The Effectiveness in the Treatment of Long Bone Defect Using 3D-printed Implant
1 other identifier
interventional
10
1 country
1
Brief Summary
To evaluate the effectiveness of 3D-printed titanium alloy implants in the treatment of long bone defect in adults
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for early_phase_1
Started Oct 2023
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 22, 2020
CompletedFirst Posted
Study publicly available on registry
June 26, 2020
CompletedStudy Start
First participant enrolled
October 6, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
December 30, 2024
CompletedSeptember 3, 2024
August 1, 2024
1.1 years
June 22, 2020
August 29, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Functional outcome of the upper limb
For the participant with bone defect of the upper limb, the Disabilities of the Arm, Shoulder, and Hand (DASH) score will be used to evaluate for the limb functional outcome. The scale is ranging from 0 (no disability) to 100 (most severe disability).
1 to 12 months
Functional outcome of the lower limb
For the participant with bone defect of the lower limb, the Karlstrom \& Olerud score will be used to evaluate for the limb functional outcome. The scale is graded as: bad, fair, good, excellent functional outcome.
1 to 12 months
Radiological imaging
the bone healing process is evaluated by the change in dual energy CT-scan result
Post-operative day 1 to 12 months
Secondary Outcomes (1)
Complications
through study completion, an average of 1 year.
Study Arms (1)
Participants with massive bone defect
EXPERIMENTALAdult participants with health insurance regardless of sex having bone defect greater than 5cm due to trauma or tumour resection agree to participate the research. The customised 3D-Printed implant is manufactured and undergoes post-processing treatment before being ready for implantation surgery.
Interventions
Reconstructing the long bone defect with 3D-printed customised Titanium alloy implant
Eligibility Criteria
You may qualify if:
- Adult participants with health insurance regardless of sex having bone defect greater than 5cm due to trauma or tumour resection agree to participate the research
You may not qualify if:
- Participants with contraindication to surgery
- Participants do not agree to undergo surgery
- Participants with local infection or soft tissue defect
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Cho Ray hospital
Ho Chi Minh City, 700000, Vietnam
Related Publications (39)
Nauth A, McKee MD, Einhorn TA, Watson JT, Li R, Schemitsch EH. Managing bone defects. J Orthop Trauma. 2011 Aug;25(8):462-6. doi: 10.1097/BOT.0b013e318224caf0.
PMID: 21738065BACKGROUNDKeating JF, Simpson AH, Robinson CM. The management of fractures with bone loss. J Bone Joint Surg Br. 2005 Feb;87(2):142-50. doi: 10.1302/0301-620x.87b2.15874. No abstract available.
PMID: 15736731BACKGROUNDKironde E, Sekimpi P, Kajja I, Mubiri P. Prevalence and patterns of traumatic bone loss following open long bone fractures at Mulago Hospital. OTA Int. 2019 Mar 12;2(1):e015. doi: 10.1097/OI9.0000000000000015. eCollection 2019 Mar.
PMID: 33937651BACKGROUNDLe LC, Blum RW. Road traffic injury among young people in Vietnam: evidence from two rounds of national adolescent health surveys, 2004-2009. Glob Health Action. 2013 Jan 17;6:1-9. doi: 10.3402/gha.v6i0.18757.
PMID: 23336620BACKGROUNDIvers RQ, Nguyen HT, La QN. Status of road safety and injury burden: Vietnam. J Orthop Trauma. 2014;28 Suppl 1:S50-1. doi: 10.1097/BOT.0000000000000098. No abstract available.
PMID: 24858002BACKGROUNDMasquelet AC, Begue T. The concept of induced membrane for reconstruction of long bone defects. Orthop Clin North Am. 2010 Jan;41(1):27-37; table of contents. doi: 10.1016/j.ocl.2009.07.011.
PMID: 19931050BACKGROUNDIacobellis C, Berizzi A, Aldegheri R. Bone transport using the Ilizarov method: a review of complications in 100 consecutive cases. Strategies Trauma Limb Reconstr. 2010 Apr;5(1):17-22. doi: 10.1007/s11751-010-0085-9. Epub 2010 Mar 9.
PMID: 20360874BACKGROUNDBelthur MV, Conway JD, Jindal G, Ranade A, Herzenberg JE. Bone graft harvest using a new intramedullary system. Clin Orthop Relat Res. 2008 Dec;466(12):2973-80. doi: 10.1007/s11999-008-0538-3. Epub 2008 Oct 8.
PMID: 18841433BACKGROUNDCricchio G, Lundgren S. Donor site morbidity in two different approaches to anterior iliac crest bone harvesting. Clin Implant Dent Relat Res. 2003;5(3):161-9. doi: 10.1111/j.1708-8208.2003.tb00198.x.
PMID: 14575632BACKGROUNDRobertson PA, Wray AC. Natural history of posterior iliac crest bone graft donation for spinal surgery: a prospective analysis of morbidity. Spine (Phila Pa 1976). 2001 Jul 1;26(13):1473-6. doi: 10.1097/00007632-200107010-00018.
