From the Department of Orthopaedic Surgery, Duke University, Durham, NC.
J Am Acad Orthop Surg Glob Res Rev. 2021 Apr 20;5(4):e20.00230-11. doi: 10.5435/JAAOSGlobal-D-20-00230.
Three-dimensional (3D) printing is an exciting form of manufacturing technology that has transformed the way we can treat various medical pathologies. Also known as additive manufacturing, 3D printing fuses materials together in a layer-by-layer fashion to construct a final 3D product. This technology allows flexibility in the design process and enables efficient production of both off-the-shelf and personalized medical products that accommodate patient needs better than traditional manufacturing processes. In the field of orthopaedic surgery, 3D printing implants and instrumentation can be used to address a variety of pathologies that would otherwise be challenging to manage with products made from traditional subtractive manufacturing. Furthermore, 3D bioprinting has significantly impacted bone and cartilage restoration procedures and has the potential to completely transform how we treat patients with debilitating musculoskeletal injuries. Although costs can be high, as technology advances, the economics of 3D printing will improve, especially as the benefits of this technology have clearly been demonstrated in both orthopaedic surgery and medicine as a whole. This review outlines the basics of 3D printing technology and its current applications in orthopaedic surgery and ends with a brief summary of 3D bioprinting and its potential future impact.
三维(3D)打印是一种令人兴奋的制造技术形式,它改变了我们治疗各种医学病理的方式。也称为增材制造,3D 打印通过逐层融合材料来构建最终的 3D 产品。该技术允许在设计过程中具有灵活性,并能够高效生产现成的和个性化的医疗产品,比传统制造工艺更好地满足患者的需求。在骨科手术领域,3D 打印植入物和器械可用于解决各种用传统减法制造的产品难以处理的病变。此外,3D 生物打印已显著影响骨和软骨修复程序,并有可能彻底改变我们治疗患有使人衰弱的肌肉骨骼损伤的患者的方式。尽管成本可能很高,但随着技术的进步,3D 打印的经济性将会改善,特别是因为这项技术的好处已经在骨科手术和整个医学领域得到了明确的证明。这篇综述概述了 3D 打印技术的基础知识及其在骨科手术中的当前应用,并以 3D 生物打印及其潜在未来影响的简要总结结束。