{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T07:40:03Z","timestamp":1771573203196,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2023,9,18]],"date-time":"2023-09-18T00:00:00Z","timestamp":1694995200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Aseptic loosening is considered to be a rather uncommon complication in proximal humerus endoprosthetic replacement (PHER). However, patients with aseptic loosening often suffer severe bone loss, which poses a great challenge in following revision. Under this situation, a standard stemmed endoprosthesis is unavailable for revision limb salvage. Computer\u2010aided design and 3D\u2010printed personalized implants are an emerging solution for reconstructing complex bone defects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case Presentation<\/jats:title><jats:p>Here, we present a 67\u2010year\u2010old male who underwent PHER after tumor resection and developed aseptic loosening with severe periprosthetic osteolysis around the stem. Computer\u2010aided design and 3D\u2010printed personalized stem\u2010plate composite was used for the precision revision of this patient. During the follow\u2010up, encouraging results were observed, with good endoprosthetic stability and satisfactory limb function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Computer\u2010aid design and 3D\u2010printed personalized stem\u2010plate composite used in the present case could help to achieve good endoprosthetic stability and satisfactory limb function. This 3D\u2010printed personalized stem\u2010plate composite seems to be an effective method for the precise revision of PHER in patients with severe periprosthetic osteolysis. In addition, it also provides a novel method for similar revision surgery of other joints or primary endoprosthetic replacement with severe bone defects.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13857","type":"journal-article","created":{"date-parts":[[2023,9,19]],"date-time":"2023-09-19T05:44:37Z","timestamp":1695102277000},"page":"3000-3005","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Computer\u2010aided Design and <scp>3D<\/scp>\u2010printed Personalized Stem\u2010plate Composite for Precision Revision of the Proximal Humerus Endoprosthetic Replacement: A Technique Note"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-0004-5455","authenticated-orcid":false,"given":"Zhuangzhuang","family":"Li","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Orthopaedic Research Institute, West China Hospital Sichuan University  Chengdu China"},{"name":"Model Worker and Craftsman Talent Innovation Workshop of Sichuan Province  Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Minxun","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Orthopaedic Research Institute, West China Hospital Sichuan University  Chengdu China"},{"name":"Model Worker and Craftsman Talent Innovation Workshop of Sichuan Province  Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuqi","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Orthopaedic Research Institute, West China Hospital Sichuan University  Chengdu China"},{"name":"Model Worker and Craftsman Talent Innovation Workshop of Sichuan Province  Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taojun","family":"Gong","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Orthopaedic Research Institute, West China Hospital Sichuan University  Chengdu China"},{"name":"Model Worker and Craftsman Talent Innovation Workshop of Sichuan Province  Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jie","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Orthopaedic Research Institute, West China Hospital Sichuan University  Chengdu China"},{"name":"Model Worker and Craftsman Talent Innovation Workshop of Sichuan Province  Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Orthopaedic Research Institute, West China Hospital Sichuan University  Chengdu China"},{"name":"Model Worker and Craftsman Talent Innovation Workshop of Sichuan Province  Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Orthopaedic Research Institute, West China Hospital Sichuan University  Chengdu China"},{"name":"Model Worker and Craftsman Talent Innovation Workshop of Sichuan Province  Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li","family":"Min","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Orthopaedic Research Institute, West China Hospital Sichuan University  Chengdu China"},{"name":"Model Worker and Craftsman Talent Innovation Workshop of Sichuan Province  Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5273-7256","authenticated-orcid":false,"given":"Chongqi","family":"Tu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Orthopaedic Research Institute, West China Hospital Sichuan University  Chengdu China"},{"name":"Model Worker and Craftsman Talent Innovation Workshop of Sichuan Province  Chengdu China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,9,18]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.2174\/1874325001711010203"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/2309499017713937"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-014-2597-2"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-43032-0_2"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-022-05581-6"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-010-1152-z"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-008-0531-x"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000001245"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2018.04.024"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.00834"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10153424"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-20-00964"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.4103\/0973-6042.83196"},{"key":"e_1_2_8_15_1","first-page":"377","article-title":"Computer\u2010aided design and additive technology engineering of custom acetabular component for revision hip arthroplasty surgery; proceedings of the 2016 XIX IEEE international conference on soft computing and measurements (SCM), F, 2016 [C]","volume":"1","author":"Dmitrevich G","year":"2016","journal-title":"IEEE"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-016-2444-1"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000013282"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000015787"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2009.11.001"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000001677"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.99B12.BJJ-2017-0213.R1"}],"container-title":["Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.13857","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,3]],"date-time":"2023-11-03T02:58:49Z","timestamp":1698980329000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/os.13857"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,18]]},"references-count":20,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2023,11]]}},"alternative-id":["10.1111\/os.13857"],"URL":"https:\/\/doi.org\/10.1111\/os.13857","archive":["Portico"],"relation":{},"ISSN":["1757-7853","1757-7861"],"issn-type":[{"value":"1757-7853","type":"print"},{"value":"1757-7861","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9,18]]},"assertion":[{"value":"2023-04-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-23","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-18","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}