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Trabecular Titanium

Trabecular Titanium (TT) is Enovis' proprietary 3D-printed technology, tailored to produce a highly porous biomaterial, that consistently offers reliable fixation, enhanced biological features, and proven performance.

Pioneering heritage since 2007

TT stands on a foundation of proven expertise and innovation, establishing trust with surgeons and serving as a benchmark of excellence in the industry. Recognized for its performance and reliability, TT reflects our long-standing leadership in 3D printing.

Evolving innovation

TT has continually evolved through research, collaboration, and design excellence to meet the demands of modern orthopedic care. Enabling limitless geometries, TT can drive the next generation of orthopedic advancements.

Unparalleled versatility

TT applications are developed with a deep commitment to empowering surgeons to meet patient’s need as they face a wide range of clinical scenarios across segments, from primary to complex revisions, from standard implants to highly customized ProMade solutions.

About

Originally developed to address surgeons' need for strong primary fixation and to overcome the geometrical limitations of traditional materials, TT Technology pioneered 3D printing in orthopedics.

Patented in 2007 following an orthopedics-first investment in 3D printing research that started in 2005, TT is now used worldwide. TT structure is comprised of a unique, fully interconnected open structure with three-dimensional, complex hexagonal cells engineered to facilitate cell migration and differentiation favoring bone formation, while ensuring also high mechanical properties.

TT is created from Titanium, extensively used in reconstructive orthopedics for its biocompatibility and mechanical performance. Titanium powder is selectively melted layer by layer with a high-energy beam, enabling any design with seamless continuity between the bulk substrate and a highly porous structure tailored to guarantee consistently high mechanical properties. Its high elasticity closely emulates that of human bone, promoting physiological load distribution and reducing the risk of stress shielding.

The first TT implant was a primary acetabular cup. Since then, our ability to harness the technology, combined with continuous research, tailored processes and close collaboration with surgeons, has resulted in a wide variety of successful applications, while consistently maintaining TT features and processes.

We are committed to restoring motion for life. With Trabecular Titanium, we’re #CreatingBetterTogether, delivering smart, personalized, and effective care for patients.
With TT, we can shape the future of orthopedics.

image showing the reliable fixation of the TT technology

Reliable fixation

The high friction between TT porous surface and cancellous bone reduces the risk of micro-motions resulting in increased initial stability.

image showing the biological features of the TT technology

Biological features

Robust evidence shows the TT structure promotes osteoblast differentiation and vascularization, supporting effective bone formation and secondary stability.

image showing the proven performance of the TT technology

Proven performance

A trusted combination of tailored 3D-printed technology and consistent material properties drives clinical outcomes.

Our products

The TT portfolio includes an unparalleled range of standard and customized implants for hip, knee, shoulder, and elbow surgeries, suitable for primary and revision cases, and designed to restore motion even in the most complex cases.

Our ongoing research and collaborations with the brightest minds keep us at the forefront of innovation, continually expanding and enhancing our TT product range.

Clinical Papers

Marin E, Fusi S, Pressacco M, Paussa L, Fedrizzi L.

Characterization of cellular solids in Ti6Al4V for orthopaedic implant applications: Trabecular Titanium. J Mech Behav Biomed Mater. 2010 Jul;3(5):373–81.

Caliogna L, Berni M, Gastaldi G, Grassi FA, Jannelli E, Mosconi M, Salatin S, Burelli S, Toninato R, Pressacco M, Pasta G.

Trabecular Titanium architecture drives human mesenchymal stem cells proliferation and bone differentiation. International Journal of Molecular Science 2025, 26(13), 6354

Benazzo F, Botta L, Scaffino MF, Caliogna L, Marullo M, Fusi S et al.

Trabecular titanium can induce in vitro osteogenic differentiation of human adipose derived stem cells without osteogenic factors. Journal of Biomedical Materials Research - Part A 2014; 102: 2061–2071.

Dall’Ava L, Hothi H, Henckel J, Di Laura A, Tirabosco R, Eskelinen A, Skinner J, Hart A.

Osseointegration of retrieved 3D-printed, off-the-shelf acetabular implants. Bone Joint Res. 2021 Jul;10(7):388-400.

Sollazzo V, Massari L, Pezzetti F, Girardi A, Farinella F, Lorusso V, Burelli S, Bloch HR, Carinci F.

Genetic effects of Trabecular Titanium™ on MG-63 cell line: a genetic profiling evaluation. ISRN Mater Sci. 2011:392763.

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