scholarly journals An Innovative and Cost-Advantage CAD Solution for Cubitus Varus Surgical Planning in Children

2021 ◽  
Vol 11 (9) ◽  
pp. 4057
Author(s):  
Leonardo Frizziero ◽  
Gian Maria Santi ◽  
Christian Leon-Cardenas ◽  
Giampiero Donnici ◽  
Alfredo Liverani ◽  
...  
Keyword(s):  
Computer Aided Design ◽  
Low Cost ◽  
Cost Effective ◽  
Varus Deformity ◽  
Patient Specific ◽  
Cubitus Varus ◽  
Surgical Guide ◽  
Traditional Procedure ◽  
Custom Made ◽  
Patient Specific Instruments

The study of CAD (computer aided design) modeling, design and manufacturing techniques has undergone a rapid growth over the past decades. In medicine, this development mainly concerned the dental and maxillofacial sectors. Significant progress has also been made in orthopedics with pre-operative CAD simulations, printing of bone models and production of patient-specific instruments. However, the traditional procedure that formulates the surgical plan based exclusively on two-dimensional images and interventions performed without the aid of specific instruments for the patient and is currently the most used surgical technique. The production of custom-made tools for the patient, in fact, is often expensive and its use is limited to a few hospitals. The purpose of this study is to show an innovative and cost-effective procedure aimed at prototyping a custom-made surgical guide for address the cubitus varus deformity on a pediatric patient. The cutting guides were obtained through an additive manufacturing process that starts from the 3D digital model of the patient’s bone and allows to design specific models using Creo Parametric. The result is a tool that adheres perfectly to the patient’s bone and guides the surgeon during the osteotomy procedure. The low cost of the methodology described makes it worth noticing by any health institution.

scholarly journals Innovative Design Methodology for Patient-Specific Short Femoral Stems

Materials ◽  
2022 ◽  
Vol 15 (2) ◽  
pp. 442
Author(s):  
William Solórzano-Requejo ◽  
Carlos Ojeda ◽  
Andrés Díaz Lantada
Keyword(s):  
Computer Aided Design ◽  
Design Methodology ◽  
Patient Specific ◽  
Bone Stock ◽  
Innovative Design ◽  
Hip Prostheses ◽  
Custom Made ◽  
In Silico Studies ◽  
Femoral Stems ◽  
Short Stems

The biomechanical performance of hip prostheses is often suboptimal, which leads to problems such as strain shielding, bone resorption and implant loosening, affecting the long-term viability of these implants for articular repair. Different studies have highlighted the interest of short stems for preserving bone stock and minimizing shielding, hence providing an alternative to conventional hip prostheses with long stems. Such short stems are especially valuable for younger patients, as they may require additional surgical interventions and replacements in the future, for which the preservation of bone stock is fundamental. Arguably, enhanced results may be achieved by combining the benefits of short stems with the possibilities of personalization, which are now empowered by a wise combination of medical images, computer-aided design and engineering resources and automated manufacturing tools. In this study, an innovative design methodology for custom-made short femoral stems is presented. The design process is enhanced through a novel app employing elliptical adjustment for the quasi-automated CAD modeling of personalized short femoral stems. The proposed methodology is validated by completely developing two personalized short femoral stems, which are evaluated by combining in silico studies (finite element method (FEM) simulations), for quantifying their biomechanical performance, and rapid prototyping, for evaluating implantability.

scholarly journals Three-Dimensional Thermal Mapping from IRT Images for Rapid Architectural Heritage NDT

Buildings ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. 187
Author(s):  
Efstathios Adamopoulos ◽  
Monica Volinia ◽  
Mario Girotto ◽  
Fulvio Rinaudo
Keyword(s):  
Optical Sensors ◽  
Infrared Imaging ◽  
Low Cost ◽  
Three Dimensional ◽  
Cost Effective ◽  
Thermal Infrared ◽  
Architectural Heritage ◽  
Thermal Camera ◽  
Historical Building ◽  
Custom Made

