{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T07:02:24Z","timestamp":1790665344544,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,12,18]],"date-time":"2023-12-18T00:00:00Z","timestamp":1702857600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100018542","name":"Natural Science Foundation of Sichuan Province","doi-asserted-by":"publisher","award":["2023NSFSC1749"],"award-info":[{"award-number":["2023NSFSC1749"]}],"id":[{"id":"10.13039\/501100018542","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Intercalary reconstruction for patients with short residual bone segments remains challenging. Three\u2010dimensional (3D)\u2010printed custom\u2010made porous implants are a promising technique for short\u2010segment fixation in these patients. This study aims to evaluate the efficiency of 3D\u2010printed custom\u2010made porous components (3DCPCs) for short\u2010segment fixation, focusing on prosthesis survivorship, radiographic results, and potential complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective study involved 39 patients who underwent intercalary prosthetic reconstruction with 3DCPCs after tumor resection of the femur, tibia, or humerus from June 2015 to October 2020. Segment bone loss involved the femur (<jats:italic>n<\/jats:italic>\u2009=\u200915), tibia (<jats:italic>n<\/jats:italic>\u2009=\u200916), and humerus (<jats:italic>n<\/jats:italic>\u2009=\u20098), leaving 78 residual bone segments. There were 46 short segments requiring 46 3DCPCs and 32 segments with the ability to accommodate 32 off\u2010the\u2010shelf standard uncemented stems for prosthesis fixation. Clinical and functional outcomes were evaluated. Prosthesis\u2010overall survivorship and prosthesis\u2010specific survivorship were analyzed using Kaplan\u2013Meier survival analysis. Radiographic results and modes of failure of using this technique were also examined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean follow\u2010up was 41\u2009months. The prosthesis\u2010overall survivorship was 87.2% and 84.6% at 2 and 5\u2009years, respectively. The prosthesis\u2010specific survivorship was 92.1% and 89.5% at 2 and 5\u2009years, respectively. There was not a substantial difference in prosthesis survivorship among the femur, tibia, and humerus. The average MSTS score was 26.2, ranging from 22 to 28. The radiographic evaluation results revealed excellent or good interface (38\/46) in most of the 46 porous components. A total of 38 of 46 bone segments\u2019 remolding demonstrated no change. In total, seven patients (16.3%) had complications requiring further surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The prosthesis survivorship of using 3DCPCs for short\u2010segment fixation is similar or better compared to other studies involving intercalary prosthetic reconstruction with short\u2010segment fixation. Radiographic evaluation revealed good osteointegration and avoidance of stress shielding. Overall, intercalary prosthetic reconstruction with 3DCPC is a feasible modality for patients with short residual bone segments after tumor resection.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13969","type":"journal-article","created":{"date-parts":[[2023,12,19]],"date-time":"2023-12-19T08:56:41Z","timestamp":1702976201000},"page":"374-382","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Intercalary Prosthetic Reconstruction with Three\u2010Dimensional\u2010Printed Custom\u2010Made Porous Component for Defects of Long Bones with Short Residual Bone Segments After Tumor Resection"],"prefix":"10.1111","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-0004-5455","authenticated-orcid":false,"given":"Zhuangzhuang","family":"Li","sequence":"first","affiliation":[{"name":"Department of Orthopedics Orthopaedic Research Institute, West China Hospital, Sichuan University  Chengdu People's Republic of 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