU. Conversion of painful hemiarthroplasty to total shoulder arthroplasty: Long-term results. J Shoulder Elbow Surg 2004;13:599-603.
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29. Denard PJ, Raiss P, Sowa B, Walch G. Mid to long-term follow-up of total shoulder arthroplasty using a keeled glenoid in young adults with primary glenohumeral arthritis. J Shoulder Elbow Surg 2017;26:1298-306.
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31. Eichinger JK, Miller LR, Hartshorn T, Li X, Warner JJ, Higgins LD. Evaluation of satisfaction and durability after hemiarthroplasty and total shoulder arthroplasty in a cohort of patients aged 50 years or younger: An analysis of discordance of patient satisfaction and implant survival. J Shoulder Elbow Surg 2016;25:72-80.
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How to Cite this article: Shetty N. “ Shoulder Arthroplasty in Young ”. Journal of Clinical Orthopaedics Jan-Jun 2021;6(1):74-80.

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Peri-proshthetic Joint Infection

Journal of Clinical Orthopaedics | Vol 4 | Issue 2 |  July-Dec 2019 | page:45-50 | Dr. Shubhranshu S. Mohanty, Dr. Swapnil A. Keny


Author: Dr. Shubhranshu S . Mohanty [1], Dr. Swapnil A. Keny [1]

[1] Dept. of Orthopaedics, Seth GS Medical College & King Edward Memorial Hospital, Mumbai.

Address of Correspondence
Dr. Shubhranshu S. Mohanty,
Dept. of Orthopaedics, Seth GS Medical College & King Edward Memorial Hospital, Mumbai.
E-mail: drssmohanty@hotmail.com


Abstract

Prosthetic joint infections in one of the most serious complication of Joint Arthroplasty. Over the years the understanding and management of PJI has evolved. The current review presents and overviews of the recent advances in the field
Keywords: Prosthetic joint infection, arthroplasty.


References

1. Duff GR Lachiewicz PF, Kelley SS. Aspiration of the knee joint before revision arthroplasty. Clin Orthop Relal Res, 1996:132-9
2. Parvizi J, Ghanem E, Menashe S, Barrack RL, Bauer TW. Periprosthetic infection: what are the diagnostic challenges? J Bone Joint Surg Am. 2006 Dec;88 Suppl 4:138-47. .
3. Pulido L, Ghanem E, Joshi A, Purtill JJ, Parvizi J. Periprosthetic joint infection: the incidence, timing, and predisposing factors. Clin Orthop Relat Res. 2008 Jul;466(7):1710-5.
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8. Namba RS, Inacio MC, Paxton EW. Risk factors associated with deep surgical site infections after primary total knee arthroplasty: an analysis of 56,216 knees. J Bone Joint Surg Am. 2013 May.1;95(9):775-82.
9. Kurtz SM, Lau E, Schmier J, Ong KL, Zhao K, Parvizi J. Infection burden for hip and knee arthroplasty in the United States. J Arthroplasty. 2008 Oct;23(7):984-91.
10. Parvizi J, Zmistowski B, Berbari EF, Bauer TW, Springer BD, Della Valle CJ, Garvin KL, Mont MA, Wongworawat MD, Zalavras CG. New definition for periprosthetic joint infection: from the Workgroup of the Musculoskeletal Infection Society. Clin Orthop Relat Res. 2011 Nov;469(11):2992-4.
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13. Spangehl MJ, Masri BA, O’Conneii JX, Duncan CP Prospective analysis of preoperative and intraoperative investigations for the diagnosis of infection at the sites of two hundred and two revision total hip arthroplasties. J Bone Joint Surg Am. 1999:81:672-83.
14. Ghanem E, Parvizi J, Burnett RS, Sharkey PF, Keshavarzi N, Aggarwal A, Barrack RL. Cell count and differential of aspirated fluid in the diagnosis of infection at the site of total knee arthroplasty. J Bone Joint Surg Am. 2008 Aug;90(8):1637-43.
15. Feldman DS, Lonner JH, Desai p Zuckerman JD. The role of intra operative frozen sections in revision total joint arthroplasty. J Bone Jomt Surg Am. 1995:77:1807-13.
16. Zywiel MG, Stroh DA, Johnson AJ, Marker DR, Mont MA. Gram stains have limited application in the diagnosis of infected total knee arthroplasty. Int J Infect Dis. 2011 Oct;15(10):e702-5.
17. Schoof B, Jakobs O, Schmidl S, et al. Fungal periprosthetic joint infection of the hip: a systematic review. Orthop Rev (Pavia). 2015;7(1):5748. Published 2015 Mar 31.
18. Berbari EF, Marculescu C, Sia I, Lahr BD, Hanssen AD, Steckelberg JM, et al. Culture‑negative prosthetic joint infection. Clin Infect Dis 2007;45:1113‑9.
19. Tsaras G, Maduka-Ezeh A, Inwards CY, Mabry T, Erwin PJ, Murad MH, Montori VM,West CP, Osmon DR, Berbari EF. Utility of intraoperative frozen section histopathology in the diagnosis of periprosthetic joint infection: a systematic review and meta-analysis. J Bone Joint Surg Am. 2012 Sep 19;94(18):1700-11.Review.
20. Parvizi J, Jacovides C, Antoci V, Ghanem E. Diagnosis of periprosthetic joint infection: The utility of a simple yet unappreciated enzyme. J Bone Joint Surg Am 2011;93:2242‑8.
21. Berbari E, Mabry T, Tsaras G, Spangehl M, Erwin PJ, Murad MH, Steckelberg J,Osmon D. Inflammatory blood laboratory levels as markers of prosthetic joint infection: a systematic review and meta-analysis. J Bone Joint Surg Am. 2010 Sep1;92(11):2102-9.
22. ungerford DS. Infected total knee arthroplasty treated by arthroscopic irrigation and débridement. J Arthroplasty. 2000 Jun;15(4):430-6.
24. Thakrar RR, Horriat S, Kayani B, Haddad FS. Indications for a single-stage exchange arthroplasty for chronic prosthetic joint infection: a systematic review. Bone Joint J. 2019 Jan;101-B(1_Supple_A):19-24.
25. Gehrke T, Zahar A, Kendoff D. One-stage exchange: it all began here. Bone Joint J. 2013 Nov;95-B(11 Suppl A):77-83.
26. Lee YS, Chen AF. Two-Stage Reimplantation in Infected Total Knee Arthroplasty. Knee Surg Relat Res. 2018;30(2):107–114.


