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增材制造在骨科领域的应用:综述。

Additive manufacturing applications in orthopaedics: A review.

作者信息

Javaid Mohd, Haleem Abid

机构信息

Department of Mechanical Engineering, Jamia Millia Islamia, New Delhi, India.

出版信息

J Clin Orthop Trauma. 2018 Jul-Sep;9(3):202-206. doi: 10.1016/j.jcot.2018.04.008. Epub 2018 Apr 21.

Abstract

The applications of Additive Manufacturing (AM) have increased extensively in the area of orthopaedics. The AM applications are for making anatomic models, surgical instruments & tool design, splints, implants and prosthesis. A brief review of various research articles shows that patient-specific orthopaedic procedures provide multiple applications areas and provide directions for future developments. The purpose of this paper is to identify the best possible usage of additive manufacturing applications in orthopaedics field. It also presents the steps used to prepare a 3D printed model by using this technology and details applications in the field of orthopaedics. AM gives a flexible solution in orthopaedics area, where customised implants can be formed as per the required shape and size and can help substitution with customised products. A 3D model created by this technology gain an accurate perception of patient's anatomy which is used to perform mock surgeries and is helpful for highly complex surgical pathologies. It makes surgeon's job accessible and increases the success rate of the operation. AM provides a perfect fit implant for the specific patient by unlimited geometric freedom. Various scanning technologies capture the status of bone defects, and printing of the model is done with the help of this technology. It gives an exact generation of a physical model which is also helpful for medical education, surgical planning and training. This technology can help to solve present-day challenges as data of every patient is different from another.

摘要

增材制造(AM)在骨科领域的应用已广泛增加。增材制造的应用包括制作解剖模型、手术器械及工具设计、夹板、植入物和假体。对各种研究文章的简要回顾表明,针对特定患者的骨科手术提供了多个应用领域,并为未来发展指明了方向。本文的目的是确定增材制造应用在骨科领域的最佳可能用途。它还介绍了使用该技术制备3D打印模型的步骤以及骨科领域的详细应用。增材制造在骨科领域提供了一种灵活的解决方案,在该领域可以根据所需的形状和尺寸定制植入物,并有助于用定制产品进行替代。通过该技术创建的3D模型能准确了解患者的解剖结构,可用于进行模拟手术,有助于处理高度复杂的手术病变。它使外科医生的工作更轻松,并提高了手术成功率。增材制造通过无限的几何自由度为特定患者提供完美适配的植入物。各种扫描技术可捕捉骨缺损状况,并借助该技术完成模型打印。它能精确生成物理模型,这对医学教育、手术规划和培训也有帮助。由于每个患者的数据都互不相同,这项技术有助于解决当今面临的挑战。

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本文引用的文献

1
3D-printed patient-specific applications in orthopedics.3D打印在骨科领域的患者特异性应用。
Orthop Res Rev. 2016 Oct 14;8:57-66. doi: 10.2147/ORR.S99614. eCollection 2016.
2
3D printing and its applications in Orthopedics.3D打印及其在骨科中的应用。
J Clin Orthop Trauma. 2018 Mar;9(Suppl 1):S74-S75. doi: 10.1016/j.jcot.2018.02.003. Epub 2018 Feb 6.
5
The use of three-dimensional printing technology in orthopaedic surgery.三维打印技术在骨科手术中的应用。
J Orthop Surg (Hong Kong). 2017 Jan;25(1):2309499016684077. doi: 10.1177/2309499016684077.
8
Femoral fracture acting as an "ominous masquerade" in a 7-year-old child.股骨骨折在一名7岁儿童中表现为“不祥的伪装”。
J Clin Orthop Trauma. 2016 Oct-Dec;7(Suppl 1):27-29. doi: 10.1016/j.jcot.2016.10.005. Epub 2016 Oct 17.
9
Radiology's Emerging Role in 3-D Printing Applications in Health Care.放射学在医疗保健领域3D打印应用中的新兴作用。
J Am Coll Radiol. 2016 Jul;13(7):856-862.e4. doi: 10.1016/j.jacr.2016.03.025. Epub 2016 May 26.

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