scholarly journals Occipitoatlantoaxial Malformation in a Dog Treated with a Custom-Made Implant

VCOT Open ◽  
2020 ◽  
Vol 03 (02) ◽  
pp. e170-e176
Author(s):  
Carina Rotter ◽  
Clare Rusbridge ◽  
Noel Fitzpatrick
Keyword(s):  
Locking Plate ◽  
Treatment Options ◽  
Three Dimensional ◽  
Craniovertebral Junction ◽  
Complete Fusion ◽  
Atlantoaxial Joint ◽  
New Bone Formation ◽  
Implant Positioning ◽  
Custom Made ◽  
Congenital Condition

Abstract Background Occipitoatlantoaxial malformation (OAAM) is reported rarely in dogs and few treatment options are described. The congenital condition is thought to be associated with a proatlas re-segmentation failure resulting in malformation and malalignment of the craniovertebral junction which can result in C1 to 5 myelopathic signs. Methods Customized three-dimensional printed locking plate with trajectory screw implantation points for the stabilization of the atlantoaxial joint in a dog with OAAM. The dog was evaluated at time points 0, 2, 6 and 9 months to determine clinical outcome, degree of fusion, implant positioning and subsidence. Results New bone formation was noted 9 months after surgery, but complete fusion remained absent, although no implant failure occurred. Clinically, the dog made a good recovery and was able to exercise normally 9 months after surgery. The only residual deficit was a subtle left-sided cervical torticollis. Clinical Significance This report illustrates a management option and outcome of a dog treated with OAAM. Collaboration between clinicians and engineers provides a new dimension of care for patients with vertebral malformations.

Rapid prototyping to design a customized locking plate for pancarpal arthrodesis in a giant breed dog

2014 ◽  
Vol 27 (01) ◽  
pp. 85-89 ◽  
Author(s):  
T. Nicetto ◽  
M. Petazzoni
Keyword(s):  
Rapid Prototyping ◽  
Locking Plate ◽  
Three Dimensional ◽  
Radiographic Examination ◽  
Implant Position ◽  
Plastic Model ◽  
Computed Tomography Images ◽  
Custom Made ◽  
Osseous Union

SummaryThis report describes the treatment of traumatic carpal hyperextension in a giant breed dog by pancarpal arthrodesis using a custom- made Fixin locking plate, created with the aid of a three-dimensional plastic model of the bones of the antebrachium produced by rapid prototyping technology.A three-year-old 104 kg male Mastiff dog was admitted for treatment of carpal hyperextension injury. After diagnosis of carpal instability, surgery was recommended. Computed tomography images were used to create a life-size three-dimensional plastic model of the forelimb. The model was used as the basis for constructing a customized 12-hole Fixin locking plate. The plate was used to attain successful pancarpal arthrodesis in the animal.Radiographic examination after 74 and 140 days revealed signs of osseous union of the arthrodesis. Further clinical and radiographic follow-up examination three years later did not reveal any changes in implant position or complications.

scholarly journals Recurrent contracted sockets treated with personalized, three-dimensionally printed conformers and buccal grafts

2021 ◽  
pp. 112067212110000
Author(s):  
Annabel LW Groot ◽  
Jelmer S Remmers ◽  
Roel JHM Kloos ◽  
Peerooz Saeed ◽  
Dyonne T Hartong
Keyword(s):  
Three Dimensional ◽  
Case Series ◽  
Secondary Outcome ◽  
Retrospective Case ◽  
Upper Eyelid ◽  
Ocular Prosthesis ◽  
Buccal Mucosal Graft ◽  
Custom Made ◽  
3D Printed

Purpose: Recurrent contracted sockets are complex situations where previous surgeries have failed, disabling the wear of an ocular prosthesis. A combined method of surgery and long-term fixation using custom-made, three-dimensional (3D) printed conformers is evaluated. Methods: Retrospective case series of nine patients with recurrent excessive socket contraction and inability to wear a prosthesis, caused by chemical burns ( n = 3), fireworks ( n = 3), trauma ( n = 2) and enucleation and radiotherapy at childhood due to optic nerve glioma ( n = 1) with three average previous socket surgeries (range 2–6). Treatment consisted of a buccal mucosal graft and personalized 3D-printed conformer designed to be fixated to the periosteum and tarsal plates for minimal 2 months. Primary outcome was the retention of an ocular prosthesis. Secondary outcome was the need for additional surgeries. Results: Outcomes were measured at final follow-up between 7 and 36 months postoperatively (mean 20 months). Eight cases were able to wear an ocular prosthesis after 2 months. Three cases initially treated for only the upper or only the lower fornix needed subsequent surgery for the opposite fornix for functional reasons. Two cases had later surgery for cosmetic improvement of upper eyelid position. Despite pre-existing lid abnormalities (scar, entropion, lash deficiency), cosmetic outcome was judged highly acceptable in six cases because of symmetric contour and volume, and reasonably acceptable in the remaining two. Conclusions: Buccal mucosal transplant fixated with a personalized 3D-designed conformer enables retention of a well-fitted ocular prosthesis in previously failed socket surgeries. Initial treatment of both upper and lower fornices is recommended to avoid subsequent surgeries for functional reasons.

