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A neo-sternal reconstruction using titanium additive manufacturing; a South African case report 钛增材制造技术用于新胸骨重建一份南非病例报告
Q3 Medicine Pub Date : 2025-03-20 DOI: 10.1016/j.stlm.2025.100197
S van der Westhuizen , JT Janson , RF Nel , WB du Preez , GJ Booysen
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引用次数: 0
Development of 3D-printed flow-diverting stents for studying the effect of aneurysm treatment in vitro 用于研究动脉瘤体外治疗效果的3d打印分流支架的研制
Q3 Medicine Pub Date : 2025-03-05 DOI: 10.1016/j.stlm.2025.100196
Lana Bautz , Oluwabusayo A. Oni , Tamim Sarwar , Hivnu Toraman , Olav Jansen , Jan-Bernd Hövener , Naomi Larsen , Mariya S. Pravdivtseva

Background

Intracranial aneurysms (IAs) are preventively treated with flow-diverting stents (FDs), but complications persist, necessitating safer, customized FDs. While 4D flow magnetic resonance imaging (MRI) can evaluate FD treatment efficiency, metal artifacts from FDs compromise flow assessments.

Purpose

This study developed a protocol for fabricating 3D-printed FD replicas to test customized FDs and support MR imaging development by providing a metal-free testing platform.

Methods

Simplified mesh models with varying wire diameters (0.05–0.5 mm) and cell lengths (0.07–4.74 mm) were 3D printed using stereolithography and tested under gravity. A patient-specific aneurysm model was created, with 3D-printed FDs featuring 6, 16, and 20 wires covering the aneurysm entrance. Flow reduction caused by 3D printed FDs was evaluated with 4D flow MRI and compared to a commercial FD.

Results

Printable meshes had wire diameters ≥ 0.05 mm, with porosities over 14 % ensuring permeability. Lower porosities reduced gravity flow (4.93 ml/s vs. 28.57 ml/s for 14 % and 54 % porosity). Only wire sizes of 0.25 mm and 0.5 mm were accurately 3D-printed. The 3D-printed FDs reduced flow into the aneurysm sac without metal artifacts on MR images. The 20-wire FD fully occluded aneurysm flow, while the 16-wire and 6-wire FDs achieved 94 % and 76 % reductions, comparable to the 65 % reduction of the commercial FD.

Conclusion

The proposed workflow enables efficient 3D printing of FD replicas that match commercial FDs in performance. These 3D-printed FDs can optimize initial design parameters and support artifact-free MR imaging development for aneurysm treatment evaluation.
背景:颅内动脉瘤(IAs)可通过血流分流支架(FDs)进行预防性治疗,但并发症持续存在,需要更安全、定制的FDs。虽然4D流动磁共振成像(MRI)可以评估FD治疗效率,但FD产生的金属伪影会影响流量评估。本研究开发了一种制造3d打印FD复制品的方案,通过提供无金属测试平台来测试定制FD和支持MR成像开发。方法采用立体光刻技术3D打印不同丝径(0.05 ~ 0.5 mm)和单元长度(0.07 ~ 4.74 mm)的简化网格模型,并进行重力测试。创建了一个特定患者的动脉瘤模型,3d打印fd具有6、16和20根钢丝覆盖动脉瘤入口。通过4D流动MRI评估3D打印FD引起的流量减少,并与商业FD进行比较。结果sprintable网丝径≥0.05 mm,孔隙率大于14%,保证了其透气性。孔隙度降低降低了重力流(孔隙度为14%和54%时为4.93 ml/s,而孔隙度为14%和54%时为28.57 ml/s)。只有0.25毫米和0.5毫米的电线尺寸被精确地3d打印。3d打印fd减少了进入动脉瘤囊的流量,在MR图像上没有金属伪影。20丝FD完全阻断了动脉瘤血流,而16丝FD和6丝FD分别减少了94%和76%,商用FD减少了65%。结论提出的工作流程可以实现与商业FD在性能上匹配的FD副本的高效3D打印。这些3d打印fd可以优化初始设计参数,并支持动脉瘤治疗评估的无伪影MR成像开发。
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引用次数: 0
3D printed aneurysm training before treatment: A case control retrospective study 治疗前3D打印动脉瘤训练:病例对照回顾性研究
Q3 Medicine Pub Date : 2025-02-25 DOI: 10.1016/j.stlm.2025.100195
Mishel Manashirov , Ran Brauner , Yarden Mor , Guy Raphaeli , Sagi Harnof , Alain Perlow , Eitan Auriel , Michael Findler

