Clinical application and prospect of 3D printing technology in orthopeadics

Xieping DONG; Guoxian PEI

doi:10.16016/j.2097-0927.202203200

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Clinical application and prospect of 3D printing technology in orthopeadics

Monographic Reports: Clinical application of 3D printing technology in bone and joint surgery | 更新时间：2026-01-09

- Clinical application and prospect of 3D printing technology in orthopeadics
- Journal of Army Medical University Vol. 44, Issue 15, Pages: 1501-1507(2022)
- 作者机构：
  
  1.330006 南昌，南昌大学医学院
  2.330006 南昌，江西省人民医院骨科，江西省卫生健康数字骨科重点实验室
  3.518000 广东深圳，南方科技大学医院南方科技大学粤港澳智能与数字外科创新中心
- 作者简介：
- 基金信息：
  
  the Regional Project of National Natural Science Foundation of China(81860384)
- DOI：10.16016/j.2097-0927.202203200
  CLC： R319;R68
- Received：27 April 2022，
  
  Revised：2022-05-03，
  
  Published：15 August 2022
- 稿件说明：
移动端阅览
Xieping DONG, Guoxian PEI. Clinical application and prospect of 3D printing technology in orthopeadics[J]. Journal of Army Medical University, 2022, 44(15): 1501-1507.
DOI：

Xieping DONG, Guoxian PEI. Clinical application and prospect of 3D printing technology in orthopeadics[J]. Journal of Army Medical University, 2022, 44(15): 1501-1507. DOI： 10.16016/j.2097-0927.202203200.

摘要

3D打印技术在骨科的临床应用优势已被逐渐发掘出来，呈现出蓬勃发展之势。但纵观全国，能高水平应用3D打印技术的医院和骨科医师尚为数不多。本文通过概括3D打印技术在骨科临床的应用类型、技术层次、应用领域、临床价值、开展条件、国内外应用现状等，揭示了3D打印技术在提升骨科技术水平和医疗质量中的独特优势，剖析3D打印技术在骨科临床应用全流程中应注意的技术要点与可能风险，讨论技术供给侧、需求侧和调控侧在3D打印骨科临床推广中的作用，总结出3D打印技术目前在全国各地开展得冷热不均的原因主要是技术掌握程度与应用环境优劣，而负面影响的症结主要在于医师认识不足、收费政策滞后和服务市场冷淡等，这为解决3D打印技术在骨科临床更好普及应用提供指导。

Abstract

The advantages of clinical application of 3D printing technology in orthopaedics have been gradually explored

showing a trend of vigorous development. However

throughout the country

there are still few hospitals and orthopedic surgeons who can apply 3D printing technology at a high level. This manuscript summarizes the application type

technical level

application field

clinical value

development conditions and application status of 3D printing technology in orthopaedic clinical application

analyzes the technical points and possible risks that should be paid attention to in the whole process of orthopaedic clinical application

and discusses the role of technology supply side

demand side and regulation side in the clinical promotion of 3D printing orthopaedics. The main reasons for the uneven development of 3D printing technology in various parts of the country are mainly due to the differences of technical mastery and application environment

while the crux of negative impact mainly lies in the insufficient understanding of doctors

lagging charging policy and indifference of the service market

which provide guidance in the popularization and application of 3D printing technology in orthopaedic clinic.

关键词

Keywords

references

许克惠, 李娇娇, 李香玉, 等. 光固化3D打印软组织材料的性能研究进展[J]. 中国生物医学工程学, 2019, 38(5): 628-635. DOI: 10.3969/j.issn.0258-8021.2019.05.014.

XU K H, LI J J, LI X Y, et al . Research progress of stereolithographic 3D printing of soft tissue engineering scaffolds[J ] . Chin J Biomed Eng, 2019, 38(5): 628-635. DOI: 10.3969/j.issn.0258-8021.2019.05.014.

赵丙辉, 李沅, 李文娇. 3D打印技术制备骨科植入材料聚醚醚酮的力学性能研究及氨基改性对材料成骨性能的影响[J]. 中国医疗器械信息, 2021, 27(13): 10-12, 74. DOI: 10.3969/j.issn.1006-6586.2021.13.004.

