Background: Complex orthopedic reconstruction presents significant challenges due to anatomical variations and the limitations of conventional implants. Three-dimensional (3D) printing technology has emerged as a revolutionary approach for creating patient-specific implants that address these challenges.
Objective: To evaluate the clinical outcomes, complications, and patient satisfaction associated with 3D-printed custom implants in complex orthopedic reconstruction procedures.
Methods: A retrospective analysis was conducted on 127 patients who underwent complex orthopedic reconstruction using 3D-printed custom implants between January 2020 and December 2023. Patient demographics, surgical parameters, functional outcomes, complications, and radiographic assessments were analyzed. Follow-up ranged from 12 to 48 months.
Results: The study included 127 patients (mean age 52.3 ± 15.7 years). Surgical indications included bone tumor resections (n=45), revision arthroplasty (n=38), trauma reconstruction (n=28), and congenital deformities (n=16). Mean operative time was 3.2 ± 1.1 hours. Implant integration was achieved in 94.5% of cases. Complications occurred in 11.8% of patients, with infection being the most common (4.7%). Functional scores improved significantly from preoperative to final follow-up (p<0.001). Patient satisfaction rates were 91.3%.
Conclusion: 3D-printed custom implants demonstrate excellent clinical outcomes in complex orthopedic reconstruction, with high integration rates, acceptable complication rates, and significant functional improvements. This technology represents a paradigm shift toward personalized orthopedic care.