Background

Intracranial aneurysms are abnormal dilatations of arteries in the brain, often necessitating intricate endovascular interventions. Preoperative planning using 3D-printed models can enhance the understanding of complex aneurysm anatomy and improve treatment strategies. This study aims to evaluate the impact of patient-specific 3D-printed aneurysm models on procedural planning, treatment efficacy, and clinical outcomes.

Methods

We conducted a retrospective analysis of patients treated for non-ruptured intracranial aneurysms at our institution between 2021 and 2023. Nine patients underwent preoperative simulation using 3D-printed models, while 32 patients received standard care without simulation. The vascular models were created using 3D Slicer for segmentation and Meshmixer for model refinement. The simulations were performed on a biplane Allura system. Data on demographics, aneurysm characteristics, hospitalization duration, procedure times, treatment changes, and unused materials were collected and analyzed using SPSS software. Statistical significance was assessed with independent one-tail t-tests, with a p-value < 0.05 considered significant.

Results

The experimental group (nine patients) showed a trend towards reduced procedure times compared to the control group (126 ± 48 mins vs. 142 ± 68 mins, p = 0.253). There was no significant difference in mean hospitalization days between the groups (4 ± 0.9 days vs. 4 ± 1.7 days, p = 0.502). Interestingly, the treatment strategy was altered in four cases based on 3D simulation insights. The 3D simulation group also experienced fewer procedural complications (22.2 % vs. 31.2 %).

Conclusions

simulation using 3D-printed models shows potential in enhancing procedural planning and reducing complication rates in the treatment of intracranial aneurysms. While the study did not demonstrate statistically significant differences in procedure time and hospitalization days, the observed trends and changes in treatment strategies suggest that 3D printing technology can provide valuable insights for neurointerventionists. Further research with larger sample sizes and prospective designs is warranted to validate these findings and establish standardized protocols for integrating 3D printing into clinical practice.
背景:颅内动脉瘤是脑部动脉的异常扩张,通常需要复杂的血管内介入治疗。使用3d打印模型进行术前规划可以增强对复杂动脉瘤解剖结构的理解并改进治疗策略。本研究旨在评估患者特异性3d打印动脉瘤模型对手术计划、治疗效果和临床结果的影响。方法回顾性分析我院2021年至2023年收治的未破裂颅内动脉瘤患者。9例患者术前使用3d打印模型进行模拟,32例患者接受标准护理,未进行模拟。血管模型创建使用3D切片器分割和网格混合器模型细化。在双翼Allura系统上进行了仿真。统计数据、动脉瘤特征、住院时间、手术次数、治疗改变和未使用材料等数据收集并使用SPSS软件进行分析。采用独立单尾t检验评估统计学显著性,p值为<;0.05认为显著。结果实验组(9例)手术时间明显少于对照组(126±48 min vs 142±68 min, p = 0.253)。两组患者平均住院天数差异无统计学意义(4±0.9天vs. 4±1.7天,p = 0.502)。有趣的是,根据3D模拟结果,有4例患者的治疗策略发生了改变。3D模拟组也经历了更少的手术并发症(22.2%比31.2%)。结论3d打印模型在颅内动脉瘤治疗中具有提高手术计划和降低并发症发生率的潜力。虽然该研究没有显示手术时间和住院天数的统计学差异,但观察到的治疗策略趋势和变化表明,3D打印技术可以为神经介入医生提供有价值的见解。进一步的研究需要更大的样本量和前瞻性设计来验证这些发现,并建立将3D打印整合到临床实践的标准化协议。
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引用次数: 0
Development of a 3D-printed Finger Splint Immobilizer for comfortable treatment of Proximal Interphalangeal Joint Injuries 用于舒适治疗近端指间关节损伤的3d打印手指夹板固定器的开发
Q3 Medicine Pub Date : 2025-02-08 DOI: 10.1016/j.stlm.2025.100193
Muhammad Ikhwan Nugraha , Waleed K. Ahmed , Agung Shamsuddin Saragih