ZHAO B H, LI Y, LI W J. Mechanical properties of polyether-ether-ketone prepared by 3D printing technology and the effect of amino modification on the osteogenic properties of orthopedic implant materials[J]. China Med Device Inf, 2021, 27(13): 10-12, 74. DOI: 10.3969/j.issn.1006-6586.2021.13.004.

吴昊, 郭征. 3D打印多孔钛与钛合金及多孔钽骨科植入物的性能比较及应用展望[J]. 中华创伤骨科杂志, 2020, 22(10): 916-920. DOI: 10.3760/cma.j.cn115530-20200609-00382.

WU H, GUO Z. Comparison of orthopedic implants 3D printed with porous titanium versus porous tantalum and prospects of their applications[J]. Chin J Orthop Trauma, 2020, 22(10): 916-920. DOI: 10.3760/cma.j.cn115530-20200609-00382.

Economist. A third industrial revolution[EB/OL]. [2012-04-21]. http://web.mit.edu/pie/news/Economist.pdf.

WEI F, LI Z H, LIU Z J, et al . Upper cervical spine reconstruction using customized 3D-printed vertebral body in 9 patients with primary tumors involving C2[J ] . Ann Transl Med, 2020, 8(6): 332. DOI: 10.21037/atm.2020.03.32.

HE S H, YANG X H, YANG J, et al . Customized "whole-cervical-vertebral-body" reconstruction after modified subtotal spondylectomy of C2-C7 spinal tumor via piezoelectric surgery[J ] . Oper Neurosurg (Hagerstown), 2019, 17(6): 580-587. DOI: 10.1093/ons/opz077..

LIU D, FU J, FAN H B, et al . Application of 3D-printed PEEK scapula prosthesis in the treatment of scapular benign fibrous histiocytoma: a case report[J ] . J Bone Oncol, 2018, 12: 78-82. DOI: 10.1016/j.jbo.2018.07.012.

ZHANG Y W, DENG L, ZHANG X X, et al . Three-dimensional printing-assisted cervical anterior bilateral pedicle screw fixation of artificial vertebral body for cervical tuberculosis[J ] . World Neurosurg, 2019, 127: 25-30. DOI: 10.1016/j.wneu.2019.03.238.

汪松, 潘彬, 李浩, 等. 3D打印技术辅助治疗骨盆骨折临床疗效的Meta分析[J]. 中华创伤骨科杂志, 2019, 21(1): 44-49. DOI: 10.3760/cma.j.issn.1671-7600.2019.01.008.

WANG S, PAN B, LI H, et al . 3D printed modeling used to assist internal fixation for pelvic fractures: a Meta-analysis[J ] . Chin J Orthop Trauma, 2019, 21(1): 44-49. DOI: 10.3760/cma.j.issn.1671-7600.2019.01.008.

DONG X P, ZHANG Y W, WANG Z, et al . Clinical application of three-dimensional printing assisted percutaneous guide plate in minimally invasive reduction and internal fixation of tibial plateau fracture[J ] . Asian J Surg, 2020, 43(9): 921-923. DOI: 10.1016/j.asjsur.2020.04.020.

蒋明辉, 蔡立宏, 雷青, 等. 3D打印技术在骨科临床的应用研究及展望[J]. 中华损伤与修复杂志(电子版), 2016, 11(4): 288-290. DOI: 10.3877/cma.j.issn.1673-9450.2016.04.011.

JIANG M H, CAI L H, LEI Q, et al . Application research and prospect of 3D printing technology in department of orthopedics[J ] . Chin J Inj Repair Wound Heal Electron Ed, 2016, 11(4): 288-290. DOI: 10.3877/cma.j.issn.1673-9450.2016.04.011.

赵兴文, 马剑雄, 王颖, 等. 3D打印个性化手术导板在骨科手术中的应用进展[J]. 中华创伤骨科杂志, 2021(10): 884-889.

ZHAO X W, MA J X, WANG Y, et al . Application of 3D printed patient-specific surgical guide plate in orthopedic surgery[J ] . Chin J Orthop Trauma, 2021(10): 884-889.

陆声, 辛欣, 黄文华, 等. 3D打印骨科手术导板的临床应用进展[J]. 南方医科大学学报, 2020, 40(8): 1220-1224. DOI: 10.12122/j.issn.1673-4254.2020.08.22.

