3D printing, as a tool for planning orthopedic surgery

Małgorzata Cykowska-Błasiak


The Department of Laser Technology, Automation and Production Organisation; Mechanical Department; Wroclaw University of Technology (Poland)

Paweł Ozga


Faculty of Interior Design and Service Department of Informatics Academy of Fine Arts in Krakow (Poland)

Abstract

The purpose of the literature review is to determine the scope of 3D printing, also known as RP (Rapid Prototyping) applications in manufacturing medical model based on CJP (Collor Jet Printing) technology, with emphasis on the use in orthopedic surgery planning. The research of the presented method will be focused on the financial aspect. Researchers accept as axiomatic fact that the main buyer of the MRP (Medical Rapid Prototyping) structure will be the patient while the recipient will be the doctor or surgeon that provides the operation.

Using available open-source software solutions and suitable method for the treatment of CT (Computed Tomography) scans based on filtering RAW files managed we to get the best or relatively good results allowing to exclude a human work from one of the most difficult and time-consuming processes. Total cost of 3D printings including all production processes and post-productions are about 50% lower than commercial rates (on free market) for the model of: “oscoxae” including "osfemoris" (femur length not exceeding 20 cm). In our opinion it’s "relatively positive" effect.

Despite the success in the field of lowering the cost of 3D prints our work is still focused on reducing it (at least up to another 30%) by using automated-machine processing and tasks automation, as well as using another printing methods. Using 3D printings as a tools to help plan complex orthopedic surgeries make possible to extremely reduce the time of using instrumentation and the treatment time (comparing to similar surgeries carried out without using 3D printings).


Keywords:

Rapid Prototyping, 3D Printing, implants, surgery planning, addictive manufacturing

Bagaria V., Deshpandeb S., Rasalkar D.D., Kuthe A., Paunipagar B.K. Use of rapid prototyping and three-dimensional reconstruction modeling in the management of complex fractures. European Journal of Radiology 80 (2011) 814–820.
  Google Scholar

Botsch M., Pauly M., Kobbelt L., Alliez P., Levy B., Bischoff S., Rossl C. Geometric modeling based on polygonal meshes. ACM SIGGRAPH '06, New York, NY, USA 2006.
DOI: https://doi.org/10.1145/1185657.1185839   Google Scholar

Brennan J. Production of anatomical models from CT scan data. Dublin Institute of Technology 2010.
  Google Scholar

Choi J.Y., Choi J.H., Kim N.K., Kim Y., Lee J.K., Kim M.K., Lee J.H., Kim M.J. Analysis of errors in medical rapid prototyping models. Int. J. Oral Maxillofac. Surg. 31 (2002) 23–32.
  Google Scholar

Chrzan R., Urbanik A., Karbowski K., Moskała M., Polak J., Pyrich M. Cranioplasty prosthesis manufacturing based on reverse engineering technology. Med SciMonit, 2012: 18(1): MT1-6; PMID: 22207125.
DOI: https://doi.org/10.12659/MSM.882186   Google Scholar

Esses S.J., Berman P., Bloom A.I., Sosna J. Clinical applications of physical 3D models derived from MDCT data and created by rapid prototyping. AJR. 2011; 196: W683–W688.
DOI: https://doi.org/10.2214/AJR.10.5681   Google Scholar

Frame M., Huntley J.S. Rapid prototyping in orthopaedic surgery: A Users Guide. OrthopaedicDepatment, Royal Hospital for Sick Children, Glasgow UK 2012.
DOI: https://doi.org/10.1100/2012/838575   Google Scholar

Hetroy F., Rey S., Andujar C., Brunet P., Vinacua A. Mesh repair with user-friendly topology control. Computer-Aided Design 43(1) (2011) 101–113.
DOI: https://doi.org/10.1016/j.cad.2010.09.012   Google Scholar

Hurson C., Tansey A., O’Donnchadha B., Nicholson P., Rice J., McElwain J. Rapid prototyping in the assessment, classification and preoperative planning of acetabular fractures. Injury, Int. J. Care Injured 38 (2007) 1158–1162.
DOI: https://doi.org/10.1016/j.injury.2007.05.020   Google Scholar

Markowska O., Budzik G. Innovative methods of manufacturing bone implants using the reverse engineering (RE) and the rapid prototyping (RP) techniques. Artykuł Autorski z X Forum Inżynierskiego ProCAx, Sosnowiec/Siewierz 6–9 X 2011r.
  Google Scholar

Mashiko T., Otani K., Kawano R., Konno T., Kaneko N., Ito Y., Watanabe E. Development of three-dimensional hollow elastic model for cerebral aneurysm clipping simulation enabling rapid and low cost prototyping. WORLD NEUROSURGERY, October 2014.
DOI: https://doi.org/10.1016/j.wneu.2013.10.032   Google Scholar

MCT, An introduction to MICRO CT SCAN okt., 2008.
  Google Scholar

Petzold R., Zeilhofer H.F., Kalender W.A. Rapid prototyping technology in medicine – basics and applications. Computerized Medical Imaging and Graphics 23 page: 277–284, Munich, Germany, Received 23 February 1999.
DOI: https://doi.org/10.1016/S0895-6111(99)00025-7   Google Scholar

Potamianos P., Amis A.A., Forester A.J., McGurk M., Bircher M. Rapid prototyping for orthopaedic surgery. Rapid Prototyping For Orthopaedic Surgery, Vol 2012 Part H, 1998.
DOI: https://doi.org/10.1243/0954411981534150   Google Scholar

Rengier F., Tengg-Kobligk H., Zechmann C., Kauczor H.U., Giesel F.L. Beyond the eye – medical applications of 3D rapid prototyping objects. Eur.Med.Imag.Rev. 1 (2009) 76–80.
  Google Scholar

Sailer H.F., Haers P.E., Zoilikofer C.P.E., Warnke T., Cads F.R., Stucki P. The value ofstereolithographic models for preoperative diagnosis of craniofacial deformities and planning of surgical corrections. Int. J. Oral Maxillofac. Surg. 27 (1998) 327–333.
  Google Scholar

Seitz H., Tille C., Irsen S., Bermes G., Sader R., Zeilhofer H.F. Rapid prototyping models for surgical planning with hard and soft tissue representation. International Congress Series 1268 (2004) 567–572.
  Google Scholar

Wang C.S., Wang W.H.A., Lin M.C. STL rapid prototyping bio-CAD model for CT medical image segmentation. Computers in Industry 61 (2010) 187–197.
  Google Scholar

Webb P.A. A review of rapid prototyping (RP) techniques in the medical and biomedical sector. Journal of Medical Engineering & Technology 24(4) (2000) 149–153.
DOI: https://doi.org/10.1080/03091900050163427   Google Scholar

Winder J., Bibb R. Medical rapid prototyping technologies: State of the art and current limitations for application in oral and maxillofacial surgery. American Association of Oral and Maxillofacial Surgeons 63 (2005) 1006–1015.
  Google Scholar


Published
2015-03-10

Cited by

Cykowska-Błasiak, M. and Ozga, P. (2015) “3D printing, as a tool for planning orthopedic surgery”, Budownictwo i Architektura, 14(1), pp. 015–023. doi: 10.35784/bud-arch.1662.

Authors

Małgorzata Cykowska-Błasiak 

The Department of Laser Technology, Automation and Production Organisation; Mechanical Department; Wroclaw University of Technology Poland

Authors

Paweł Ozga 

Faculty of Interior Design and Service Department of Informatics Academy of Fine Arts in Krakow Poland

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