PMID: 11458153BACKGROUNDCampana V, Milano G, Pagano E, Barba M, Cicione C, Salonna G, Lattanzi W, Logroscino G. Bone substitutes in orthopaedic surgery: from basic science to clinical practice. J Mater Sci Mater Med. 2014 Oct;25(10):2445-61. doi: 10.1007/s10856-014-5240-2. Epub 2014 May 28.
PMID: 24865980BACKGROUNDRoberts TT, Rosenbaum AJ. Bone grafts, bone substitutes and orthobiologics: the bridge between basic science and clinical advancements in fracture healing. Organogenesis. 2012 Oct-Dec;8(4):114-24. doi: 10.4161/org.23306. Epub 2012 Oct 1.
PMID: 23247591BACKGROUNDde Alencar PG, Vieira IF. BONE BANKS. Rev Bras Ortop. 2015 Nov 16;45(6):524-8. doi: 10.1016/S2255-4971(15)30297-4. eCollection 2010 Nov-Dec.
PMID: 27026958BACKGROUNDMauffrey C, Barlow BT, Smith W. Management of segmental bone defects. J Am Acad Orthop Surg. 2015 Mar;23(3):143-53. doi: 10.5435/JAAOS-D-14-00018.
PMID: 25716002BACKGROUNDMatsuno H, Yokoyama A, Watari F, Uo M, Kawasaki T. Biocompatibility and osteogenesis of refractory metal implants, titanium, hafnium, niobium, tantalum and rhenium. Biomaterials. 2001 Jun;22(11):1253-62. doi: 10.1016/s0142-9612(00)00275-1.
PMID: 11336297BACKGROUNDRotta, G., T. Seramak, and K. Zasińska, Estimation of Young's Modulus of the Porous Titanium Alloy with the Use of Fem Package. Advances in Materials Science, 2015. 15(4): p. 29 - 37
BACKGROUNDElias, C.N., et al., Biomedical applications of titanium and its alloys. JOM, 2008. 60(3): p. 46-49
BACKGROUNDHeinl P, Muller L, Korner C, Singer RF, Muller FA. Cellular Ti-6Al-4V structures with interconnected macro porosity for bone implants fabricated by selective electron beam melting. Acta Biomater. 2008 Sep;4(5):1536-44. doi: 10.1016/j.actbio.2008.03.013. Epub 2008 Apr 10.
PMID: 18467197BACKGROUNDRho JY, Ashman RB, Turner CH. Young's modulus of trabecular and cortical bone material: ultrasonic and microtensile measurements. J Biomech. 1993 Feb;26(2):111-9. doi: 10.1016/0021-9290(93)90042-d.
PMID: 8429054BACKGROUNDNiinomi, M., Mechanical properties of biomedical titanium alloys. Materials Science and Engineering: A, 1998. 243(1): p. 231-236
BACKGROUNDHead WC, Bauk DJ, Emerson RH Jr. Titanium as the material of choice for cementless femoral components in total hip arthroplasty. Clin Orthop Relat Res. 1995 Feb;(311):85-90.
PMID: 7634595BACKGROUNDShi L, Shi L, Wang L, Duan Y, Lei W, Wang Z, Li J, Fan X, Li X, Li S, Guo Z. The improved biological performance of a novel low elastic modulus implant. PLoS One. 2013;8(2):e55015. doi: 10.1371/journal.pone.0055015. Epub 2013 Feb 21.
PMID: 23437048BACKGROUNDStoppie N, Van Oosterwyck H, Jansen J, Wolke J, Wevers M, Naert I. The influence of Young's modulus of loaded implants on bone remodeling: an experimental and numerical study in the goat knee. J Biomed Mater Res A. 2009 Sep 1;90(3):792-803. doi: 10.1002/jbm.a.32145.
PMID: 18615463BACKGROUNDSumner DR, Turner TM, Igloria R, Urban RM, Galante JO. Functional adaptation and ingrowth of bone vary as a function of hip implant stiffness. J Biomech. 1998 Oct;31(10):909-17. doi: 10.1016/s0021-9290(98)00096-7.
PMID: 9840756BACKGROUNDRyan G, Pandit A, Apatsidis DP. Fabrication methods of porous metals for use in orthopaedic applications. Biomaterials. 2006 May;27(13):2651-70. doi: 10.1016/j.biomaterials.2005.12.002. Epub 2006 Jan 19.
PMID: 16423390BACKGROUNDTaniguchi N, Fujibayashi S, Takemoto M, Sasaki K, Otsuki B, Nakamura T, Matsushita T, Kokubo T, Matsuda S. Effect of pore size on bone ingrowth into porous titanium implants fabricated by additive manufacturing: An in vivo experiment. Mater Sci Eng C Mater Biol Appl. 2016 Feb;59:690-701. doi: 10.1016/j.msec.2015.10.069. Epub 2015 Oct 28.
