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3D printing fracture

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https://www.readbyqxmd.com/read/29342864/mechanical-properties-of-a-newly-additive-manufactured-implant-material-based-on-ti-42nb
#1
Christian Schulze, Markus Weinmann, Christoph Schweigel, Olaf Keßler, Rainer Bader
The application of Ti-6Al-4V alloy or commercially pure titanium for additive manufacturing enables the fabrication of complex structural implants and patient-specific implant geometries. However, the difference in Young's modulus of α + β-phase Ti alloys compared to the human bone promotes stress-shielding effects in the implant-bone interphase. The aim of the present study is the mechanical characterization of a new pre-alloyed β-phase Ti-42Nb alloy for application in additive manufacturing. The present investigation focuses on the mechanical properties of SLM-printed Ti-42Nb alloy in tensile and compression tests...
January 13, 2018: Materials
https://www.readbyqxmd.com/read/29342198/three-dimensional-printing-model-improves-morphological-understanding-in-acetabular-fracture-learning-a-multicenter-randomized-controlled-study
#2
Zhenfei Huang, Wenhao Song, Yaoshen Zhang, Qiang Zhang, Dongsheng Zhou, Xi Zhou, Yu He
Conventional education results in unsatisfactory morphological understanding of acetabular fractures due to lack of three-dimensional (3D) details and tactile feedback of real fractures. Virtual reality (VR) and 3D printing (3DP) techniques are widely applied in teaching. The purpose of this study was to identify the effect of physical model (PM), VR and 3DP models in education of morphological understanding of acetabular fractures. 141 students were invited to participate in this study. Participants were equally and randomly assigned to the PM, VR and 3DP learning groups...
2018: PloS One
https://www.readbyqxmd.com/read/29327779/locally-delivered-ethyl-2-5-dihydroxybenzoate-using-3d-printed-bone-implant-for-promotion-of-bone-regeneration-in-a-osteoporotic-animal-model
#3
B-J Kwon, G M Seon, M H Lee, M-A Koo, M S Kim, D Kim, J-J Han, D Kim, J Kim, J-C Park
Osteoporosis is a disease characterized by low bone mass, most commonly caused by an increase in bone resorption that is not matched by sufficient bone formation. The most common complications of postmenopausal osteoporosis are bone-related defects and fractures. Fracture healing is a multifactorial bone regeneration process, influenced by both biological and mechanical factors related to age, osteoporosis and stability of the osteosynthesis. During the treatment of bone defects in osteoporotic conditions, imbalanced bone remodeling is the leading cause for implant failure...
January 12, 2018: European Cells & Materials
https://www.readbyqxmd.com/read/29327553/-preliminary-development-of-drill-template-assisted-placement-of-reverse-intramedullary-lag-screw-for-superior-ramus-of-pubis-using-three-dimentional-print-technique
#4
Yi Zheng, Xin-Hua Yuan, Wei-Bin Wang, Qing-Jiang Pang
OBJECTIVE: To investigate the feasibility of a drill template for the placement of reverse intramedullary lag screws on the outside of the pubis based on digital design and 3D printing technology. METHODS: The preoperative CT images of a 23-year-old male patient with pelvic fracture were collected retrospectively. According to the Young and Burgess classification, the type of pelvic fracture was LC IIwith the 3D printing technology. The data was reconstructed by 3D imaging reconstruction software to produce 1:1 three dimensional model...
January 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29325763/clinical-experience-with-three-dimensional-printing-techniques-in-orthopedic-trauma
#5
Ji Wan Kim, Yongkoo Lee, Joonho Seo, Jai Hyung Park, Yong Min Seo, Sung Soo Kim, Hyun Chul Shon
BACKGROUND: To report our experiences with the use of three-dimensional (3D) printing in the field of orthopedic trauma. METHODS: This retrospective study enrolled 24 patients from three university teaching hospitals in whom 3D printing technique was applied: 14 patients with acetabular fractures and 10 patients with clavicular shaft fractures. We summarized our experiences with 3D printed bone models. RESULTS: Three-dimensional printed acetabular models improved understanding of complex acetabular anatomy and fracture pattern to plan the optimal positioning of a reduction clamp and the trajectory of screws...