Objective

Injuries or fractures in the proximal interphalangeal (PIP) region can be managed through various methods, including surgical pins, finger splint immobilizers, casts, or buddy taping, depending on the physician's recommendation. When a splint immobilizer is selected, the currently available market options, such as aluminum finger splints (Product A) and finger corrector splints (Product B), exhibit limitations in their usability during water-related activities. To address these limitations, this study aims to develop a finger splint immobilizer (FSI) utilizing cost-effective 3D printed and recyclable PETG (Polyethylene Terephthalate Glycol) materials.

Participants

Thirty healthy respondents will wear three types of finger splints—namely, the 3D printed prototype, Product A and Product B—on their ring fingers for 24 hours.

Benchmarking

The comfort level of the splints will be assessed using a structured questionnaire. Additionally, the production cost of the 3D-printed prototype will be evaluated by measuring electrical consumption and filament usage. These costs will then be compared to the prices of Product A and Product B.

Results

The average comfort rating for washing activities was 2.76 for the 3D-printed splint. At the same time, Product A received a rating of 3.23, and Product B was rated at 2.67, using a scale where 1 indicates the least difficulty and 5 indicates the most difficulty. This suggests that the comfort level of the 3D-printed splint is comparable to that of Product B and superior to that of Product A for water-related daily activities. Additionally, the production cost of the 3D printed prototype was only 0.093 USD, whereas Product A was priced at 1,23 USD and Product B at 0.93 USD.

