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Predicting the Future of Orthopaedic Trauma Implantology

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Handbook of Orthopaedic Trauma Implantology

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Abstract

Implants remain the mainstay in almost all the orthopaedic applications such as fracture fixation, non-union surgeries, arthrodesis, total joint arthroplasty, spine surgery, arthroscopy, and soft tissue anchorage. The advent of newer materials and manufacturing technologies has enabled the surgeons to provide the enhanced care to the patients significantly improving the clinical outcomes of the surgery. The revolutionary phase in orthopaedic surgery has invested more efforts on future implants; this has encouraged more and more stakeholders to dig into the world of metallurgy and implantology. The future that is on the horizon is clearly one of the patient-specific and disease-specific implants. Creating such future would entail a team effort where not only the bioengineers but also the orthopaedic surgeons and metallurgist will play an equal role.

In the past, the implants were engineered only as a mechanical device, and the biological aspects were the by-product of stable internal/external fixation of the implant to surrounding tissue/bone. The present and the future rely on the incorporation of the synergistic reactions between the host tissue and implants in order to enhance osseointegration and mitigate adverse tissue reactions including the infections, improving the longevity of the implant. While the research still lies in preclinical stage, the surgeons, bioengineers, and material scientist continue to explore the future in surface coating to improve clinical outcomes.

With the ease of availability of the customized and patient-specific orthopaedic implants, the concept of one size fits all will not be an appropriate choice for improving the clinical outcomes. The future is ready to offer the concept of “smart implants”, the implant that has imbedded sensors for detection of infection, joint dislocation, healing measurements, bone ingrowth, performance trackers, controlled local drug delivery, etc.

This chapter describes the future in implantology with the newer implants, manufacturing techniques, and advances and future expectations in implants to enhance the clinical outcomes that very much strongly depend on the events like osseointegration, osseoincorporation, infection prevention, and implant longevity.

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Author information

Authors and Affiliations

  1. Department of Orthopaedics, Sir HN Reliance Foundation Hospital, Mumbai, India

    Vaibhav Bagaria & Omkar Sadigale

  2. Spine Surgery, Saifee Hospital, Mumbai, India

    Amit Sharma

Authors
  1. Vaibhav Bagaria
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  2. Amit Sharma
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  3. Omkar Sadigale
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Editor information

Editors and Affiliations

  1. NH Narayana Superspeciality and Multispeciality Hospitals, Howrah, West Bengal, India

    Arindam Banerjee

  2. Technical University of Munich, Munich, Germany

    Peter Biberthaler

  3. Sri Lakshmi Narayana Institute of Medical Sciences, Puducherry, India

    Saseendar Shanmugasundaram

Section Editor information

  1. Orthopaedic Surgery, NH Narayana Superspeciality and Multispeciality Hospitals, Kolkata, West Bengal, India

    Arindam Banerjee

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Bagaria, V., Sharma, A., Sadigale, O. (2023). Predicting the Future of Orthopaedic Trauma Implantology. In: Banerjee, A., Biberthaler, P., Shanmugasundaram, S. (eds) Handbook of Orthopaedic Trauma Implantology. Springer, Singapore. https://doi.org/10.1007/978-981-19-7540-0_7

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  • DOI: https://doi.org/10.1007/978-981-19-7540-0_7

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-19-7539-4

  • Online ISBN: 978-981-19-7540-0

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