Thermal infrared imaging is fundamental to architectural heritage non-destructive diagnostics. However, thermal sensors’ low spatial resolution allows capturing only very localized phenomena. At the same time, thermal images are commonly collected with independence of geometry, meaning that no measurements can be performed on them. Occasionally, these issues have been solved with various approaches integrating multi-sensor instrumentation, resulting in high costs and computational times. The presented work aims at tackling these problems by proposing a workflow for cost-effective three-dimensional thermographic modeling using a thermal camera and a consumer-grade RGB camera. The discussed approach exploits the RGB spectrum images captured with the optical sensor of the thermal camera and image-based multi-view stereo techniques to reconstruct architectural features’ geometry. The thermal and optical sensors are calibrated employing custom-made low-cost targets. Subsequently, the necessary geometric transformations between undistorted thermal infrared and optical images are calculated to replace them in the photogrammetric scene and map the models with thermal texture. The method’s metric accuracy is evaluated by conducting comparisons with different sensors and the efficiency by assessing how the results can assist the better interpretation of the present thermal phenomena. The conducted application demonstrates the metric and radiometric performance of the proposed approach and the straightforward implementability for thermographic surveys, as well as its usefulness for cost-effective historical building assessments.

scholarly journals Low cost digital fabrication approach for thumb orthoses

2017 ◽  
Vol 23 (6) ◽  
pp. 1020-1031 ◽  
Author(s):  
Miguel Fernandez-Vicente ◽  
Ana Escario Chust ◽  
Andres Conejero
Keyword(s):  
3D Printing ◽  
Computer Aided Design ◽  
Low Cost ◽  
Three Dimensional ◽  
Recovery Process ◽  
Digital Fabrication ◽  
Cost Comparison ◽  
Content Type ◽  
Custom Made ◽  
The Impact

Purpose The purpose of this paper is to describe a novel design workflow for the digital fabrication of custom-made orthoses (CMIO). It is intended to provide an easier process for clinical practitioners and orthotic technicians alike. It further functions to reduce the dependency of the operators’ abilities and skills. Design/methodology/approach The technical assessment covers low-cost three-dimensional (3D) scanning, free computer-aided design (CAD) software, and desktop 3D printing and acetone vapour finishing. To analyse its viability, a cost comparison was carried out between the proposed workflow and the traditional CMIO manufacture method. Findings The results show that the proposed workflow is a technically feasible and cost-effective solution to improve upon the traditional process of design and manufacture of custom-made static trapeziometacarpal (TMC) orthoses. Further studies are needed for ensuring a clinically feasible approach and for estimating the efficacy of the method for the recovery process in patients. Social implications The feasibility of the process increases the impact of the study, as the great accessibility to this type of 3D printers makes the digital fabrication method easier to be adopted by operators. Originality/value Although some research has been conducted on digital fabrication of CMIO, few studies have investigated the use of desktop 3D printing in any systematic way. This study provides a first step in the exploration of a new design workflow using low-cost digital fabrication tools combined with non-manual finishing.

scholarly journals Design and manufacturing of patient-specific orthodontic appliances by computer-aided engineering techniques

2017 ◽  
Vol 232 (1) ◽  
pp. 54-66 ◽  
Author(s):  
Sandro Barone ◽  
Paolo Neri ◽  
Alessandro Paoli ◽  
Armando Viviano Razionale
Keyword(s):  
Computer Aided Design ◽  
Low Cost ◽  
Element Model ◽  
Patient Specific ◽  
Orthodontic Appliances ◽  
Digital Reconstruction ◽  
Computer Aided ◽  
Design And Manufacturing ◽  
Aided Design ◽  
Low Cost Manufacturing

Orthodontic treatments are usually performed using fixed brackets or removable oral appliances, which are traditionally made from alginate impressions and wax registrations. Among removable devices, eruption guidance appliances are used for early orthodontic treatments in order to intercept and prevent malocclusion problems. Commercially available eruption guidance appliances, however, are symmetric devices produced using a few standard sizes. For this reason, they are not able to meet all the specific patient’s needs since the actual dental anatomies present various geometries and asymmetric conditions. In this article, a computer-aided design-based methodology for the design and manufacturing of a patient-specific eruption guidance appliances is presented. The proposed approach is based on the digitalization of several steps of the overall process: from the digital reconstruction of patients’ anatomies to the manufacturing of customized appliances. A finite element model has been developed to evaluate the temporomandibular joint disks stress level caused by using symmetric eruption guidance appliances with different teeth misalignment conditions. The developed model can then be used to guide the design of a patient-specific appliance with the aim at reducing the patient discomfort. At this purpose, two different customization levels are proposed in order to face both arches and single tooth misalignment issues. A low-cost manufacturing process, based on an additive manufacturing technique, is finally presented and discussed.

