使用增材制造技术管理硬组织异常和数字整形外科

IF 2.9 Q3 MATERIALS SCIENCE, MULTIDISCIPLINARY Oxford open materials science Pub Date : 2022-10-31 DOI:10.1093/oxfmat/itac009
M. Das, Rukhsar Alam, Monalisa Das, B. Biswal, B. P. Samal, A. Patnaik, S. Panda, P. S. Owuor, Prabir Patra, Chandramani Tiwary
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引用次数: 1

摘要

增材制造技术有望颠覆大多数传统的制造方法,特别是在医疗保健领域。骨骼和牙齿是重要的器官,容易受到环境、创伤、遗传因素和固有恶性疾病的影响。通常使用的大多数植入物/假体都是铸造的,具有标准的尺寸和形状。增材制造为用定制的植入物、假体或整个增材制造器官本身代替这些硬组织提供了机会,同时考虑到身体的解剖/结构部分和功能方面。它有助于可视化和模拟内部器官/模型,通过模拟、解剖演示、治疗和医疗专业人员对技术人员的手术教学/培训进行预先规划。目前的综述涵盖了增材制造在骨肉瘤、骨肿瘤、创伤性骨折、先天性异常、牙科疾病、椎体和颅骨异常等可能治疗中的应用,从脚趾到头部,重点介绍了长骨、短骨、软骨、牙齿等基于骨骼形状的一般分类,即不同骨骼的外部形状和大小,并进行了一些案例研究。文章还谈到了增材制造在复杂性、易用性、成本效益、缩短时间方面比传统方法具有竞争优势。然而,到目前为止,在增材制造中尚未解决内部结构问题,这可能是未来增强骨骼和牙齿性能的新领域。
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Management of Hard Tissue Abnormalities and Digital Orthopaedics Using Additive Manufacturing Techniques
Additive manufacturing technologies are expected to disrupt the majority of the traditional way of manufacturing methods, particularly in the field of medical and healthcare. Bones and teeth are vital organs that are susceptible to various disorders due to environmental, traumatic, genetic factors, and inherent malignant disorders. Most of the implants/prostheses normally used are cast and have a standard size and shape. Additive manufacturing has opened opportunities to replace these hard tissues with customized implants, prostheses, or the whole additive manufactured organ itself while considering anatomical/structural parts and functional aspects of the body. It helps to visualize and mimic internal organs/models, pre-planning via simulation, anatomical demonstration, treatments, and surgical teaching/training to technical staff by medical professionals. The current review covers additive manufacturing applications for the possible treatment of osteosarcoma, bone tumors, traumatic fracture, congenital anomalies, dental diseases, vertebral and cranial abnormalities, etc. from toe to head highlighting printing of long bones, short bones, cartilages, teeth, and more based on the general classification of bones shape i.e. the external shape and size of different bones with some case studies. The article has also touched upon the additive manufacturing competitive edge over the conventional methods in terms of complexity, easiness, cost-effectiveness, reduced time. However, the internal structures have not been addressed so far in additive manufacturing which could be a new corner to enhance the properties of bones and teeth in the future.
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