SELF-ASSEMBLED SCAFFOLDS USING REACTION–DIFFUSION SYSTEMS: A HYPOTHESIS FOR BONE REGENERATION

2011 ◽  
Vol 11 (01) ◽  
pp. 231-272 ◽  
Author(s):  
DIEGO A. GARZÓN-ALVARADO ◽  
MARCO A. VELASCO ◽  
CARLOS A. NARVÁEZ-TOVAR
Keyword(s):  
Bone Matrix ◽  
Three Dimensional ◽  
Reaction Diffusion ◽  
Tissue Growth ◽  
New Bone Formation ◽  
Reaction Diffusion Systems ◽  
Bone Scaffolds ◽  
Full Control ◽  
Diffusion Systems ◽  
Biomaterial Scaffold

One area of tissue engineering concerns research into alternatives for new bone formation and replacing its function. Scaffolds have been developed to meet this requirement, allowing cell migration, bone tissue growth, transport of growth factors and nutrients, and the improvement of the mechanical properties of bone. Scaffolds are made from different biomaterials and manufactured using several techniques that, in some cases, do not allow full control over the size and orientation of the pores characterizing the scaffold. A novel hypothesis that a reaction–diffusion (RD) system can be used for designing the geometrical specifications of the bone matrix is thus presented here. The hypothesis was evaluated by making simulations in two- and three-dimensional RD systems in conjunction with the biomaterial scaffold. The results showed the methodology's effectiveness in controlling features such as the percentage of porosity, size, orientation, and interconnectivity of pores in an injectable bone matrix produced by the proposed hypothesis.

Three-Dimensional Imaging and Templating Improve Glenoid Implant Positioning

2015 ◽  
Vol 97 (8) ◽  
pp. 651-658 ◽  
Author(s):  
Joseph P Iannotti ◽  
Scott Weiner ◽  
Eric Rodriguez ◽  
Naveen Subhas ◽  
Thomas E Patterson ◽  
...  
Keyword(s):  
Three Dimensional ◽  
Three Dimensional Imaging ◽  
Implant Positioning

Three-Dimensional Anatomic Landmarks of the Foramen Magnum for the Craniovertebral Junction

2011 ◽  
Vol 22 (3) ◽  
pp. 1073-1076 ◽  
Author(s):  
Figen Govsa ◽  
Mehmet Asim Ozer ◽  
Servet Celik ◽  
Nezih Metin Ozmutaf
Keyword(s):  
Three Dimensional ◽  
Craniovertebral Junction ◽  
Foramen Magnum ◽  
Anatomic Landmarks

scholarly journals Gynecology Meets Big Data in the Disruptive Innovation Medical Era: State-of-Art and Future Prospects

2021 ◽  
Vol 18 (10) ◽  
pp. 5058
Author(s):  
Rola Khamisy-Farah ◽  
Leonardo B. Furstenau ◽  
Jude Dzevela Kong ◽  
Jianhong Wu ◽  
Nicola Luigi Bragazzi
Keyword(s):  
Big Data ◽  
Information And Communication Technologies ◽  
Imaging Techniques ◽  
Treatment Options ◽  
Wearable Sensors ◽  
Three Dimensional ◽  
Disruptive Innovation ◽  
Healthcare Management ◽  
The Internet ◽  
Big Data Visualization

