New Approach for Predictive Measurement of Knee Cartilage Defects with Three-dimensional Printing Based on CT-arthrography: A Feasibility Study

Overview

Journal J Orthop

Specialty Orthopedics

Date 2016 Nov 11

PMID 27829733

Citations 2

Authors

R Michalik

S Schrading

T Dirrichs

A Prescher

C K Kuhl

M Tingart

B Rath

Affiliations

Soon will be listed here.

Abstract

Purpose: The aim was to prove the possibility of creating an exact module of knee cartilage defects using 3D printing.

Methods: Defects were created in cadaver knees. CT-arthrography and 3-Tesla MRI were performed. Based on CTA images a model of the cartilage was created using 3D printing. Defect-sizes in the imaging modalities were compared.

Results: Estimated lesion area in 3D model differed approximately 5% comparing to the defect sizes in knees. MRI underestimated the defect on average of 12%, whereas the CTA overestimated the defect about 3%.

Conclusions: We proved the feasibility of creating an accurate module of knee cartilage.

Citing Articles

Image-Guided Chondrocyte Harvesting for Autologous Chondrocyte Implantation: Initial Feasibility Study with Human Cadaver and Pilot Clinical Experience.

Zikria B, Hafezi-Nejad N, Patten I, Johnson A, Haj-Mirzaian A, Wilckens J JB JS Open Access. 2019; 4(2):e0039.

PMID: 31334460 PMC: 6613850. DOI: 10.2106/JBJS.OA.18.00039.

Three-dimensional mapping of the joint space for the diagnosis of knee osteoarthritis based on high resolution computed tomography: Comparison with radiographic, outerbridge, and meniscal classifications.

Mezlini-Gharsallah H, Youssef R, Uk S, Laredo J, Chappard C J Orthop Res. 2018; 36(9):2380-2391.

PMID: 29663495 PMC: 6175338. DOI: 10.1002/jor.24015.

References

Gagliardi J, Chung E, Chandnani V, Kesling K, Christensen K, Null R . Detection and staging of chondromalacia patellae: relative efficacies of conventional MR imaging, MR arthrography, and CT arthrography. AJR Am J Roentgenol. 1994; 163(3):629-36. DOI: 10.2214/ajr.163.3.8079858. View

Mithoefer K, Saris D, Farr J, Kon E, Zaslav K, Cole B . Guidelines for the Design and Conduct of Clinical Studies in Knee Articular Cartilage Repair: International Cartilage Repair Society Recommendations Based on Current Scientific Evidence and Standards of Clinical Care. Cartilage. 2015; 2(2):100-21. PMC: 4300780. DOI: 10.1177/1947603510392913. View

Lee Y, Suzer F, Thermann H . Autologous Matrix-Induced Chondrogenesis in the Knee: A Review. Cartilage. 2015; 5(3):145-53. PMC: 4297179. DOI: 10.1177/1947603514529445. View

Gelber A, Hochberg M, Mead L, Wang N, Wigley F, Klag M . Joint injury in young adults and risk for subsequent knee and hip osteoarthritis. Ann Intern Med. 2000; 133(5):321-8. DOI: 10.7326/0003-4819-133-5-200009050-00007. View

Buckwalter J, Lohmander S . Operative treatment of osteoarthrosis. Current practice and future development. J Bone Joint Surg Am. 1994; 76(9):1405-18. DOI: 10.2106/00004623-199409000-00019. View

Upmeier H, Bruggenjurgen B, Weiler A, Flamme C, Laprell H, Willich S . Follow-up costs up to 5 years after conventional treatments in patients with cartilage lesions of the knee. Knee Surg Sports Traumatol Arthrosc. 2006; 15(3):249-57. DOI: 10.1007/s00167-006-0182-y. View

Rengier F, Mehndiratta A, von Tengg-Kobligk H, Zechmann C, Unterhinninghofen R, Kauczor H . 3D printing based on imaging data: review of medical applications. Int J Comput Assist Radiol Surg. 2010; 5(4):335-41. DOI: 10.1007/s11548-010-0476-x. View

Oeppen R, Connolly S, Bencardino J, Jaramillo D . Acute injury of the articular cartilage and subchondral bone: a common but unrecognized lesion in the immature knee. AJR Am J Roentgenol. 2003; 182(1):111-7. DOI: 10.2214/ajr.182.1.1820111. View

Melendez J, McCrank E . Anxiety-related reactions associated with magnetic resonance imaging examinations. JAMA. 1993; 270(6):745-7. DOI: 10.1001/jama.1993.03510060091039. View

10.

Mall N, Harris J, Cole B . Clinical Evaluation and Preoperative Planning of Articular Cartilage Lesions of the Knee. J Am Acad Orthop Surg. 2015; 23(10):633-40. DOI: 10.5435/JAAOS-D-14-00241. View

11.

Marro A, Bandukwala T, Mak W . Three-Dimensional Printing and Medical Imaging: A Review of the Methods and Applications. Curr Probl Diagn Radiol. 2015; 45(1):2-9. DOI: 10.1067/j.cpradiol.2015.07.009. View

12.

Cole B, Pascual-Garrido C, Grumet R . Surgical management of articular cartilage defects in the knee. Instr Course Lect. 2010; 59:181-204. View

13.

Vande Berg B, Lecouvet F, Poilvache P, Jamart J, Materne R, Lengele B . Assessment of knee cartilage in cadavers with dual-detector spiral CT arthrography and MR imaging. Radiology. 2002; 222(2):430-6. DOI: 10.1148/radiol.2222010597. View

14.

Felson D . Clinical practice. Osteoarthritis of the knee. N Engl J Med. 2006; 354(8):841-8. DOI: 10.1056/NEJMcp051726. View

15.

Lowe S . Diagnostic radiography in pregnancy: risks and reality. Aust N Z J Obstet Gynaecol. 2004; 44(3):191-6. DOI: 10.1111/j.1479-828X.2004.00212.x. View

16.

Mattila V, Weckstrom M, Leppanen V, Kiuru M, Pihlajamaki H . Sensitivity of MRI for articular cartilage lesions of the patellae. Scand J Surg. 2012; 101(1):56-61. DOI: 10.1177/145749691210100111. View

17.

Radermacher K, Portheine F, Anton M, Zimolong A, Kaspers G, Rau G . Computer assisted orthopaedic surgery with image based individual templates. Clin Orthop Relat Res. 1998; (354):28-38. DOI: 10.1097/00003086-199809000-00005. View

18.

Omoumi P, Rubini A, Dubuc J, Vande Berg B, Lecouvet F . Diagnostic performance of CT-arthrography and 1.5T MR-arthrography for the assessment of glenohumeral joint cartilage: a comparative study with arthroscopic correlation. Eur Radiol. 2014; 25(4):961-9. DOI: 10.1007/s00330-014-3469-2. View

19.

Yushkevich P, Piven J, Hazlett H, Smith R, Ho S, Gee J . User-guided 3D active contour segmentation of anatomical structures: significantly improved efficiency and reliability. Neuroimage. 2006; 31(3):1116-28. DOI: 10.1016/j.neuroimage.2006.01.015. View

20.

Hjelle K, Solheim E, Strand T, Muri R, Brittberg M . Articular cartilage defects in 1,000 knee arthroscopies. Arthroscopy. 2002; 18(7):730-4. DOI: 10.1053/jars.2002.32839. View