scholarly journals 3D Printing of Rapid, Low-Cost and Patient-Specific Models of Brain Vasculature for Use in Preoperative Planning in Clipping of Intracranial Aneurysms

2021 ◽  
Vol 10 (6) ◽  
pp. 1201
Author(s):  
Maciej Błaszczyk ◽  
Redwan Jabbar ◽  
Bartosz Szmyd ◽  
Maciej Radek
Keyword(s):  
3D Visualization ◽  
Low Cost ◽  
Cost Benefit ◽  
Image Data ◽  
Cost Effective ◽  
3D Models ◽  
Urgent Care ◽  
Patient Specific ◽  
Stl File ◽  
3D Printed

We developed a practical and cost-effective method of production of a 3D-printed model of the arterial Circle of Willis of patients treated because of an intracranial aneurysm. We present and explain the steps necessary to produce a 3D model from medical image data, and express the significant value such models have in patient-specific pre-operative planning as well as education. A Digital Imaging and Communications in Medicine (DICOM) viewer is used to create 3D visualization from a patient’s Computed Tomography Angiography (CTA) images. After generating the reconstruction, we manually remove the anatomical components that we wish to exclude from the print by utilizing tools provided with the imaging software. We then export this 3D reconstructions file into a Standard Triangulation Language (STL) file which is then run through a “Slicer” software to generate a G-code file for the printer. After the print is complete, the supports created during the printing process are removed manually. The 3D-printed models we created were of good accuracy and scale. The median production time used for the models described in this manuscript was 4.4 h (range: 3.9–4.5 h). Models were evaluated by neurosurgical teams at local hospital for quality and practicality for use in urgent and non-urgent care. We hope we have provided readers adequate insight into the equipment and software they would require to quickly produce their own accurate and cost-effective 3D models from CT angiography images. It has become quite clear to us that the cost-benefit ratio in the production of such a simplified model is worthwhile.

scholarly journals Social Entrepreneurs’ Use of Fab Labs and 3D Printing in South Africa and Kenya

2020 ◽  
pp. 1-24
Author(s):  
Tobias Schonwetter ◽  
Bram Van Wiele
Keyword(s):  
South Africa ◽  
3D Printing ◽  
Open Source ◽  
Computer Aided Design ◽  
Low Cost ◽  
Cost Effective ◽  
Social Enterprises ◽  
Social Entrepreneurs ◽  
User Friendliness ◽  
Source Models

This article outlines findings from a study in South Africa and Kenya that explored social entrepreneurs’ use of fabrication laboratories (fab labs), and in particular fab lab 3D printing services, in order to advance their social innovations and enterprises. Based on interviews with representatives of fab lab initiatives and social enterprises, the study found strong linkages between social entrepreneurship and fab labs, and between social entrepreneurs and the use of 3D printing technology. However, it was also found that social entrepreneurs tend not to rely primarily on fab labs for access to 3D printers, preferring to buy and build their own printer units—a practice made cost-effective through the selection of low-cost, open source models. In respect of the computer-aided design (CAD) software used to design the files for 3D printing, it was found that social entrepreneurs prefer the stability and user-friendliness of proprietary CAD software, despite the cost implications. At the same time, it was found that social entrepreneurs frequently use free and open source CAD files available online, and that they seek, in turn, to share their designs on a free and open source basis.

scholarly journals Smart surgical template models for customized knee joint replacements

2021 ◽  
Vol 7 (2) ◽  
pp. 129-132
Author(s):  
Philipp Sembdner ◽  
Bernhard Bust ◽  
Lars Dornheim ◽  
Stefan Holtzhausen ◽  
Ralph Stelzer
Keyword(s):  
Computer Aided Design ◽  
Methodological Approach ◽  
Selective Laser Sintering ◽  
Patient Specific ◽  
Joint Replacements ◽  
Automated Generation ◽  
Planning And Design ◽  
Patient Specific Instruments ◽  
Aided Design ◽  
Medical Planning

