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用于电子束熔炼定制植入物治疗骨癌的混合实体网格结构

Hybrid solid mesh structure for electron beam melting customized implant to treat bone cancer.

作者信息

Park Jong Woong, Seo Eunhyeok, Park Haeum, Shin Ye Chan, Kang Hyun Guy, Sung Hyokyung, Jung Im Doo

机构信息

Orthopaedic Oncology Clinic, Center for Rare Cancers, National Cancer Center, Goyang 10408, Republic of Korea.

Surgical Oncology Branch, Division of Clinical Research, National Cancer Center, Goyang 10408, Republic of Korea.

出版信息

Int J Bioprint. 2023 Mar 21;9(4):716. doi: 10.18063/ijb.716. eCollection 2023.

Abstract

15Bone replacement implants manufactured by electron beam melting have been widely studied for use in bone tumor treatment. In this application, a hybrid structure implant with a combination of solid and lattice structures guarantees strong adhesion between bone and soft tissues. This hybrid implant must exhibit adequate mechanical performance so as to satisfy the safety criteria considering repeated weight loading during the patient's lifetime. With a low volume of a clinical case, various shape and volume combinations, including both solid and lattice structures, should be evaluated to provide guidelines for implant design. This study examined the mechanical performance of the hybrid lattice by investigating two shapes of the hybrid implant and volume fractions of the solid and lattice structures, along with microstructural, mechanical, and computational analyses. These results demonstrate how hybrid implants may be designed to improve clinical outcomes by using patient-specific orthopedic implants with optimized volume fraction of the lattice structure, allowing for effective enhancement of mechanical performance as well as optimized design for bone cell ingrowth.

摘要

通过电子束熔炼制造的骨替代植入物已被广泛研究用于骨肿瘤治疗。在这种应用中,具有实体和晶格结构组合的混合结构植入物可确保骨骼与软组织之间的强附着力。这种混合植入物必须表现出足够的机械性能,以便在考虑患者一生中反复承受体重负荷的情况下满足安全标准。由于临床病例数量较少,应评估包括实体和晶格结构在内的各种形状和体积组合,以为植入物设计提供指导。本研究通过研究两种形状的混合植入物以及实体和晶格结构的体积分数,结合微观结构、力学和计算分析,考察了混合晶格的力学性能。这些结果表明,如何通过使用具有优化晶格结构体积分数的患者特异性骨科植入物来设计混合植入物,以改善临床结果,从而有效提高机械性能,并为骨细胞向内生长进行优化设计。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8a8/10261134/80a1e62e0963/IJB-9-4-716-g001.jpg

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