scholarly journals Can Preoperative 3D Printing Change Surgeon’s Operative Plan for Distal Tibia Fracture?

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Hwa Jun Kang ◽  
Bom Soo Kim ◽  
Seung Min Kim ◽  
Yu Mi Kim ◽  
Hyong Nyun Kim ◽  
...  
Keyword(s):  
3D Printing ◽  
Distal Tibia ◽  
3D Models ◽  
Tibia Fracture ◽  
Distal Tibia Fracture ◽  
Complex Fracture ◽  
Orthopedic Surgeons ◽  
Real Size ◽  
3D Printed ◽  
Selection Of

This study aimed to determine if 3D printing can affect surgeon’s selection of plate for distal tibia fracture surgery and to find out whether orthopedic surgeons consider this technology necessary and would use it in their practice. A total of 102 orthopedic surgeons were asked to choose anatomically contoured locking plates among 5 most commonly used types for one simple and one complex distal tibia fracture based on X-ray and CT images. Next, they were provided real-size 3D printed models of the same fractures, allowed to apply each of the 5 plates to these models, and asked if they would change their choice of plate. A 10-point numeric rating scale was provided to measure the extent of the help that 3D printing provided on preoperative planning. Finally, we asked the surgeons if they would use 3D printing in their practice. Seventy-four percent of inexperienced surgeons changed their selection of plate after using 3D printed models for the complex fracture. In contrast, only 9% of experienced surgeons changed their selection of plate for the simple fracture. Surgeons rated the extent of usefulness of the 3D models in preoperative planning as a mean of 4.84 ± 2.54 points for the simple fracture and 6.63 ± 2.54 points for the complex fracture. The difference was significant (p < 0.001). Eighty-six percent of inexperienced surgeons wanted to use 3D models for complex fractures. However, only 18% of experienced surgeons wanted to use 3D printed models for simple fractures. The use of a real-size 3D-printed model often changed surgeon’s preoperative selection of locking plates, especially when inexperienced surgeons evaluated a complex fracture. However, experienced surgeons did not find 3D models very useful when assessing simple fractures. Future applications of 3D models should focus on training beginners in fracture surgery, especially when complex fractures are concerned.

DICOM 3D viewers, virtual reality or 3D printing – a pilot usability study for assessing the preference of orthopedic surgeons

2021 ◽  
pp. 095441192110201
Author(s):  
Diana Popescu ◽  
Rodica Marinescu ◽  
Dan Laptoiu ◽  
Gicu Calin Deac ◽  
Costel Emil Cotet
Keyword(s):  
Virtual Reality ◽  
3D Printing ◽  
Medical Training ◽  
3D Models ◽  
Usability Study ◽  
Dicom Viewer ◽  
Orthopedic Surgeons ◽  
Patient Diagnosis ◽  
Lack Of Information ◽  
3D Printed

As standard practice in orthopedic surgery, the information gathered by analyzing Computer Tomography (CT) 2D images is used for patient diagnosis and planning surgery. Lately, these virtual slices are the input for generating 3D virtual models using DICOM viewers, facilitating spatial orientation, and diagnosis. Virtual Reality (VR) and 3D printing (3DP) technologies are also reported for use in anatomy visualization, medical training, and diagnosis. However, it has not been yet investigated whether the surgeons consider that the advantages offered by 3DP and VR outweigh their development efforts. Moreover, no comparative evaluation for understanding surgeon’s preference in using these investigation tools has been performed so far. Therefore, in this paper, a pilot usability test was conducted for collecting surgeons’ opinions. 3D models of knee, hip and foot were displayed using DICOM 3D viewer, two VR environments and as 3D-printed replicas. These tools adequacy for diagnosis was comparatively assessed in three cases scenarios, the time for completing the diagnosis tasks was recorded and questionnaires filled in. The time for preparing the models for VR and 3DP, the resources needed and the associated costs were presented in order to provide surgeons with the whole context. Results showed a preference in using desktop DICOM viewer with 3D capabilities along with the information provided by Unity-based VR solution for visualizing the virtual model from various angles challenging to analyze on the computer screen. 3D-printed replicas were considered more useful for physically simulating the surgery than for diagnosis. For the VR and 3DP models, the lack of information on bone quality was considered an important drawback. The following order of using the tools was preferred: DICOM viewer, followed by Unity VR and 3DP.