Abstract The paper introduces a method for the automated generation of patient-specific instruments (PSI), here in particular templates, for the implantation of customized implants. The basis is the derivation of data from the morphology of the bony situation and the medical planning. A developed methodological approach based on an Active Shape Model (ASM) is used for the morphological measurement. Determined geometric dimensions are placed on this ASM and automatically adjusted in each case. In addition, specially developed software tools for the planning and design of medical devices will be presented. This includes, among other things, the intuitive control of template parameters by the user when manual adjustments are necessary. The determined data is bundled and applied to previously methodically thought-out and categorized master CAD (Computer Aided Design) models of surgical templates. These master models are fully configurable and designed to be adjusted within defined ranges of values. The templates are printed from the biocompatible material PA12 using selective laser sintering (SLS).

scholarly journals Pelvic Chondrosarcoma Treated by En Bloc Resection with Patient-Specific Osteotomy Guides and Reimplantation of the Extracorporeally Irradiated Bone as an Osseocartilaginous Structural Orthotopic Autograft: A Report of Two Cases with Description of the Surgical Technique

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Georgios Gkagkalis ◽  
Kevin Moerenhout ◽  
Hannes A. Rüdiger ◽  
Daniel A. Müller ◽  
Igor Letovanec ◽  
...  
Keyword(s):  
Computer Navigation ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Patient Specific ◽  
En Bloc ◽  
Primary Tumors ◽  
Complex Anatomy ◽  
Custom Made ◽  
Patient Specific Instruments ◽  
Modular Prostheses

Primary tumors of the pelvis are considered difficult to treat due to the complex anatomy and the proximity of important neurovascular structures. The surgical armamentarium for the treatment of these tumors has evolved with the help of cutting-edge technology from debilitating hemipelvectomies to solutions such as precise resections guided by patient-specific instruments or computer navigation and reconstruction by modular prostheses, 3D-printed custom-made implants, or orthotopic autograft reimplantation after extracorporeal irradiation. Different combinations of these techniques have been described in the literature with various rates of success. We present two cases of pelvic chondrosarcomas successfully treated by a combination of periacetabular resection with patient-specific osteotomy guides and orthotopic reimplantation of the extracorporeally irradiated autograft resulting in retention of the native hip.

The development of a low-cost three-dimensional printed shoulder, arm, and hand prostheses for children

2016 ◽  
Vol 41 (2) ◽  
pp. 205-209 ◽  
Author(s):  
Jorge M Zuniga ◽  
Adam M Carson ◽  
Jean M Peck ◽  
Thomas Kalina ◽  
Rakesh M Srivastava ◽  
...  
Keyword(s):  
Computer Aided Design ◽  
Low Cost ◽  
Three Dimensional ◽  
Cost Effective ◽  
Research Participant ◽  
The Body ◽  
Shoulder Prosthesis ◽  
Main Function ◽  
And Performance ◽  
Aided Design

Background and aim: The prosthetic options for higher level amputees are limited and costly. Advancements in computer-aided design programs and three-dimensional printing offer the possibility of designing and manufacturing transitional prostheses at very low cost. The aim of this project was to describe an inexpensive three-dimensional printed mechanical shoulder prosthesis to assist a pre-selected subject in performing bi-manual activities. Technique: The main function of the body-powered, manually adjusted three-dimensional printed shoulder prosthesis is to provide a cost-effective, highly customized transitional device to individuals with congenital or acquired forequarter amputations. Discussion: After testing the prototype on a young research participant, a partial correction of the patient’s spinal deviation was noted due to the counterweight of the device. The patient’s family also reported improved balance and performance of some bimanual activities after 2 weeks of using the device. Limitations of the design include low grip strength and low durability. Clinical relevance The prosthetic options for higher level amputees are limited and costly. The low-cost three-dimensional printed shoulder prosthesis described in this study can be used as a transitional device in preparation for a more sophisticated shoulder prosthesis.

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