Evidence mapPaperPMID 41777844Full record

ReviewRSC advances2026

Advanced additive manufacturing in orthopedics: a comprehensive review of biomaterials, structural design, biological functions and clinical technology applications.

Walter Munesu Chirume, Chuan Guo, Daqiang Zheng, Fei Ma, Chen Fan, Lu Li, Li Wang, Changchun Zhou, Qingquan Kong

Abstract readReview
In one paragraph

Review in RSC advances, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Walter Munesu ChirumeDepartment of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan University Chengdu 610041 China kqqspine@126.com.ORCID https://orcid.org/0000-0001-9557-4987
Chuan GuoDepartment of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan University Chengdu 610041 China kqqspine@126.com.ORCID https://orcid.org/0000-0002-5286-6004
Daqiang ZhengDepartment of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan University Chengdu 610041 China kqqspine@126.com.ORCID https://orcid.org/0000-0002-6436-7552
Fei MaDepartment of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan University Chengdu 610041 China kqqspine@126.com.
Chen FanHospital of Chengdu Office of People's Government of Tibetan Autonomous Region Chengdu 610041 China.
Lu LiHospital of Chengdu Office of People's Government of Tibetan Autonomous Region Chengdu 610041 China.
Li WangKey Laboratory of High-Altitude Hypoxia Environment and Life Health, School of Medicine, Xizang Minzu University Xianyang 712082 China.
Changchun ZhouCollege of Biomedical Engineering, National Engineering Research Centre for Biomaterials, Sichuan University Chengdu 610064 China.ORCID https://orcid.org/0000-0001-9706-3224
Qingquan KongDepartment of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan University Chengdu 610041 China kqqspine@126.com.ORCID https://orcid.org/0000-0002-4732-4948

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Large bone defects resulting from trauma, disease, or congenital aberrations present a significant clinical challenge because they often exceed the body's natural healing capacity. While conventional 3D printing has revolutionized orthopedics by providing patient-specific anatomical replicates, these constructs remain inherently static and fail to adapt to the dynamic physiological environment of a healing bone. This review provides a comprehensive analysis of the transition toward 4D additive manufacturing in orthopedics, a landmark shift that integrates the dimension of time into tissue regeneration. We evaluate the strategic landscape of stimuli-responsive smart materials such as shape memory polymers (SMPs) and functionalized hydrogels, which execute programmed morphological or functional changes in response to triggers like body heat, pH, and magnetic fields.

Identifiers

PMID41777844
PMCPMC12952222

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.