
Background
A male patient of 29 years old hailing from Bangalore, presented with complaint of mass and pain in his left scapula/humerus region.
After histopathology, doctor diagnosed with Left side proximal humerus recurrent Chondrosarcoma.
Dr. Pramod Chinder, leading Onco Orthopedic surgeon along with Dr. Suraj from The Yellow Ribbon Clinic- HCG Hospital Bangalore decided to go for tumor resection followed by reconstruction using customized implant for scapula, clavicle and humerus bone.
Quote from Doctor :
“3D printed technology helps in designing anatomically and bio mechanically suitable implants that can be perfectly reconstructed in patients, especially in a challenging case like this. 3D printed reconstruction in this patient helped us not only to save the limb, but to also give him a functional arm”

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Solution
Onco Orthopedic Dr. Pramod Chinder surgeon in Bangalore, decided the surgical plan- Considering the extensive extent and size of lesion, the surgery was divided into two parts performed on two different days: day 1 involved wide resection of the tumor in the left proximal humerus encasing the clavicle and scapula. Along with the tumor mass, upper half of scapula, lateral 2/3rd of clavicle and proximal half of the humerus had to be removed. Day 2- involved shoulder reconstruction with the help of 3D printed humerus, scapula, clavicle, and reverse shoulder arthroplasty implants. Incredible team discussed with Surgeon, the designing and entire manufacturing process. Read more

Conclusion
Implant was manufactured under ISO 13485 guidelines & tested to give an accurate fit & utmost safety.
Once the resection was done, customized implant from 3D Incredible was implanted along with standard size shoulder joint prosthesis. Implant was manufactured using Ti6Al4V-ELI as per anatomical requirement, contour and bone thickness which are patient specific. 3D Incredible customized implant helped to reduce OT time as there was no further adaption of standard implant required on OT Table. Read more
