Intelligent Additive Manufacturing for Advanced Knee Arthroplasty

Revolutionizing Orthopedics: REJOINT Pioneers Personalized Knee Implants with GE Additive’s EBM 3D Printing and AI

In a groundbreaking move set to redefine orthopedic surgery, REJOINT, a visionary Italian medical implant manufacturer, has publicly announced its adoption of GE Additive’s state-of-the-art Electron Beam Melting (EBM) technology. This strategic integration enables REJOINT to additively manufacture highly customized knee implants, pushing the boundaries of patient-specific medical solutions. This initiative places both additive manufacturing and advanced artificial intelligence at the core of REJOINT’s ambitious growth strategy, aiming to provide unparalleled precision and fit for patients worldwide.

The chosen EBM technology, a sophisticated member of the Powder Bed Fusion family, operates by utilizing a powerful electron beam as an energy source. This beam meticulously fuses metal powder particles, layer by layer, to construct complex three-dimensional objects. For REJOINT, this means crafting advanced medical knee implants from a highly biocompatible and robust material: cobalt-chrome. Gian Guido Riva, CEO at REJOINT, elaborated on their rigorous selection process: “When it came to additive manufacturing for personalized cobalt-chrome prosthetics, we meticulously evaluated both Direct Metal Laser Melting (DMLM) and EBM. Both modalities certainly offer excellent resolution and quality, crucial for medical applications. However, after extensive analysis and prototyping, we ultimately opted for the GE Additive Arcam EBM Q10plus system. Its unique capabilities, particularly in managing internal stresses and achieving desired material properties for cobalt-chrome, proved superior for our specific clinical requirements.” This decision underscores REJOINT’s commitment to leveraging the most advanced and suitable technology to achieve optimal patient outcomes.

The implementation of additive manufacturing fundamentally transforms the design and production of prosthetics, allowing the Italian manufacturer to create implants that are perfectly adapted to each patient’s unique anatomy. The process commences with a high-resolution CT scan of the patient’s knee, generating precise anatomical data. This digital information is then used to create a detailed model of the implant using advanced CAD software. Following this crucial initial step, REJOINT integrates proprietary artificial intelligence algorithms to analyze the intricate images. These algorithms are tasked with identifying the most suitable size and geometry for each specific case, moving far beyond the limitations of standard, off-the-shelf options. Essentially, the AI system meticulously compares the unique anatomical features of a patient’s knee against a vast database containing several thousand prosthetic dimensions, each incorporating numerous dimensional variables in critical areas of the implant. This sophisticated analysis ensures an unprecedented level of customization, providing surgeons with the optimal configuration for positioning both the prosthetic components and for simulating the entire surgical operation. This precision leads to a superior fit, potentially reducing post-operative complications, improving implant longevity, and significantly enhancing patient mobility and comfort.

GE Additive Arcam EBM Q10plus system used by REJOINT for manufacturing personalized knee implants.

Arcam Q10plus | Credits: GE Additive

Reimagining Knee Replacement for Enhanced Patient Outcomes

To truly appreciate the significance of REJOINT’s innovation, it’s essential to understand the current landscape of the knee implant market. GE Additive estimates the global market for knee implants at approximately five million procedures per year, a staggering figure that underscores the prevalence of knee-related orthopedic issues. In advanced healthcare markets, the number of surgical procedures has been steadily climbing; by 2011, it already reached an average of 150 per 100,000 inhabitants, with some regions like Austria and Switzerland reporting peaks of 250. Despite this high volume, a persistent challenge in traditional knee replacement surgery is the reliance on standard prosthetic systems. These systems offer a limited range of sizes, forcing surgeons to choose the “closest fit” from available options rather than an anatomically precise one. This often leads to compromises in fit, which can result in discomfort, reduced range of motion, accelerated wear, and in some cases, the need for costly and invasive revision surgeries. REJOINT’s groundbreaking process, powered by GE Additive’s advanced EBM technology and intelligent AI algorithms, directly addresses this critical issue by enabling the creation of truly customized implants for each patient. This paradigm shift from “off-the-shelf” to “patient-specific” represents a monumental leap forward in orthopedic care. Gian Guido Riva proudly reinforced REJOINT’s unique position: “At the moment, our solution stands as the only one for additively manufactured knee prostheses in cobalt-chrome that has achieved full certification and successful introduction to the market. This achievement is a testament to our rigorous development, quality control, and the transformative potential of EBM technology in orthopedics.”

The commitment to personalization extends far beyond the implant itself; REJOINT’s holistic approach encompasses the entire patient journey, from detailed preoperative planning right through to the crucial rehabilitation phase. This comprehensive strategy is designed to optimize every aspect of the knee replacement experience. Riva further explained the company’s vision for data integration: “Having meticulously collected patient anatomical data allowed us to realize the immense potential of linking it with information recorded during the actual surgical operation. This valuable dataset could be further enriched and refined by collecting pre- and post-operative measurements through the innovative use of wearable devices, such as specialized sensorized headbands and socks. These devices provide real-time, objective data on how the patient loads their limb, the degree to which they bend their knee, and various biomechanical parameters, continuing until all post-operative evaluation questionnaires have been thoroughly completed.” This continuous feedback loop, from pre-op analysis to post-op recovery monitoring, allows REJOINT to gain an unparalleled understanding of individual patient responses to their customized implants and rehabilitation protocols. This data-driven methodology not only enhances the efficacy of the current treatment but also paves the way for future advancements.

By meticulously gathering and analyzing this extensive data, REJOINT estimates that by 2022, it will have amassed sufficient information from thousands of clinical cases. This vast pool of data will provide an unparalleled level of understanding across the entire knee replacement process – from initial diagnosis and personalized implant design to surgical execution and long-term patient recovery. This robust data foundation will enable REJOINT to continually refine its AI algorithms, optimize implant designs, and develop even more effective personalized rehabilitation strategies, further solidifying its leadership in data-driven orthopedic solutions. This forward-thinking approach promises not only improved individual patient outcomes but also significant contributions to the broader scientific understanding of knee arthroplasty. Such an integrated, data-centric model exemplifies the future of personalized medicine, where technology and biological understanding converge to deliver truly transformative healthcare experiences. You can find more comprehensive information about this groundbreaking initiative and REJOINT’s partnership with GE Additive HERE, delving deeper into the technical and clinical specifics of their innovative approach to knee replacement.

3D printed femoral condyles for customized knee replacement

3D printed femoral condyles | Credits: GE Additive, GEADPR038

The collaboration between REJOINT and GE Additive, marrying cutting-edge EBM 3D printing with advanced AI, signifies a pivotal moment in the evolution of orthopedic medicine. This synergy promises a future where knee replacement surgery is no longer a one-size-fits-all procedure but a precisely tailored, patient-specific solution designed for optimal functionality and lasting comfort. We invite you to share your valuable insights and thoughts on this transformative development in the comments section below. Engage with us and join the conversation on our Facebook and Twitter pages! To stay abreast of all the latest news, innovations, and developments in the dynamic world of 3D printing, remember to sign up for our free weekly Newsletter, delivered straight to your inbox.