January 8, 2018: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/29310359/natural-teeth-retained-splint-based-on-a-patient-specific-3d-printed-mandible-used-for-implant-surgery-and-vestibuloplasty-a-case-report
#6
Helin Xing, Jinshuang Wu, Lei Zhou, Sefei Yang
RATIONALE: With respect to improving the quality of oral rehabilitation, the management of keratinized mucosa is as important as bone condition for implant success. To enhance this management, a natural teeth-retained splint based on a patient-specific 3-dimensional (3D) printed mandible was used in vestibuloplasty to provide sufficient keratinized mucosa around dental implants to support long-term implant maintenance. PATIENT CONCERNS: A 28-year-old male patient had a fracture of the anterior andible 1 year ago, and the fracture was treated with titanium...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29273059/biomechanical-properties-of-3d-printed-bone-scaffolds-are-improved-by-treatment-with-crfp
#7
Carlos G Helguero, Vamiq M Mustahsan, Sunjit Parmar, Sahana Pentyala, John P Pfail, Imin Kao, David E Komatsu, Srinivas Pentyala
BACKGROUND: One of the major challenges in orthopedics is to develop implants that overcome current postoperative problems such as osteointegration, proper load bearing, and stress shielding. Current implant techniques such as allografts or endoprostheses never reach full bone integration, and the risk of fracture due to stress shielding is a major concern. To overcome this, a novel technique of reverse engineering to create artificial scaffolds was designed and tested. The purpose of the study is to create a new generation of implants that are both biocompatible and biomimetic...
December 22, 2017: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29248764/application-of-3d-printing-technology-in-the-treatment-of-humeral-intercondylar-fractures
#8
W Zheng, J Su, L Cai, Y Lou, J Wang, X Guo, J Tang, H Chen
PURPOSE OF THE STUDY: This study was aimed to compare conventional surgery and surgery assisted by 3D printing technology in the treatment of humeral intercondylar fractures. In addition, we also investigated the effect of 3D printing technology on the communication between doctors and patients. MATERIAL AND METHODS: 91 patients with humeral intercondylar fracture were enrolled in the study from March 2013 to August 2015. They were divided into two groups: 43 cases of 3D printing group, 48 cases of conventional group...
December 14, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29242783/mechanical-strength-of-welding-zones-produced-by-material-extrusion-additive-manufacturing
#9
Chelsea S Davis, Kaitlyn E Hillgartner, Seung Hoon Han, Jonathan E Seppala
As more manufacturing processes and research institutions adopt customized manufacturing as a key element in their design strategies and finished products, the resulting mechanical properties of parts produced through additive manufacturing (AM) must be characterized and understood. In material extrusion (MatEx), the most recently extruded polymer filament must bond to the previously extruded filament via polymer diffusion to form a "weld". The strength of the weld limits the performance of the manufactured part and is controlled through processing conditions...
August 2017: Additive Manufacturing
https://www.readbyqxmd.com/read/29241149/a-novel-use-of-3d-printing-model-demonstrates-the-effects-of-deteriorated-trabecular-bone-structure-on-bone-stiffness-and-strength
#10
Meir Max Barak, Margaret Arielle Black
Trabecular bone structure is crucial to normal mechanical behavior of bones. Studies have shown that osteoporosis negatively affects trabecular bone structure, mainly by reducing bone volume fraction (BV/TV) and thus increasing fracture risk. One major limitation in assessing and quantifying the effect of this structural deterioration is that no two trabecular structures are identical. Thus, when we compare a group of healthy bones against a different group of bones that experienced resorption (i.e. decreased BV/TV) we only discover an "average" mechanical effect...
