{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:42:58Z","timestamp":1787755378201,"version":"build-2784847793"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2022,10,1]],"date-time":"2022-10-01T00:00:00Z","timestamp":1664582400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We describe a patient with advanced Kienb\u00f6ck's disease, treated with 3-dimensional (3D) printing assisted costochondral transplantation. Cartilage shaping was achieved according to a biomimetic 3D-printed prosthesis designed by mirror symmetry of the healthy wrist. The inserted cartilage spacer was fixed using the autologous palmar longus tendon. After 14 months of follow-up, the patient had significant pain relief and had recovered nearly the full range of wrist motion. No significant absorption or osseous metaplasia of the cartilage was seen on the radiographic and magnetic resonance images.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This costochondral transplantation strategy may offer a feasible treatment option for patients with severe Kienb\u00f6ck's disease.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.22.00647","type":"journal-article","created":{"date-parts":[[2023,2,2]],"date-time":"2023-02-02T19:51:02Z","timestamp":1675367462000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Treatment of Advanced Kienb\u00f6ck's Disease Using 3D Printing Assisted Autologous Costochondral Transplantation"],"prefix":"10.2106","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0810-6611","authenticated-orcid":false,"given":"Zhenzhong","family":"Zhu","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Shanghai Sixth People's Hospital Affiliated with Shanghai Jiao Tong University School of Medicine, Shanghai, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4030-766X","authenticated-orcid":false,"given":"Qian","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Shanghai Sixth People's Hospital Affiliated with Shanghai Jiao Tong University School of Medicine, Shanghai, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4899-0715","authenticated-orcid":false,"given":"Jia","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Shanghai Sixth People's Hospital Affiliated with Shanghai Jiao Tong University School of Medicine, Shanghai, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9958-9374","authenticated-orcid":false,"given":"Yun","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Shanghai Sixth People's Hospital Affiliated with Shanghai Jiao Tong University School of Medicine, Shanghai, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7390-0622","authenticated-orcid":false,"given":"Yixuan","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Shanghai Sixth People's Hospital Affiliated with Shanghai Jiao Tong University School of Medicine, Shanghai, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2581-6263","authenticated-orcid":false,"given":"Kai","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Shanghai Sixth People's Hospital Affiliated with Shanghai Jiao Tong University School of Medicine, Shanghai, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9231-6990","authenticated-orcid":false,"given":"Dajiang","family":"Du","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Shanghai Sixth People's Hospital Affiliated with Shanghai Jiao Tong University School of Medicine, Shanghai, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7090-0280","authenticated-orcid":false,"given":"Jiagen","family":"Sheng","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Shanghai Sixth People's Hospital Affiliated with Shanghai Jiao Tong University School of Medicine, Shanghai, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7408-4126","authenticated-orcid":false,"given":"Changqing","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Shanghai Sixth People's Hospital Affiliated with Shanghai Jiao Tong University School of Medicine, Shanghai, P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,10]]},"reference":[{"issue":"1","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1055\/s-0036-1593734","article-title":"Kienbock disease: a new algorithm for the 21st century","volume":"6","author":"Lichtman","year":"2017","journal-title":"J Wrist Surg."},{"key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2013\/416246","article-title":"Tendon interposition and ligament reconstruction with ECRL tendon in the late stages of Kienbock's disease: a cadaver study","volume":"2013","author":"Karalezli","year":"2013","journal-title":"ScientificWorldJournal."},{"issue":"42","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"e1760","DOI":"10.1097\/MD.0000000000001760","article-title":"Treatment of aseptic necrosis of the lunate bone (kienbock disease) using a nickel-titanium memory alloy arthrodesis concentrator: a series of 24 cases","volume":"94","author":"Xu","year":"2015","journal-title":"Medicine (Baltimore)."},{"key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"1759720X1987713","DOI":"10.1177\/1759720X19877131","article-title":"Autologous costal chondral transplantation and costa-derived chondrocyte implantation: emerging surgical techniques","volume":"11","author":"Gao","year":"2019","journal-title":"Ther Adv Musculoskelet Dis."},{"issue":"03","key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1055\/s-0033-1351787","article-title":"Rib cartilage graft for posttraumatic or degenerative arthritis at wrist level: 10-year results","volume":"02","author":"Obert","year":"2013","journal-title":"J Wrist Surg."},{"key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1051\/sicotj\/2015003","article-title":"Rib cartilage grafting in upper limb surgery: an overview","volume":"1","author":"Obert","year":"2015","journal-title":"SICOT. J."},{"issue":"1","key":"bib7-20240805","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s12178-020-09691-3","article-title":"Three-dimensional printing in orthopedics: from the basics to surgical applications","volume":"14","author":"Ejnisman","year":"2021","journal-title":"Curr Rev Musculoskelet Med."},{"issue":"4","key":"bib8-20240805","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1007\/s00402-017-2854-0","article-title":"3D printing lunate prosthesis for stage IIIc Kienbock's disease: a case report","volume":"138","author":"Xie","year":"2018","journal-title":"Arch Orthop Trauma Surg."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.22.00647","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:42:07Z","timestamp":1787751727000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.22.00647"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2022,10]]},"references-count":8,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.22.00647","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10]]},"assertion":[{"value":"2022-10-14","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-11-15","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}