LU S, XIN X, HUANG W H, et al . Progress in clinical application of 3D printed navigational template in orthopedic surgery[J ] . J South Med Univ, 2020, 40(8): 1220-1224. DOI: 10.12122/j.issn.1673-4254.2020.08.22.

董谢平, 张大伟, 漆启华, 等. 3D打印截骨导板辅助治疗踝关节内骨折畸形愈合[J]. 中华创伤骨科杂志, 2017, 19(6): 511-517. DOI: 10.3760/cma.j.issn.1671-7600.2017.06.010.

DONG X P, ZHANG D W, QI Q H, et al . Osteotomy for malunion of intra-articular ankle fracture assisted by 3D printing relay template[J ] . Chin J Orthop Trauma, 2017, 19(6): 511-517. DOI: 10.3760/cma.j.issn.1671-7600.2017.06.010.

苗秋菊, 丁焕文, 王虹, 等. 胫骨成角短缩畸形数字化三维精准矫形研究[J]. 中国修复重建外科杂志, 2018(8): 1018-1025.

MIAO Q J, DING H W, WANG H, et al . Precise orthormorphia of tibial angulation deformity and shortening deformity by using digital technology combined with circular external fixator[J ] . Chin J Repar Reconstr Surg, 2018(8): 1018-1025.

董谢平, 龙智生, 王哲, 等. 虚拟复位和3D打印导板设计在髌骨粉碎性骨折中的初步应用[J]. 中华创伤骨科杂志, 2020, 22(10): 876-880. DOI: 10.3760/cma.j.cn115530-20200619-00415.

DONG X P, LONG Z S, WANG Z, et al . Virtual reduction and design of 3D printed guide template for comminuted patellar fractures[J ] . Chin J Orthop Trauma, 2020, 22(10): 876-880. DOI: 10.3760/cma.j.cn115530-20200619-00415.

杨柳, 王富友. 医学3D打印多孔钽在骨科的应用[J]. 第三军医大学学报, 2019, 41(19): 1859-1866. DOI: 10.16016/j.1000-5404.201908136.

YANG L, WANG F Y. Progress of 3D printed porous tantalum in orthopedics[J]. J Third Mil Med Univ, 2019, 41(19): 1859-1866. DOI: 10.16016/j.1000-5404.201908136.

商广前, 项帅, 张鹏军, 等. 3D打印骨小梁金属臼杯用于全髋关节置换翻修术的效果[J]. 中华创伤杂志, 2021(7): 628-634.

SHANG G Q, XIANG S, ZHANG P J, et al . Curative effect of 3D printing trabecular metal acetabular cups in revision of total hip arthroplasty[J ] . Chin J Trauma, 2021(7): 628-634.

吴家昌, 李修往, 方国芳, 等. 3D打印人工椎体在脊柱肿瘤手术中的设计及初步应用[J]. 中华创伤骨科杂志, 2020(10): 855-861.

WU J C, LI X W, FANG G F, et al . Design and preliminary application of 3D-printed vertebral bodies in spinal tumor surgery[J ] . Chin J Orthop Trauma, 2020(10): 855-861.

DONG X P, ZHANG Y W, PEI Y J, et al . Three-dimensional printing for the accurate orthopedics: clinical cases analysis[J ] . Bio Des M anuf, 2020, 3(2): 122-132. DOI: 10.1007/s42242-020-00070-y.

许森赫, 王金成, 范丽雯, 等. 国内外3D打印在骨科的发展状况[J]. 中国实验诊断学, 2018, 22(2): 367-370. DOI: 10.3969/j.issn.1007-4287.2018.02.062.

XU S H, WANG J C, FAN L W, et al . Development of 3D printing in orthopedics at home and abroad[J ] . Chin J Lab Diagn, 2018, 22(2): 367-370. DOI: 10.3969/j.issn.1007-4287.2018.02.062.

贺超, 王磊, 李国远, 等. 3D打印在骨科的应用[J]. 中华骨科杂志, 2017(19): 1235-1241.

HE C, WANG L, LI G Y, et al . 3D printing technology applied in orthopaedics[J ] . Chin J Orthop, 2017(19): 1235-1241.

朱嘉文, 杨洋, 谭为, 等. 3D打印技术在儿童骨科的应用研究进展[J]. 中华解剖与临床杂志, 2020, 25(6): 700-704. DOI: 10.3760/cma.j.cn101202-20191015-00311.