How to Cite this article: Mohanty S S, Keny S A. Peri-proshthetic Joint Infection. Journal of Clinical Orthopaedics July-Dec 2019;4(2):45-50.

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Prosthetic Joint Infection – How to Deal with it Rationally

Vol 2 | Issue 2 |  July – Dec 2017 | Page 11-15 | Shantanu Patil, Anshu Shekhar, Sachin Tapasvi


Authors: Shantanu Patil [1], Anshu Shekhar [2], Sachin Tapasvi [2].

[1] Department of Translational Medicine and Research, Kattankulathur Campus, SRM University, India.
[2] The Orthopedic Speciality Clinic, Pune, India.

Address of Correspondence
Dr Shantanu Patil
Department of Translational Medicine and Research,
Kattankulathur Campus, SRM University, India
Email: shantanusp@gmail.com


Abstract

Prosthetic Joint Infection is a devastating complication both for the patient and the surgeon. It depends on many factors including patient factors, surgeon factors, surgery set up. The most important factor in management of PJI is to take care of all modifiable factors that can bring down the rate of infection. One of the critical steps is in prevention of surgical site infections and raising awareness among the surgeons and patients about the role of various screening procedures and avoiding indiscriminate antibiotic abuse. Management option includes one stage or two stage exchange arthroplasty, but the success rates are less than 90%. At times salvage surgeries like fusion, excision arthroplasty or amputation may also be needed. The present article overviews the prevention and management of PJI
Keywords: Prosthetic Joint Infection, arthroplasty, revision, salvage


References

1. Anseth SD, Pulido PA, Adelson WS, Patil S, Sandwell JC and Colwell CW, Jr. Fifteen-year to twenty-year results of cementless Harris-Galante porous femoral and Harris-Galante porous I and II acetabular components. J Arthroplasty. 2010; 25: 687-91.
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3. Aggarwal VK, Rasouli MR and Parvizi J. Periprosthetic joint infection: Current concept. Indian Journal of Orthopaedics. 2013; 47: 10-7.
4. Bozic KJ, Kurtz SM, Lau E, et al. The Epidemiology of Revision Total Knee Arthroplasty in the United States. Clinical Orthopaedics and Related Research®. 2010; 468: 45-51.
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6. Lenguerrand E, Whitehouse MR, Beswick AD, Jones SA, Porter ML and Blom* AW. Revision for prosthetic joint infection following hip arthroplasty. Bone and Joint Research. 2017; 6: 391-8.
7. Springer BD, Cahue S, Etkin CD, Lewallen DG and McGrory BJ. Infection burden in total hip and knee arthroplasties: an international registry-based perspective. Arthroplasty Today. 2017; 3: 137-40.
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How to Cite this article: Patil S, Shekhar A, Tapasvi S. Prosthetic Joint Infection – How to deal with it Rationally. Journal of Clinical Orthopaedics July-Dec 2017; 2(2):11-15

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