Salter-Harris Type II Distal Tibia Fracture

Orthopedics ◽  
2000 ◽  
Vol 23 (11) ◽  
pp. 1197-1198
Author(s):  
Wade P McAlister ◽  
Richard L Uhl
Keyword(s):  
Distal Tibia ◽  
Tibia Fracture ◽  
Type Ii ◽  
Distal Tibia Fracture ◽  
Salter Harris

scholarly journals Accessing 3D Printed Vascular Phantoms for Procedural Simulation

2021 ◽  
Vol 7 ◽  
Author(s):  
Jasamine Coles-Black ◽  
Damien Bolton ◽  
Jason Chuen
Keyword(s):  
3D Printing ◽  
Endovascular Procedures ◽  
Low Cost ◽  
3D Models ◽  
Routine Care ◽  
Aortic Aneurysms ◽  
Patient Specific ◽  
Ct Angiogram ◽  
Abdominal Aortic ◽  
3D Printed

Introduction: 3D printed patient-specific vascular phantoms provide superior anatomical insights for simulating complex endovascular procedures. Currently, lack of exposure to the technology poses a barrier for adoption. We offer an accessible, low-cost guide to producing vascular anatomical models using routine CT angiography, open source software packages and a variety of 3D printing technologies.Methods: Although applicable to all vascular territories, we illustrate our methodology using Abdominal Aortic Aneurysms (AAAs) due to the strong interest in this area. CT aortograms acquired as part of routine care were converted to representative patient-specific 3D models, and then printed using a variety of 3D printing technologies to assess their material suitability as aortic phantoms. Depending on the technology, phantoms cost $20–$1,000 and were produced in 12–48 h. This technique was used to generate hollow 3D printed thoracoabdominal aortas visible under fluoroscopy.Results: 3D printed AAA phantoms were a valuable addition to standard CT angiogram reconstructions in the simulation of complex cases, such as short or very angulated necks, or for positioning fenestrations in juxtarenal aneurysms. Hollow flexible models were particularly useful for device selection and in planning of fenestrated EVAR. In addition, these models have demonstrated utility other settings, such as patient education and engagement, and trainee and anatomical education. Further study is required to establish a material with optimal cost, haptic and fluoroscopic fidelity.Conclusion: We share our experiences and methodology for developing inexpensive 3D printed vascular phantoms which despite material limitations, successfully mimic the procedural challenges encountered during live endovascular surgery. As the technology continues to improve, 3D printed vascular phantoms have the potential to disrupt how endovascular procedures are planned and taught.

scholarly journals 3D Printing of Thermo-Sensitive Drugs

Pharmaceutics ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 1524
Author(s):  
Sadikalmahdi Abdella ◽  
Souha H. Youssef ◽  
Franklin Afinjuomo ◽  
Yunmei Song ◽  
Paris Fouladian ◽  
...  
Keyword(s):  
3D Printing ◽  
Three Dimensional ◽  
Fused Deposition Modelling ◽  
Future Directions ◽  
Digital Light Processing ◽  
Fused Deposition ◽  
Printing Technique ◽  
3D Printed ◽  
Semi Solid ◽  
Selection Of

Three-dimensional (3D) printing is among the rapidly evolving technologies with applications in many sectors. The pharmaceutical industry is no exception, and the approval of the first 3D-printed tablet (Spiratam®) marked a revolution in the field. Several studies reported the fabrication of different dosage forms using a range of 3D printing techniques. Thermosensitive drugs compose a considerable segment of available medications in the market requiring strict temperature control during processing to ensure their efficacy and safety. Heating involved in some of the 3D printing technologies raises concerns regarding the feasibility of the techniques for printing thermolabile drugs. Studies reported that semi-solid extrusion (SSE) is the commonly used printing technique to fabricate thermosensitive drugs. Digital light processing (DLP), binder jetting (BJ), and stereolithography (SLA) can also be used for the fabrication of thermosensitive drugs as they do not involve heating elements. Nonetheless, degradation of some drugs by light source used in the techniques was reported. Interestingly, fused deposition modelling (FDM) coupled with filling techniques offered protection against thermal degradation. Concepts such as selection of low melting point polymers, adjustment of printing parameters, and coupling of more than one printing technique were exploited in printing thermosensitive drugs. This systematic review presents challenges, 3DP procedures, and future directions of 3D printing of thermo-sensitive formulations.

