Patient Suffering from Gunshot Wound Gets 3D-Printed Shoulder Implant, and Her Mobility Back
Just over two years ago, Nathalie Dufaut Danjon was shot by a man with a hunting rifle. The bullet entered her shoulder joint through the front and exited through her shoulder blade. Her shoulder's bony anatomy was destroyed, though the nerves were not affected.
Determined to create something positive out of this experience, and instead of focusing on the misery, hatred, and the pain, Nathalie opted to concentrate on the good. She wanted to help others. This is the story of how a 3D-printed shoulder implant gave her back control of her shoulder, and of her life.
Looking for a solution
Nathalie spent more than six months searching for a surgeon who would take her case and help her ease the pain in her shoulder. Of the 12 she saw, none could help her. A traditional implant was not an option because there was too much damage in the shoulder. There was no way to fix it to the bone. After her request for the possibility of a 3D-printed, custom-made prosthesis, she was told, "3D Printing is a gadget, a work in progress. It's not something for you."
"While there's life, there's hope."
A friend of Nathalie's introduced her to Prof. Narcisse Zwetyenga, the chief of maxillofacial surgery at Centre Hospitalier Universitaire in Dijon, France. Wondering how a maxillofacial surgeon could help out with her shoulder problem, Nathalie went to see him. To her surprise and relief, Prof. Zwetyenga said something could be done. A first positive response finally gave Nathalie hope. Prof. Zwetyenga then introduced her to Dr. Brice Viard, an orthopedic surgeon in his team.
Taking on advanced joint destruction
Dr. Viard saw he was faced with a very particular case of advanced joint destruction that was difficult to treat with current practices. The lesions in the shoulder were very advanced, he says. "The patient's humerus had no proximal articular surface and was severely deformed," he explains. The 3D image also outlined the loose bone fragments that were sticking to the inner side of the deltoid muscle and stuck in a fibrous membrane.
Dr. Viard explains further that the most difficult part was the advanced destruction of the glenoid. "As standard implants are designed for the standard population," he says, "special cases like this one don't leave room for good reconstruction. It was impossible to obtain osseous fixation on the scapula."
Where there's a will, there's a way
Dr. Brice Viard says that his collaboration with Materialise helped him a lot, especially during the preoperative planning. "The contact with the engineers was very hands on and we could work step by step to create an implant that was realistic for this specific surgery."
"You can see how the implants are positioned after the reconstruction," he says as he shows the on-screen X-ray. "They're both on the humeral and on the glenoid sides," he says. "It's a reverse shoulder prosthesis."
Very satisfactory results
Today, the patient is doing really well, he says. It's been almost a year since the surgery and she has regained very satisfactory articular mobility. She's very happy with the results. It's still a little early to ascertain the bone ingrowth in the implant, he continues, but short and mid-term results are very satisfactory.
“This creates reconstruction possibilities for the future, with better conditions and better results.”
- Dr. Viard
Would you like to see more cases in which patient-specific 3D Printing is the optimal way to go? Watch our THINK | Medical 3D Printing orthopedic webinar series to learn how other surgeons use Materialise and Medical 3D Printing to change their patients' lives for the better!
The Materialise Glenius Glenoid Reconstruction System is not commercially available in the US and Canada.