Conclusion

The findings of this study add to the potential of 3D printing technology in the medical field, particularly in the development of medical devices tailored to various individual patient needs. The use of PETG not only enhances the mechanical properties of the splint but also promotes sustainability through its recyclability. Future research is recommended to investigate the long-term effectiveness and user satisfaction of the 3D-printed finger splint in clinical settings further and explore the potential for expanding this technology to other medical applications.
目的:根据医生的建议,近端指间(PIP)区域的损伤或骨折可通过多种方法处理,包括手术钉、手指夹板固定器、石膏或伙伴胶带。当选择夹板固定器时,目前可用的市场选择,如铝制手指夹板(产品a)和手指矫正夹板(产品B),在与水有关的活动中表现出其可用性的局限性。为了解决这些限制,本研究旨在利用具有成本效益的3D打印和可回收的PETG(聚对苯二甲酸乙二醇酯)材料开发手指夹板固定器(FSI)。30名健康的受访者将在他们的无名指上佩戴三种类型的手指夹板,即3D打印原型,产品A和产品b,持续24小时。使用结构化问卷对夹板的舒适度进行评估。此外,3d打印原型的生产成本将通过测量电力消耗和灯丝使用来评估。然后将这些成本与产品A和产品b的价格进行比较。结果3d打印夹板洗涤活动的平均舒适度评分为2.76。与此同时,产品A的评分为3.23,产品B的评分为2.67,其中1表示难度最小,5表示难度最大。这表明3d打印夹板的舒适度与产品B相当,在与水相关的日常活动中优于产品A。此外,3D打印原型的制作成本仅为0.093美元,而产品A的价格为1.23美元,产品B的价格为0.93美元。这项研究的发现增加了3D打印技术在医疗领域的潜力,特别是在开发针对各种个体患者需求的医疗设备方面。PETG的使用不仅提高了夹板的机械性能,而且通过其可回收性促进了可持续性。未来的研究建议进一步调查3d打印手指夹板在临床环境中的长期有效性和用户满意度,并探索将该技术扩展到其他医疗应用的潜力。
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引用次数: 0
Mechanical characterization of low-cost 3D FDM printed scaffolds fabricated with synthesized PLA/HA bio-composite filament 用合成聚乳酸/HA 生物复合丝制造的低成本三维 FDM 打印支架的力学性能表征
Q3 Medicine Pub Date : 2025-02-07 DOI: 10.1016/j.stlm.2025.100194
Mynmayh Khamvongsa , Kent Milton , Tanvir R. Faisal
Bone tissue engineering has gained popularity as a potential alternative in bone defect treatment, where the synthetic graft can be generated by a 3D biomaterial framework (scaffold) that yields shape and initial mechanical strength to facilitate cell bone formation. Biopolymer-based, Poly Lactic Acid (PLA)/Hydroxyapatite (HA) scaffolds were found to have a similar structure, composition, and mechanical properties as natural bone. The objective of this work was to fabricate 3D scaffolds with PLA and HA using a low-cost fabrication process such as Fused Deposition Modeling (FDM), which can be used to construct scaffolds tailored to an individual's specific need in a controlled and customizable process. The study primarily focuses on the synthesis, and mechanical and morphological characterization of PLA/HA filament and its scaffolds. The fabricated 3D printed PLA/HA scaffolds had an interconnected and highly porous structure, resembling natural bone porosity. The addition of HA had a significant effect on the PLA/HA composites although there are no notable differences in mechanical properties between 10–15 % PLA/HA composites. The microstructural morphology of the PLA and PLA/HA composite filaments observed under Scanning Electron Microscopy (SEM) showed a relatively well mixed and homogenous mixture and Energy-dispersive X-ray Spectroscopy (EDS) testing of the filaments’ surface topography further showed a mostly homogeneous presence of HA throughout. The 3D printed scaffolds showed a larger pore size due to the inclusion of HA. Additionally, with the increased percentage of HA, the pores became more uneven and irregular. The preliminary results of this study show a promising potential for personalized scaffold design for bone tissue regeneration.
骨组织工程作为骨缺损治疗的潜在替代方案已经受到欢迎,其中合成移植物可以由3D生物材料框架(支架)生成,该框架可以产生形状和初始机械强度,以促进细胞骨的形成。以生物聚合物为基础的聚乳酸(PLA)/羟基磷灰石(HA)支架具有与天然骨相似的结构、组成和力学性能。这项工作的目的是使用低成本的制造工艺(如熔融沉积建模(FDM))制造PLA和HA的3D支架,该工艺可用于在受控和可定制的过程中根据个人的特定需求构建支架。研究主要集中在PLA/HA长丝及其支架的合成、力学和形态表征。3D打印的PLA/HA支架具有相互连接和高度多孔的结构,类似于天然骨孔隙度。HA的添加量对PLA/HA复合材料的力学性能有显著影响,但10 - 15% PLA/HA复合材料的力学性能没有显著差异。扫描电镜(SEM)观察到PLA和PLA/HA复合材料长丝的微观结构形态表现出相对良好的混合和均匀的混合物,能谱x射线能谱(EDS)测试长丝的表面形貌进一步表明,HA在整个过程中基本均匀存在。由于含有HA, 3D打印支架的孔径更大。此外,随着HA含量的增加,孔隙变得更加不均匀和不规则。本研究的初步结果表明,用于骨组织再生的个性化支架设计具有很大的潜力。
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引用次数: 0
Multi-resin 3D printing of radiopaque customized artificial tooth for revolutionizing preclinical training on root canal treatment 多树脂3D打印不透射线定制人工牙,彻底改变根管治疗的临床前培训
Q3 Medicine Pub Date : 2025-02-01 DOI: 10.1016/j.stlm.2025.100187
Yi-Ching Ho , Wan-Rong Jiang , Yulius Shan Romario , Chinmai Bhat , Maziar Ramezani , Cho-Pei Jiang

Objectives

This study aims to 3D print customized dental models using a multi-material 3D printer that can mimic natural human teeth. The model consists of a detailed tooth with adequate radiopacity and pulp cavity which will be used for preclinical endodontic training.

