Choo Yoo Jin, Kim Jang Hwan, Chang Min Cheol
Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Daegu, Republic of Korea.
Department of Biomedical Engineering and Welfare Technology, Hanseo University, Seosan, Chungnam Province, Republic of Korea.
Prosthet Orthot Int. 2024 Jun 18;49(3):344-352. doi: 10.1097/PXR.0000000000000366.
The purpose of this scoping review was to investigate the effects of 3-dimensional (3D)-printed prostheses. Articles published up to August 19, 2023, were searched in the PubMed, Cochrane Library, Embase, and Scopus databases. The search terms used were "3D printed prosthesis," "3D printed prostheses," "3D printed prosthe*," "3D printed artificial arm," "3D printed artificial leg," "3D printing prosthesis," "3D printing prostheses," "3D printing prosthe*," "3D printing artificial arm," and "3D printing artificial leg." This review included studies that applied 3D-printed prostheses to upper- or lower-limb amputees. Case reports, conference abstracts, presentations, reviews, and unidentified articles were excluded from the analysis. A total of 937 articles were identified, 11 of which were included after confirming eligibility through the title, abstract, and full text. The results indicated that the 3D-printed prostheses demonstrated the ability to substitute for the functions of impaired limbs, similar to conventional prostheses. Notably, the production cost and weight were reduced compared with those of conventional prostheses, increasing patient satisfaction. The use of 3D-printed prostheses is expected to gain prominence in future clinical practice. However, concerns regarding the durability of 3D-printed prostheses have increased among users. Therefore, there is an ongoing need to explore highly durable materials that can withstand the weight of the user without breaking easily. In addition, advancements are required in technologies that enable the depiction of various skin tones and the production of smaller-sized prostheses suitable for clothing.
本综述的目的是研究三维(3D)打印假肢的效果。在PubMed、Cochrane图书馆、Embase和Scopus数据库中检索截至2023年8月19日发表的文章。使用的检索词为“3D打印假肢”“3D打印假肢装置”“3D打印假体*”“3D打印人工手臂”“3D打印人工腿”“3D打印假肢技术”“3D打印假肢装置技术”“3D打印假体技术*”“3D打印人工手臂技术”和“3D打印人工腿技术”。本综述纳入了将3D打印假肢应用于上肢或下肢截肢者的研究。分析排除了病例报告、会议摘要、报告、综述和无法识别的文章。共识别出937篇文章,经标题、摘要和全文确认符合纳入标准后,其中11篇被纳入。结果表明,3D打印假肢与传统假肢一样,具有替代受损肢体功能的能力。值得注意的是,与传统假肢相比,其生产成本和重量有所降低,提高了患者满意度。预计3D打印假肢在未来临床实践中将变得更加重要。然而,使用者对3D打印假肢耐用性的担忧有所增加。因此,持续需要探索能够承受使用者体重且不易断裂的高耐用材料。此外,在能够描绘各种肤色以及生产适合穿着的较小尺寸假肢的技术方面也需要取得进展。