Tremendous scientific and technological achievements have been revolutionizing the current medical era, changing the way in which physicians practice their profession and deliver healthcare provisions. This is due to the convergence of various advancements related to digitalization and the use of information and communication technologies (ICTs)—ranging from the internet of things (IoT) and the internet of medical things (IoMT) to the fields of robotics, virtual and augmented reality, and massively parallel and cloud computing. Further progress has been made in the fields of addictive manufacturing and three-dimensional (3D) printing, sophisticated statistical tools such as big data visualization and analytics (BDVA) and artificial intelligence (AI), the use of mobile and smartphone applications (apps), remote monitoring and wearable sensors, and e-learning, among others. Within this new conceptual framework, big data represents a massive set of data characterized by different properties and features. These can be categorized both from a quantitative and qualitative standpoint, and include data generated from wet-lab and microarrays (molecular big data), databases and registries (clinical/computational big data), imaging techniques (such as radiomics, imaging big data) and web searches (the so-called infodemiology, digital big data). The present review aims to show how big and smart data can revolutionize gynecology by shedding light on female reproductive health, both in terms of physiology and pathophysiology. More specifically, they appear to have potential uses in the field of gynecology to increase its accuracy and precision, stratify patients, provide opportunities for personalized treatment options rather than delivering a package of “one-size-fits-it-all” healthcare management provisions, and enhance its effectiveness at each stage (health promotion, prevention, diagnosis, prognosis, and therapeutics).

Micro-Computed Tomography-Based Three-Dimensional Anatomical Structure of the Region Around the Pterygoid Hamulus

2021 ◽  
pp. 105566562110363
Author(s):  
Jiuli Zhao ◽  
Hengyuan Ma ◽  
Yongqian Wang ◽  
Tao Song ◽  
Chanyuan Jiang ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Treatment Options ◽  
Muscle Fibers ◽  
Three Dimensional ◽  
Anatomical Structure ◽  
Micro Computed Tomography ◽  
3 Dimensional ◽  
Middle Ear Ventilation ◽  
Optimal Approach ◽  
Velopharyngeal Function

Objective Palatoplasty would involve the structures around the pterygoid hamulus. However, clinicians hold different opinions on the optimal approach for the muscles and palatine aponeurosis around the pterygoid hamulus. The absence of a consensus regarding this point can be attributed to the lack of investigations on the exact anatomy of this region. Therefore, we used micro-computed tomography to examine the anatomical structure of the region surrounding the pterygoid hamulus. Design Cadaveric specimens were stained with iodine–potassium iodide and scanned by micro-computed tomography to study the structures of the tissues, particularly the muscle fibers. We imported Digital Imaging and Communications in Medicine images to Mimics to reconstruct a 3-dimensional model and simplified the model. Results Three muscles were present around the pterygoid hamulus, namely the palatopharyngeus (PP), superior constrictor (SC), and tensor veli palatini (TVP). The hamulus connects these muscles as a key pivot. The TVP extended to the palatine aponeurosis, which bypassed the pterygoid hamulus, and linked the PP and SC. Some muscle fibers of the SC originated from the hamulus, the aponeurosis of which was wrapped around the hamulus. There was a distinct gap between the pterygoid hamulus and the palatine aponeurosis. This formed a pulley-like structure around the pterygoid hamulus. Conclusions Transection or fracture of the palatine aponeurosis or pterygoid hamulus, respectively, may have detrimental effects on the muscles around the pterygoid hamulus, which play essential roles in the velopharyngeal function and middle ear ventilation. Currently, cleft palate repair has limited treatment options with proven successful outcomes.

Development of Thin Metal Film Deposition Process for the Intravascular Catheter

1999 ◽  
Author(s):  
Seok Chung ◽  
Jun Keun Chang ◽  
Dong Chul Han
Keyword(s):  
Metal Film ◽  
Three Dimensional ◽  
Deposition Process ◽  
Medical Application ◽  
Thin Metal Film ◽  
Film Deposition ◽  
Thin Metal ◽  
Mems Devices ◽  
Sensors And Actuators ◽  
Custom Made

Abstract To make some MF.MS devices such as sensors and actuators be useful in the medical application, it is required to integrate this devices with power or sensor lines and to keep the hole devices biocompatible. Integrating micro machined sensors and actuators with conventional copper lines is incompatible because the thin copper lines are not easy to handle in the mass production. To achieve the compatibility of wiring method between MEMS devices, we developed the thin metal film deposition process that coats micropattered thin copper films on the non silicon-wafer substrate. The process was developed with the custom-made three-dimensional thin film sputter/evaporation system. The system consists of process chamber, two branch chambers, substrate holder unit and linear/rotary motion feedthrough. Thin metal film was deposited on the biocompatible polymer, polyurethane (PellethaneR) and silicone, catheter that is 2 mm in diameter and 1,000 mm in length. We deposited Cr/Cu and Ti/Cu layer and made a comparative study of the deposition processes, sputtering and evaporation. The temperature of both the processes were maintained below 100°C, for the catheter not melting during the processes. To use the films as signal lines connect the signal source to the actuator on the catheter tip, we machined the films into desired patterns with the eximer laser. In this paper, we developed the thin metal film deposition system and processes for the biopolymeric substrate used in the medical MEMS devices.

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