Methods

A radiopaque resin with varying barium sulfate (BaSO₄) ratios was synthesized to optimize printability and radiopacity. The artificial tooth with a pulp cavity was created from micro-computed tomography (micro-CT) data and printed using a multi-resin 3D printer, employing clinical A2 resin (AA-Temp) for the tooth body and soft red resin for the pulp. Periapical radiography evaluated the radiopacity, and the effect of BaSO₄ on resin viscosity and hardness was measured.

Results

Experimental results show that adding a 10% weight ratio of BaSO₄ in A2 resin can obtain the highest radiopacity of the printed tooth. Furthermore, the study successfully fabricated incisor and molar tooth models for preclinical endodontic training which closely matched the natural human tooth in terms of appearance, size, and shape.

Originality and significance

The multi-material 3D printing technology that is capable of fabricating hard and soft parts of the tooth is self-developed. Furthermore, two training models were successfully framed for students to get hands-on experience in root canal treatment of incisor and molar teeth. The enhanced confidence gained by training on the 3D-printed tooth that closely matches the characteristics of a natural human tooth would increase the clinical success rate.
本研究旨在利用多材料3D打印机模拟人类天然牙齿,实现定制化牙齿模型的3D打印。该模型包括一个详细的牙齿,具有足够的放射性和牙髓腔,将用于临床前牙髓训练。方法合成不同硫酸钡(BaSO₄)配比的sa射线不透光树脂,优化印刷适性和不透光性。根据微计算机断层扫描(micro-CT)数据制作出具有牙髓腔的人工牙,并使用多树脂3D打印机打印,牙体采用临床A2树脂(AA-Temp),牙髓采用软红色树脂。根尖周x线摄影评价根尖周围的放射线透明度,并测定硫酸钡对树脂粘度和硬度的影响。结果实验结果表明,在A2树脂中加入10%重量比的硫酸钡可以获得最高的打印牙齿透明度。此外,本研究还成功制作了用于临床前牙髓训练的门牙和磨牙模型,这些模型在外观、大小和形状上与人类的天然牙齿非常接近。独创性与意义自主研发的多材料3D打印技术,能够制造牙齿的硬、软两部分。此外,还成功构建了两个训练模型,让学生获得门牙和磨牙根管治疗的实践经验。通过训练与天然人类牙齿特征密切匹配的3d打印牙齿获得的增强信心将提高临床成功率。
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引用次数: 0
Voluminous fronto-parietal osteomas: Guided resection with patient-specific cutting guides and reconstruction with a 3D printed hydroxyapatite implant 大体积额顶骨瘤:采用患者特异性切割导板引导切除并使用3D打印羟基磷灰石植入物重建
Q3 Medicine Pub Date : 2025-02-01 DOI: 10.1016/j.stlm.2025.100189
Lucille de Bengy-Puyvallée , David Poisbleau , Francois Herman , Elisabeth Cobraiville , Jean-Philippe Giot , Loric Galmard
Osteomas are benign, well-differentiated bony tumors characterized by gradual progression, commonly observed within the craniofacial skeleton. This case report aims at describing the successful surgical treatment of giant frontal osteomas thanks to additive manufacturing technologies. The osteomas were located on the external table of the parietal and frontal bones with complete invasion of the anterior wall of the right frontal sinus. Resection was performed with the help of three 3D printed surgical cutting guides to prevent damaging the inter-sinus septum, the right orbital roof and the posterior wall of the frontal sinus. Anterior frontal sinus wall was reconstructed with a 3D printed hydroxyapatite patient-specific implant called MyBone Custom Implant (MBCI). The 3D planning and accuracy of the additive manufacturing tools enabled to obtain good bone contacts. Ossification of the edges of the MBCI is visible on the six-month postoperative scans. The outcome of this reconstruction proved highly satisfactory both in terms of aesthetic results as well as restoring the bone integrity.
骨瘤是良性的、分化良好的骨肿瘤,其特征是逐渐发展,常见于颅面骨骼。本病例报告旨在描述利用增材制造技术成功治疗巨大额骨瘤的手术。骨瘤位于顶骨和额骨的外表,完全侵犯右额窦前壁。在3个3D打印手术切割导轨的帮助下进行切除,以防止损伤窦间间隔、右眶顶和额窦后壁。使用3D打印的羟基磷灰石患者特异性植入物MyBone Custom implant (MBCI)重建前额窦壁。增材制造工具的三维规划和精度使其能够获得良好的骨接触。在术后6个月的扫描中可以看到MBCI边缘的骨化。重建的结果证明,无论是在美学效果方面,还是在恢复骨完整性方面,都是非常令人满意的。
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引用次数: 0
A bibliometric analysis of publications in 3D printing in surgery from the web of science database 从科学网络数据库中对外科3D打印出版物进行文献计量分析
Q3 Medicine Pub Date : 2025-02-01 DOI: 10.1016/j.stlm.2025.100188
Bitesh Kumar , Anjan Kumar Dhua , Mohit Garg , Vishesh Jain , Devendra Kumar Yadav , Prabudh Goel , Sachit Anand , Divya Jain