December 7, 2017: Journal of the Mechanical Behavior of Biomedical Materials
https://www.readbyqxmd.com/read/29239049/a-new-3d-printing-strategy-by-harnessing-deformation-instability-and-fracture-of-viscoelastic-inks
#11
Hyunwoo Yuk, Xuanhe Zhao
Direct ink writing (DIW) has demonstrated great potential as a multimaterial multifunctional fabrication method in areas as diverse as electronics, structural materials, tissue engineering, and soft robotics. During DIW, viscoelastic inks are extruded out of a 3D printer's nozzle as printed fibers, which are deposited into patterns when the nozzle moves. Hence, the resolution of printed fibers is commonly limited by the nozzle's diameter, and the printed pattern is limited by the motion paths. These limits have severely hampered innovations and applications of DIW 3D printing...
December 14, 2017: Advanced Materials
https://www.readbyqxmd.com/read/29233510/patient-specific-puzzle-implant-preformed-with-3d-printed-rapid-prototype-model-for-combined-orbital-floor-and-medial-wall-fracture
#12
Young Chul Kim, Kyung Hyun Min, Jong Woo Choi, Kyung S Koh, Tae Suk Oh, Woo Shik Jeong
BACKGROUND: The management of combined orbital floor and medial wall fractures involving the inferomedial strut is challenging due to absence of stable cornerstone. In this article, we proposed surgical strategies using customized 3D puzzle implant preformed with Rapid Prototype (RP) skull model. METHODS: Retrospective review was done in 28 patients diagnosed with combined orbital floor and medial wall fracture. Using preoperative CT scans, original and mirror-imaged RP skull models for each patient were prepared and sterilized...
November 29, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29223522/custom-made-titanium-3d-printed-interbody-cages-for-treatment-of-osteoporotic-fracture-related-spinal-deformity
#13
Timothy Siu, Jeffrey M Rogers, Kainu Lin, Robert Thompson, Mark Owbridge
BACKGROUND: Advances in minimally invasive interbody fusion have greatly enhanced surgeons' capability to correct adult spinal deformity with reduced morbidity. However, the feasibility of such approaches is limited in patients with previous osteoporotic fractures as the resultant vertebral deformity renders the endplate geometry incongruous with conventional interbody implants. Current 3D printing technology offers a novel solution by fabricating custom-made implants tailored to individual anatomy...
December 6, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29206497/computer-assisted-surgery-in-preoperative-planning-of-acetabular-fracture-surgery-state-of-the-art
#14
Aurélien Courvoisier, Mehdi Boudissa, Matthieu Chabanas, Jérôme Tonetti
The development of imaging modalities and computer technology provides a new approach in acetabular surgery. Areas covered: This review describes the role of computer-assisted surgery (CAS) in understanding of the fracture patterns, in the virtual preoperative planning of the surgery and in the use of custom-made plates in acetabular fractures with or without 3D printing technologies. A Pubmed internet research of the English literature of the last 20 years was carried out about studies concerning computer-assisted surgery in acetabular fractures...
December 5, 2017: Expert Review of Medical Devices
https://www.readbyqxmd.com/read/29179285/-efficacy-of-3d-print-guide-technique-in-one-stage-posterior-approach-for-the-treatment-of-cervical-and-thoracic-tuberculosis-with-kyphosis
#15
Nazierhan Shaxika, Z G Sun, H Yuan, H Wang
Objective: To investigate the application of 3D printing technology in the treatment of patients with cervical kyphosis and paraplegia in different segments of the cervical spine after one-stage debridement, bone graft fusion and pedicle screw fixation. Methods: From January 2008 to January 2017, a total of 31 patients with thoracolumbar tuberculosis were treated in the Department of Orthopaedics, the Xinjiang Uygur Autonomous Region people's Hospital.Lesions of the thoracic spine (T1-T4) in 8 cases, (C5-C7) in 10 cases, cervical and thoracic segment in 13 cases, involving a total of 2 cases of vertebral body in 7 cases, 3 cases of vertebral body in 14 cases, 4 cases of vertebral body...