PMID: 26652423BACKGROUNDSallica-Leva E, Jardini AL, Fogagnolo JB. Microstructure and mechanical behavior of porous Ti-6Al-4V parts obtained by selective laser melting. J Mech Behav Biomed Mater. 2013 Oct;26:98-108. doi: 10.1016/j.jmbbm.2013.05.011. Epub 2013 May 29.
PMID: 23773976BACKGROUNDDallago M, Fontanari V, Torresani E, Leoni M, Pederzolli C, Potrich C, Benedetti M. Fatigue and biological properties of Ti-6Al-4V ELI cellular structures with variously arranged cubic cells made by selective laser melting. J Mech Behav Biomed Mater. 2018 Feb;78:381-394. doi: 10.1016/j.jmbbm.2017.11.044. Epub 2017 Dec 6.
PMID: 29220822BACKGROUNDVasconcellos LM, Leite DO, Oliveira FN, Carvalho YR, Cairo CA. Evaluation of bone ingrowth into porous titanium implant: histomorphometric analysis in rabbits. Braz Oral Res. 2010 Oct-Dec;24(4):399-405. doi: 10.1590/s1806-83242010000400005.
PMID: 21180959BACKGROUNDChang B, Song W, Han T, Yan J, Li F, Zhao L, Kou H, Zhang Y. Influence of pore size of porous titanium fabricated by vacuum diffusion bonding of titanium meshes on cell penetration and bone ingrowth. Acta Biomater. 2016 Mar;33:311-21. doi: 10.1016/j.actbio.2016.01.022. Epub 2016 Jan 21.
PMID: 26802441BACKGROUNDRybicki, F.J., 3D Printing in Medicine: A Practical Guide for Medical Professionals. 2017: Springer. 1 - 22
BACKGROUNDZadpoor, A.A., Mechanical meta-materials. Materials Horizons, 2016. 3(5): p. 371-381
BACKGROUNDImanishi J, Choong PF. Three-dimensional printed calcaneal prosthesis following total calcanectomy. Int J Surg Case Rep. 2015;10:83-7. doi: 10.1016/j.ijscr.2015.02.037. Epub 2015 Mar 10.
PMID: 25827294BACKGROUNDAranda JL, Jimenez MF, Rodriguez M, Varela G. Tridimensional titanium-printed custom-made prosthesis for sternocostal reconstruction. Eur J Cardiothorac Surg. 2015 Oct;48(4):e92-4. doi: 10.1093/ejcts/ezv265. Epub 2015 Aug 4.
PMID: 26242897BACKGROUNDKim D, Lim JY, Shim KW, Han JW, Yi S, Yoon DH, Kim KN, Ha Y, Ji GY, Shin DA. Sacral Reconstruction with a 3D-Printed Implant after Hemisacrectomy in a Patient with Sacral Osteosarcoma: 1-Year Follow-Up Result. Yonsei Med J. 2017 Mar;58(2):453-457. doi: 10.3349/ymj.2017.58.2.453.
PMID: 28120579BACKGROUNDWen X, Gao S, Feng J, Li S, Gao R, Zhang G. Chest-wall reconstruction with a customized titanium-alloy prosthesis fabricated by 3D printing and rapid prototyping. J Cardiothorac Surg. 2018 Jan 8;13(1):4. doi: 10.1186/s13019-017-0692-3.
PMID: 29310677BACKGROUNDLu Y, Chen G, Long Z, Li M, Ji C, Wang F, Li H, Lu J, Wang Z, Li J. Novel 3D-printed prosthetic composite for reconstruction of massive bone defects in lower extremities after malignant tumor resection. J Bone Oncol. 2019 Jan 25;16:100220. doi: 10.1016/j.jbo.2019.100220. eCollection 2019 Jun.
PMID: 31044134BACKGROUNDMarco, F.A.d., A.Z. Rozim, and S.R. Piedade, Estabilidade articular do joelho no quadro do
BACKGROUNDLuo W, Huang L, Liu H, Qu W, Zhao X, Wang C, Li C, Yu T, Han Q, Wang J, Qin Y. Customized Knee Prosthesis in Treatment of Giant Cell Tumors of the Proximal Tibia: Application of 3-Dimensional Printing Technology in Surgical Design. Med Sci Monit. 2017 Apr 7;23:1691-1700. doi: 10.12659/msm.901436.
PMID: 28388595BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- early phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
June 22, 2020
First Posted
June 26, 2020
Study Start
October 6, 2023
Primary Completion
November 1, 2024
Study Completion
December 30, 2024
Last Updated
September 3, 2024
Record last verified: 2024-08
Data Sharing
- IPD Sharing
- Will not share
Limited data are available only to research providing high quality (of sufficient details as to be useful for research purposes) and accessible (able to be acquired and used) data for research. Those data also include the deidentified data such as X-Ray, CT-scan, MRI, etc. and do not include any identified information