Design and Development of 3D Printed Teaching Aids for Architecture Education

2019 ◽  
pp. 457-475
Author(s):  
Min Jeong Song ◽  
Euna Ha ◽  
Sang-Kwon Goo ◽  
JaeKyung Cho
Keyword(s):  
3D Printing ◽  
3D Modeling ◽  
3D Models ◽  
Design And Development ◽  
Architecture Education ◽  
Teaching Aids ◽  
Current State ◽  
Practice Based Research ◽  
Research Findings ◽  
3D Printed

This article describes how the implementation of 3D printing in classrooms has brought many opportunities to educators as it provides affordability and accessibility in creating and customizing teaching aids. The study reports on the process of fabricating teaching aids for architecture education using 3D printing technologies. The practice-based research intended to illustrate the making process from initial planning, 3D modeling to 3D printing with practical examples, and addresses the potential induced by the technologies. Based on the investigation into the current state of 3D printing technologies in education, limitations were identified before the making process. The researchers created 3D models in both digital and tangible forms and the process was documented in textual and pictorial formats. It is expected that the research findings will serve as a guideline for other educators to create 3D printed teaching aids, particularly architectural forms.

scholarly journals Intramedullary Nail for a Distal Tibia Fracture

2020 ◽  
Vol 34 (2) ◽  
pp. S37-S38
Author(s):  
Nathaniel E. Schaffer ◽  
Jenna L. Wilson ◽  
Michael A. Yee ◽  
Mark E. Hake
Keyword(s):  
Intramedullary Nail ◽  
Distal Tibia ◽  
Tibia Fracture ◽  
Distal Tibia Fracture

Smoking Effects in a Distal Tibia Fracture Treated With External Fixation

2016 ◽  
Vol 35 (6) ◽  
pp. 426-428
Author(s):  
Andrea Emilio Salvi ◽  
Alexander Nikolaevich Chelnokov ◽  
Simone Roda
Keyword(s):  
External Fixation ◽  
Distal Tibia ◽  
Tibia Fracture ◽  
Distal Tibia Fracture

scholarly journals Ipsilateral Rupture of Quadriceps Tendon with Distal Tibia Fracture: A Case Report and Review of the Literature

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Samik Banerjee ◽  
Timothy P. Dooley ◽  
James R. Parkinson
Keyword(s):  
English Literature ◽  
Distal Tibia ◽  
Tendon Repair ◽  
Quadriceps Tendon ◽  
Tibia Fracture ◽  
Traumatic Rupture ◽  
Distal Tibia Fracture ◽  
Intramedullary Rodding ◽  
High Index Of Suspicion ◽  
Bone Tunnels

Traumatic rupture of the quadriceps tendon by itself is not an uncommon clinical condition. However, its association with concurrent ipsilateral closed distal tibia oblique fracture is exceedingly rare with only one previously reported case in English literature. The dual diagnosis of this atypical combination of injury may be masked by pain and immobilization of the more obvious fracture and may be missed, unless the treating physician maintains a high index of suspicion. Suprapatellar knee pain with or without a palpable gap in the quadriceps tendon and inability to straight leg raise in the setting of a distal tibia fracture should raise concern, but if initial treatment employs a long-leg splint the knee symptoms may be muted. In this report, we describe this unusual combination of injury in a 67-year-old male patient who sustained a trivial twisting injury to the leg. The aim of this report is to raise awareness and emphasize the importance of thorough and repeated clinical examinations in the presence of distracting injuries. Despite the complexity of the problem, standard techniques for quadriceps tendon repair using transpatellar bone tunnels following locked intramedullary rodding of the tibia fracture may lead to optimal outcomes.

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