ZHU J W, YANG Y, TAN W, et al . Application of 3D-printing technology in pediatric orthopedics[J ] . Chin J Anat Clin, 2020, 25(6): 700-704. DOI: 10.3760/cma.j.cn101202-20191015-00311.

孙长鲛, 蔡谞. 3D打印技术在关节外科的应用[J]. 中国骨与关节杂志, 2018, 7(8): 597-601. DOI: 10.3969/j.issn.2095-252X.2018.08.008.

SUN C J, CAI X. Application of 3D printing technology in joint surgery[J]. Chin J Bone Joint, 2018, 7(8): 597-601. DOI: 10.3969/j.issn.2095-252X.2018.08.008.

廖政文, 侯崛东, 路鹏程, 等. 3D打印技术在康复支具领域的研究及应用进展[J]. 中华创伤骨科杂志, 2018(7): 601-605.

LIAO Z W, HOU J D, LU P C, et al . Research on and application of 3D printing technology in orthoses[J ] . Chin J Orthop Trauma, 2018(7): 601-605.

中华医学会医学工程学分会数字骨科学组, 国际矫形与创伤外科学会(SICOT)中国部数字骨科学组. 3D打印骨科手术导板技术标准专家共识[J]. 中华创伤骨科杂志, 2019, 21(1): 6-9. DOI: 10.3760/cma.j.issn.1671-7600.2019.01.001.

Digital Orthopedics Group of Medical Engineering Society of Chinese Medical Association, Group of Digital Orthopaedics&Traumatology of China Division, SocieteInternationale de Chirurgie Orthopedique et de Trauma-tologie. Expert consensus on technical standards for 3D-printed guide plate in orthopedic surgery[J]. Chin J Orthop Trauma, 2019, 21(1): 6-9. DOI: 10.3760/cma.j.issn.1671-7600.2019.01.001.

中国国家食品药品监督管理局, 无源植入性骨、关节及口腔硬组织个性化增材制造医疗器械注册技术审查指导原则[EB/OL]. [2019-09-23]. https://www.nmpa.gov.cn/xxgk/ggtg/qtggtg/20191015164601944.html.

China State Food and Drug Administration. Guidelines for technical review of the registration of personalized additive manufacturing of passive implanted bone, joint and oral hard tissue medical devices[EB/OL]. [2019-09-23]. https://www.nmpa.gov.cn/xxgk/ggtg/qtggtg/20191015164601944.html.

杨英, 苏荣耀, 吴勇, 等. DRG收付费改革对医院的影响及管理策略[J]. 中国卫生经济, 2022, 41(1): 63-67.

YANG Y, SU R Y, WU Y, et al . Influence of DRG collection and payment reform on hospitals and management strategies[J ] . Chin Heal Econ, 2022, 41(1): 63-67.

李春, 张晓琦, 线春艳. DRG/DIP支付方式下医院成本管理转型[J]. 中国总会计师, 2021(3): 38-40.

LI C, ZHANG X Q, XIAN C Y. Transformation of hospital cost management under DRG/DIP payment mode[J]. Chin Chief Fin, 2021(3): 38-40.

唐迪, 丁锦希, 陈烨, 等. 医保支付标准与DRG/DIP支付协同推进机制研究[J]. 中国医疗保险, 2021(3): 38-42. DOI: 10.19546/j.issn.1674-3830.2021.3.012.

TANG D, DING J X, CHEN Y, et al . Research on coordination mechanism between medical insurance payment standard and DRG/DIP[J ] . China Heal Insur, 2021(3): 38-42. DOI: 10.19546/j.issn.1674-3830.2021.3.012.

METAL A M. Celebrating ten years of metal additively manufactured hip cups[EB/OL]. [2018-03-07]. http://www.metal-am.com/celebrating-ten-years-of-metal-additively-manufactured-hip-cups/.

US Food and Drug Administration. Technical considerations for additive manufactured devices: guid-ance for industry and food and drug administration staff[ER/OL]. [2017-09-21]. https://www.fda.gov/regulatory-information/search-fda-guidance-documents/technical-considerations-additive-manufactured-medical-devices.

MURR L E. Global trends in the development of complex, personalized, biomedical, surgical implant devices using 3D printing/additive manufacturing: a review[J]. Med Devices Sens, 2020, 3(6): 1-7. DOI:10.1002/mds3.10126.

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