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3D打印技术在伊利扎洛夫方法治疗中的应用:初步研究。

The Use of 3D Printing Technology in the Ilizarov Method Treatment: Pilot Study.

作者信息

Burzyńska Karolina, Morasiewicz Piotr, Filipiak Jarosław

机构信息

Division of Biomedical Engineering, Mechatronics and Theory of Mechanisms, Wrocław University of Science and Technology, Poland.

Department and Clinic of Orthopaedic and Traumatologic Surgery, Wroclaw Medical University, Poland.

出版信息

Adv Clin Exp Med. 2016 Nov-Dec;25(6):1157-1163. doi: 10.17219/acem/64024.

Abstract

BACKGROUND

Significant developments in additive manufacturing technology have occurred in recent years. 3D printing techniques can also be helpful in the Ilizarov method treatment.

OBJECTIVES

The aim of this study was to evaluate the usefulness of 3D printing technology in the Ilizarov method treatment.

MATERIAL AND METHODS

Physical models of bones used to plan the spatial design of Ilizarov external fixator were manufactured by FDM (Fused Deposition Modeling) spatial printing technology. Bone models were made of poly(L-lactide) (PLA).

RESULTS

Printed 3D models of both lower leg bones allow doctors to prepare in advance for the Ilizarov method treatment: detailed consideration of the spatial configuration of the external fixation, experimental assembly of the Ilizarov external fixator onto the physical models of bones prior to surgery, planning individual osteotomy level and Kirschner wires introduction sites.

CONCLUSIONS

Printed 3D bone models allow for accurate preparation of the Ilizarov apparatus spatially matched to the size of the bones and prospective bone distortion. Employment of the printed 3D models of bone will enable a more precise design of the apparatus, which is especially useful in multiplanar distortion and in the treatment of axis distortion and limb length discrepancy in young children. In the course of planning the use of physical models manufactured with additive technology, attention should be paid to certain technical aspects of model printing that have an impact on the accuracy of mapping of the geometry and physical properties of the model. 3D printing technique is very useful in 3D planning of the Ilizarov method treatment.

摘要

背景

近年来,增材制造技术取得了重大进展。3D打印技术在伊里扎洛夫方法治疗中也可能有所帮助。

目的

本研究旨在评估3D打印技术在伊里扎洛夫方法治疗中的实用性。

材料与方法

用于规划伊里扎洛夫外固定器空间设计的骨骼物理模型通过熔融沉积建模(FDM)空间打印技术制造。骨骼模型由聚(L-丙交酯)(PLA)制成。

结果

小腿骨的3D打印模型使医生能够提前为伊里扎洛夫方法治疗做准备:详细考虑外固定的空间构型,在手术前将伊里扎洛夫外固定器在骨骼物理模型上进行实验性组装,规划个体截骨水平和克氏针插入部位。

结论

打印的3D骨骼模型能够精确制备与骨骼大小和预期骨骼变形在空间上匹配的伊里扎洛夫器械。使用打印的3D骨骼模型将能够更精确地设计器械,这在多平面畸形以及幼儿轴性畸形和肢体长度差异的治疗中尤其有用。在规划使用增材技术制造的物理模型时,应注意模型打印的某些技术方面,这些方面会影响模型几何形状和物理特性映射的准确性。3D打印技术在伊里扎洛夫方法治疗的3D规划中非常有用。

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