Background

Three-dimensional (3D) printing technology, introduced by Charles Hull in 1986, has revolutionized prototyping and is increasingly applied in medical fields such as orthopedics, neurosurgery, and cardiac surgery. The technology offers numerous benefits, including reduced surgical complications, cost-effectiveness, and customization of medical devices. This study provides a bibliometric analysis of 3D printing in surgery, highlighting trends, influential countries, and key research contributors.

Objectives

This study aims to analyze the publication landscape of 3D printing in surgery, focusing on key metrics such as annual citation rates, growth trends, citation per year, total citations, source journals, author details, country-wise production, and institutional contributions. The study also aims to explore collaborative patterns at the author, institutional, and country levels and identify core research areas through keyword co-occurrence analysis.

Materials and Methods

Data were collected from the Web of Science (WoS) Core Collection on August 13, 2023, including documents published from 2001 to 2022. A total of 3,230 documents were identified and analyzed using VOSviewer and the Bibliometrix R-package. Inclusion criteria encompassed English-language documents related to 3D printing in surgery, while documents published after December 2022 were excluded.

Results

The analysis revealed a significant annual growth rate of 20.08 % in publications related to 3D printing in surgery, with peak years being 2022, 2021, and 2020. China and the USA dominate the research output, accounting for approximately 50 % of global publications. Shanghai Jiao Tong University and Sichuan University are leading institutions. Collaborative patterns show strong author linkages and international cooperation, particularly between the USA, China, and England. Keyword co-occurrence analysis identified "reconstruction," "accuracy," and "additive manufacturing" as core research areas.