November 21, 2017: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/29152500/application-of-3d-technology-and-printing-for-femoral-derotation-osteotomy-case-and-technical-report
#16
Nicolás Fiz, Diego Delgado, Xabier Sánchez, Pello Sánchez, Ane Miren Bilbao, Jaime Oraa, Mikel Sánchez
In some surgical techniques like femoral derotation osteotomy, accuracy is a key factor that often is not optimal because of the lack of appropriate technology. 3D printing is emerging in many professional areas and its use in the medical field may enhance the results of certain surgeries. This case describes a patient who underwent an intramedullary nail fixation to treat a femoral shaft fracture. After nine months, the patient presented hip pain and "in toe" walking caused by a malrotation produced during the surgery...
October 2017: Annals of Translational Medicine
https://www.readbyqxmd.com/read/29107127/cyclodextrins-as-versatile-building-blocks-for-regenerative-medicine
#17
REVIEW
Carmen Alvarez-Lorenzo, Carlos A García-González, Angel Concheiro
Cyclodextrins (CDs) are one of the most versatile substances produced by nature, and it is in the aqueous biological environment where the multifaceted potential of CDs can be completely unveiled. CDs form inclusion complexes with a variety of guest molecules, including polymers, producing very diverse biocompatible supramolecular structures. Additionally, CDs themselves can trigger cell differentiation to distinct lineages depending on the substituent groups and also promote salt nucleation. These features together with the affinity-driven regulated release of therapeutic molecules, growth factors and gene vectors explain the rising interest for CDs as building blocks in regenerative medicine...
October 26, 2017: Journal of Controlled Release: Official Journal of the Controlled Release Society
https://www.readbyqxmd.com/read/29067535/prebending-of-osteosynthesis-plate-using-3d-printed-models-to-treat-symptomatic-os-acromiale-and-acromial-fracture
#18
Hanne Beliën, Hanne Biesmans, Anny Steenwerckx, Eric Bijnens, Carl Dierickx
BACKGROUND: A symptomatic os acromiale can lead to impingement syndrome and rotator cuff tendinopathy. An acromion fracture is often part of a more complex scapular trauma that needs stabilisation. METHODS: We developed a new technique using a three-dimensional (3D) model and a distal clavicle reconstruction plate to treat os acromiale and acromion fractures. Our hypothesis was that such an approach would be a useful addition to the existing techniques. First, a 3D model of the acromion was printed, then an osteosynthesis plate was pre-bent to fit the exact shape and curve of the acromion...
October 24, 2017: Journal of Experimental Orthopaedics
https://www.readbyqxmd.com/read/29064570/effects-of-scaffold-microstructure-and-low-intensity-pulsed-ultrasound-on-chondrogenic-differentiation-of-human-mesenchymal-stem-cells
#19
Mitra Aliabouzar, Se-Jun Lee, Xuan Zhou, Grace Lijjie Zhang, Kausik Sarkar
The effects of low intensity pulsed ultrasound (LIPUS) on proliferation and chondrogenic differentiation of human mesenchymal stem cells (hMSCs) seeded on 3D printed poly-(ethylene glycol)-diacrylate (PEG-DA) scaffolds with varying pore geometries (square and hexagonal channels) were investigated. The scaffold with square pores resulted in higher hMSC growth and chondrogenic differentiation than a solid or a hexagonally porous scaffold. The optimal LIPUS parameters at 1.5 MHz were found to be 100 mW/cm(2) and 20% duty cycle...
October 24, 2017: Biotechnology and Bioengineering
https://www.readbyqxmd.com/read/29062036/3d-printing-bioinspired-ceramic-composites
#20
Ezra Feilden, Claudio Ferraro, Qinghua Zhang, Esther García-Tuñón, Eleonora D'Elia, Finn Giuliani, Luc Vandeperre, Eduardo Saiz
Natural structural materials like bone and shell have complex, hierarchical architectures designed to control crack propagation and fracture. In modern composites there is a critical trade-off between strength and toughness. Natural structures provide blueprints to overcome this, however this approach introduces another trade-off between fine structural manipulation and manufacturing complex shapes in practical sizes and times. Here we show that robocasting can be used to build ceramic-based composite parts with a range of geometries, possessing microstructures unattainable by other production technologies...
October 23, 2017: Scientific Reports
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