scholarly journals Anatomically Constrained Deformation for Design of Cranial Implant: Methodology and Validation

Author(s):  
Ting Wu ◽  
Martin Engelhardt ◽  
Lorenz Fieten ◽  
Aleksandra Popovic ◽  
Klaus Radermacher
2021 ◽  
Vol 165 ◽  
pp. 107928
Author(s):  
Heitor F. Araujo ◽  
Cilmar Basaglia ◽  
Dinar Camotim ◽  
Thiago G. da Silva

Metals ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 496
Author(s):  
Khaja Moiduddin ◽  
Syed Hammad Mian ◽  
Wadea Ameen ◽  
Hisham Alkhalefah ◽  
Abdul Sayeed

Additive manufacturing (AM), particularly electron beam melting (EBM), is becoming increasingly common in the medical industry because of its remarkable benefits. The application of personalized titanium alloy implants produced using EBM has received considerable attention in recent times due to their simplicity and efficacy. However, these tailored implants are not cost-effective, placing a tremendous strain on the patient. The use of additional materials as support during the manufacturing process is one of the key causes of its high cost. A lot of research has been done to lessen the use of supports through various types of support designs. There is indeed a noticeable paucity of studies in the literature that have examined customized implants produced without or minimal supports. This research, therefore, reports on the investigation of cranial implants fabricated with and without supports. The two personalized implants are evaluated in terms of their cost, fabrication time, and accuracy. The study showed impressive results for cranial implants manufactured without supports that cost 39% less than the implants with supports. Similarly, the implant’s (without supports) build time was 18% less than its equivalent with supports. The two implants also demonstrated similar fitting accuracy with 0.2613 mm error in the instance of implant built without supports and 0.2544 mm for the implant with supports. The results indicate that cranial implants can be produced without EBM supports, which can minimize both production time and cost substantially. However, the manufacture of other complex implants without supports needs further study. The future study also requires a detailed review of the mechanical and structural characteristics of cranial implants built without supports.


2012 ◽  
Vol 23 (6) ◽  
pp. e591-e594 ◽  
Author(s):  
Dheeraj Kumar Koli ◽  
Aditi Nanda ◽  
Mahesh Verma
Keyword(s):  

Author(s):  

Aim: The aim of this article is to report on the safety and long-term efficacy of Cerament® BoneVoid Filler bone substitute for repairing craniofacial bone defects. Post-traumatic cranioplasty is a complex and challenging procedure for all maxillo-craniofacial surgeons and neurosurgeons, especially when repairing large areas. The standard criterion for repairing small cranial defects is the use autogenous bone from the iliac crest or split calvarial grafts. Autogenous grafts may result in donor-site morbidity, increased surgical time, reabsorption, blood loss, and longer recovery time . Alloplastic materials used for bone repair, such as methyl methacrylate, hydroxyapatite, titanium, or porous polyethylene, are expected to have optimal properties, including easy adaptation, biocompatibility, ingrowth of new tissue, stability of shape, and low rate of reabsorption. A cranial implant should be easily shaped and positioned, allowing easy tissue growth. In very wide cranium defects the new technology is a custom made cranial implant constructed three-dimensionally with different types of materials. However, this procedure is very expensive with various infection rates depending on the kind of material used and on the chemicophysical composition of the implant. Methods: The authors report the case of a 50-year-old man with a severe deformity of the forehead-supra orbital area as a result of a previous complex fronto-facial trauma treated in an emergency Unit. Secondary correction and reconstruction of the residual deformities were performed by using Cerament® Bone Void Filler, an alloplastic biphasic material, composed of 40% hydroxyapatite, 60% calcium sulfate and the radio-contrast agent iohexol. The unique ratio of hydroxyapatite and calcium sulfate is designed to enable Cerament to resorb at the same rate that bone forms. Calcium sulfate acts as a resorbable carrier for hydroxyapatite which is highly osteoconductive, promoting bone ingrowth.It seems to be a promising bone graft substitute in the management of bony irregularities in the fronto-orbital area. Conclusion: The patient was first hospitalized as the result of a serious craniofacial trauma. One year after the first emergency cranio-orbital reconstructive operation, a marked deformity of the frontal region appeared with a “grid effect” due to the inadequate plate-bony fixation of the fractures applied during the first bony recomposition and because it was not as rigid as it should have been . A secondary surgery for deformity correction was performed. The hardware was totally removed and the bony deformity smoothed, reshaped, covered and filled using Cerament® Bone Void Filler, a biomaterial. The patient recovered with a satisfactory cranium-forehead shape, no complications, and complete disappearance of a frowning look of the fronto-orbital region. Recently, increased use of bone substitutes in the reconstruction of bone defects has been fuelled by donor site complications associated with autologous bone harvesting. Cerament® BoneVoid Filler is a biphasic and injectable bone substitute that has a highly compressive strength and the ability to promote cancellous bone healing


2022 ◽  
Vol 12 (2) ◽  
pp. 878
Author(s):  
Pedro O. Santos ◽  
Gustavo P. Carmo ◽  
Ricardo J. Alves de Sousa ◽  
Fábio A. O. Fernandes ◽  
Mariusz Ptak

The human head is sometimes subjected to impact loads that lead to skull fracture or other injuries that require the removal of part of the skull, which is called craniectomy. Consequently, the removed portion is replaced using autologous bone or alloplastic material. The aim of this work is to develop a cranial implant to fulfil a defect created on the skull and then study its mechanical performance by integrating it on a human head finite element model. The material chosen for the implant was PEEK, a thermoplastic polymer that has been recently used in cranioplasty. A6 numerical model head coupled with an implant was subjected to analysis to evaluate two parameters: the number of fixation screws that enhance the performance and ensure the structural integrity of the implant, and the implant’s capacity to protect the brain compared to the integral skull. The main findings point to the fact that, among all tested configurations of screws, the model with eight screws presents better performance when considering the von Mises stress field and the displacement field on the interface between the implant and the skull. Additionally, under the specific analyzed conditions, it is observable that the model with the implant offers more efficient brain protection when compared with the model with the integral skull.


2021 ◽  
pp. 116-128
Author(s):  
Shashwat Pathak ◽  
Chitimireddy Sindhura ◽  
Rama Krishna Sai S. Gorthi ◽  
Degala Venkata Kiran ◽  
Subrahmanyam Gorthi

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