Conclusion

This bibliometric analysis provides a comprehensive overview of the research landscape of 3D printing in surgery, emphasizing this technology's rapid growth and significant impact. The insights gained can guide future research, foster collaborations, and inform policy decisions to advance the field. Leading countries and institutions are crucial in driving scientific discoveries and translating research into clinical practice.
Charles Hull于1986年引入的三维(3D)打印技术已经彻底改变了原型设计,并越来越多地应用于整形外科、神经外科和心脏外科等医疗领域。该技术提供了许多好处,包括减少手术并发症、成本效益和医疗设备定制。本研究提供了3D打印在外科手术中的文献计量分析,突出了趋势、有影响力的国家和主要研究贡献者。本研究旨在分析3D打印在外科领域的出版前景,重点关注年度引用率、增长趋势、年度引用、总引用、来源期刊、作者详细信息、国家/地区产量和机构贡献等关键指标。本研究还旨在探索作者、机构和国家层面的合作模式,并通过关键词共现分析确定核心研究领域。资料与方法数据来源于Web of Science (WoS) Core Collection,检索时间为2023年8月13日,检索时间为2001 - 2022年。使用VOSviewer和Bibliometrix R-package对3230份文献进行了识别和分析。纳入标准包括与手术中3D打印相关的英文文件,而在2022年12月之后发表的文件被排除在外。结果分析显示,与外科3D打印相关的出版物年增长率为20.08%,高峰年份为2022年、2021年和2020年。中国和美国在研究产出方面占主导地位,约占全球出版物的50%。上海交通大学和四川大学是主要院校。合作模式显示出强烈的作者联系和国际合作,特别是在美国、中国和英国之间。关键词共现分析确定了“重构”、“精度”和“增材制造”为核心研究领域。本文献计量学分析提供了3D打印在外科手术中的研究概况,强调了这项技术的快速发展和重大影响。获得的见解可以指导未来的研究,促进合作,并为政策决策提供信息,以推动该领域的发展。领先的国家和机构在推动科学发现和将研究转化为临床实践方面至关重要。
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引用次数: 0
Scalable direct manufacturing of a functional multipurpose wrist-hand orthosis using 3D printing 使用3D打印的多功能腕手矫形器的可扩展直接制造
Q3 Medicine Pub Date : 2025-02-01 DOI: 10.1016/j.stlm.2025.100186
Dhruv Bose , Shubham Gupta , Arnab Chanda
Spinal cord injury (SCI) is one of the most debilitating injuries with no direct cure. Managing SCI thus becomes a critical task for caregivers and most importantly patients, whose lives are severely hindered both physically and psychologically. Injury at different parts of the spine corroborates to partial or complete motor loss at one or more parts of the body. The current paradigm of recuperative techniques aim at effective splinting coupled with a consistent rehabilitation regimen. This work focused on the development of a novel wrist-hand orthosis using 3D printing to aid patients inflicted by C5-C7 SCI which causes loss of motor function at the distal ends of the upper extremity. An optimized development framework was presented to achieve quick production times, scalability, ergonomics and minimal post processing activities to produce an ultra-low cost orthotic device (∼$2). The Print in Place (PIP) method was employed to diminish all post processing and assembly operations. A unique compliant wrist brace mechanism was introduced. The developed assistive device was assessed via Finite Element Analysis (FEA) prior to manufacturing and the same was verified experimentally, post-manufacturing. Overall, the developed device was found to successfully sustain the designed load requirements. It was anticipated that the use of the aforementioned methods and techniques could greatly enhance the scalability and affordability of 3D printed orthotic devices, especially in low and middle income countries where SCI cases are not only highly prevalent but also neglected, escalating the severity of injury.
脊髓损伤(SCI)是目前无法直接治愈的最严重的损伤之一。因此,管理脊髓损伤成为护理人员和最重要的患者的一项关键任务,他们的生活在身体和心理上都受到严重阻碍。脊柱不同部位的损伤证实了身体一个或多个部位的部分或完全运动丧失。目前的康复技术范例旨在有效的夹板加上一致的康复方案。这项工作的重点是使用3D打印技术开发一种新型腕手矫形器,以帮助患有C5-C7脊髓损伤的患者,该患者导致上肢远端运动功能丧失。提出了一个优化的开发框架,以实现快速的生产时间、可扩展性、人体工程学和最小的后处理活动,以生产超低成本的矫形器(约2美元)。采用就地打印(PIP)方法减少所有后处理和装配操作。介绍了一种独特的柔顺腕撑机构。所开发的辅助装置在制造前通过有限元分析(FEA)进行评估,并在制造后进行实验验证。总体而言,开发的装置成功地维持了设计的负载要求。预计上述方法和技术的使用可以大大提高3D打印矫形器的可扩展性和可负担性,特别是在低收入和中等收入国家,那里的SCI病例不仅非常普遍,而且被忽视,从而加剧了损伤的严重程度。
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引用次数: 0
A national survey of conservative mallet finger injury care and the potential for 3D printing to impact current practice 全国槌状指保守治疗调查以及 3D 打印对当前实践的潜在影响
Q3 Medicine Pub Date : 2024-11-20 DOI: 10.1016/j.stlm.2024.100184
Una M. Cronin , Dr. Niamh M. Cummins , Dr. Aidan O’ Sullivan , Prof. Damien Ryan , Prof. Leonard O'Sullivan

Purpose

Custom orthoses provided by a skilled therapist are deemed the gold standard of care for the treatment of mallet injury, but traditional orthoses are still used. It is unclear to what extent custom orthoses versus traditional off the shelf variants are currently provided to treat mallet injury. The study aims to investigate current practice regarding the conservative treatment of mallet injury in Ireland. The study also aims to assess healthcare providers' awareness of and opinions to the use of 3D printing in healthcare.

Design/Methodology/ Approach

This study was cross-sectional in design and used an online survey methodology. Healthcare professionals involved in the treatment of mallet injuries from both public and private settings were eligible for inclusion. Data collection involved convenience and snowball sampling with the survey being promoted by professional bodies, distributed at national meetings and circulated via social media. Data analysis took place in Excel and comprised descriptive statistics.

Findings

In total 86 participants completed the survey including nurses (58 %), doctors (2 8 %), allied health professionals (9 %) and other healthcare professionals (5 %). Non personalised orthosis including the Stack splint were most frequently applied (58 %). Regarding 3D printing, 52 % of participants reported they were not aware of 3DP in healthcare. However, 80 % overall said they would be interested in using it in the future. The inference from this is that they have a positive attitude toward the use of 3D printing, considering they have a low knowledge of using it in this discipline.

Originality/value

This study provides an insight into healthcare professionals’ recent experiences of treating mallet injuries in the Irish healthcare system. There remains a lack of custom orthosis creation to treat mallet injury. The respondent's openness to using 3D printing technology is promising and suggests that in the future 3D printing of custom orthoses may have a role in the treatment of mallet injuries. However, custom care, and not just a custom orthosis, would provide patients with optimal treatment.
目的由专业治疗师提供的定制矫形器被认为是治疗槌伤的黄金标准,但传统矫形器仍在使用。目前尚不清楚定制矫形器与传统现成矫形器在治疗槌伤方面的差异有多大。本研究旨在调查爱尔兰目前对槌骨损伤进行保守治疗的做法。该研究还旨在评估医疗保健提供者对在医疗保健中使用 3D 打印技术的认识和看法。设计/方法/途径该研究采用横断面设计,采用在线调查方法。来自公共和私营机构的参与治疗槌伤的医疗保健专业人员均符合纳入调查的资格。数据收集采用方便抽样和滚雪球抽样法,调查由专业机构推广,在全国性会议上分发,并通过社交媒体传播。数据分析在 Excel 中进行,包括描述性统计。调查结果共有 86 名参与者完成了调查,其中包括护士(58%)、医生(2.8%)、专职医疗人员(9%)和其他医疗专业人员(5%)。最常使用的非个性化矫形器包括 Stack 夹板(58%)。关于 3D 打印,52% 的参与者表示他们不知道 3DP 在医疗保健领域的应用。但是,80% 的参与者表示他们有兴趣在未来使用它。由此推断,他们对使用 3D 打印持积极态度,因为他们对在这门学科中使用 3D 打印的知识知之甚少。原创性/价值这项研究深入探讨了医疗保健专业人员最近在爱尔兰医疗保健系统中治疗槌伤的经验。目前仍缺乏治疗槌伤的定制矫形器。受访者对使用 3D 打印技术持开放态度,这表明未来 3D 打印定制矫形器可能会在槌伤治疗中发挥作用。然而,定制护理,而不仅仅是定制矫形器,将为患者提供最佳治疗。
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引用次数: 0
期刊
Annals of 3D printed medicine
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