Araştırma Makalesi
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Customized Acetabular Labrum Mold Using a 3D Printing

Yıl 2019, Cilt: 1 Sayı: 1, 16 - 20, 17.06.2019

Öz

Labral disorders usually occur after trauma, tumour resections, infection and congenital defects. The purpose of labral repair is to protect the underlying pelvis, to reduce any localized pain. Acetabular labrum dissection is a frequent in ortopedical procedure. In this study achieved with the aid of labral prosthesis made from materials such as: synthetic cartilage. Prosthesis production is often costly and requires complex intraoperative processes. Implant customized manufacturing for labral constructs allows for a precise and anatomical reconstruction in a shorter operating time compared to other conventional techniques. We present a, patient-specific method for acetabular labrum mold that ensures surgical success. Patients with labral tears are presented to describe the three-dimensional (3D) printing technique for reconstruction. The Labrum model is designed and manufactured with the help of 3D computed tomography. Both the upper and lower labral model sides were transferred to a 3D printer to obtain a physical model of poly-lactic acid; this was then used in a laboratory to pour the final customized prosthesis in silicone. The exact fit of the labral mold with the labral defect was achieved. Customized 3D labral mold; anatomically appropriate, cost-effective, effective results. In this study, we demonstrated that 3D printing is a clinically highly applicable and easy to use technology for treating anatomically complex geometries.

Kaynakça

  • 1. Eufinger H, Saylor B. . implants, Computer-assisted prefabrication of individual craniofacial. 2001, AORN J., s. 74:648–654.
  • 2. 3D printing: clinical applications in orthopaedics and traumatology . Auricchio F, Marconi S. 2016, s. 1:121–7.
  • 3. Joint effort produces Australia’s first 3D printed spine implant. [Çevrimiçi] 2019 . [Alıntı Tarihi: 24 May 2019.] https://www.rmit.edu.au/news/all-news/2015/august/australias-first-3d-printed-spine-implant.
  • 4. Application of computer-generated stereolithography and interpositioning template in acetabular fractures: a report of eight cases. Brown GA, Milner B, Firoozbakhsh K. 2002, J Orthop Trauma, s. 16:347–52.
  • 5. Tactile surgical navigation system for complex acetabular fracture surgery. Niikura T, Sugimoto M, Lee SY, Sakai Y, Nishida K, Kuroda R, et al. 2014, Orthopedics, s. 37:237–42.
  • 6. 3D printing and its applications in orthopaedic trauma: A technological marvel. Lal H, Patralekh MK. 2018, Journal of Clinical Orthopaedics and Trauma, s. 9:260–8.
  • 7. Use of 3-Dimensional Printing for Preoperative Planning in the Treatment of Recurrent Anterior Shoulder Instability. Sheth U, Theodoropoulos J, Abouali J. 2015, Arthrosc Tech., s. 4:e311–6.
  • 8. Publication trends and knowledge mapping in 3D printing in orthopaedics. Vaishya R, Patralekh MK, Vaish A, Agarwal AK, Vijay V. 2018, J Clin Orthop Trauma, s. 9:194–201.
  • 9. Use of 3-Dimensional Printing for Preoperative Planning in the Treatment of Recurrent Anterior Shoulder Instability. Sheth U, Theodoropoulos J, Abouali J. 2015, Arthrosc Tech. , s. e311–6.
  • 10. Gradient-recalled echo sequences in direct shoulder MR arthrography for evaluating the labrum. Lee MJ, Motamedi K, Chow K, Seeger LL. 2008, Skeletal Radiol, s. 37:19–25.
  • 11. Rapid prototyping in the assessment, classification and preoperative planning of acetabular fractures. Hurson C, Tansey A, O’Donnchadha B, Nicholson P, Rice J, McElwain J. 2007, Injury, s. 38:1158–62.
  • 12. The effect of an acetabular labral tear, repair, resection, and reconstruction on hip stability to distraction. Nepple JJ, Philippon MJ, Campbell KJ, et al. The hip fluid seal. 2014, Knee Surg Sports Traumatol Arthrosc , s. 22:730–736.
  • 13. The role of the acetabular labrum and the transverse acetabular ligament in load transmission in the hip. Konrath GA, Hamel AJ, Olson SA, Bay B, Sharkey NA. 1998, J Bone Joint Surg [Am] , s. 80-A:1781–1788.
  • 14. Fabrication procedure for cranial prostheses. Dumbrigue HB, Arcuri MR, LaVelle WE, Ceynar KJ. 1998, J Prosthet Dent., s. 79:229–231.
  • 15. Cranioplasty using polymethyl methacrylate implant constructed from an alginate impression and wax elimination technique. Abdulai A, Iddrissu M, Dakurah T. 2006, Ghana Med J. , s. 40(1):18–21.
  • 16. Texto de Cirugía Plástica, Reconstructiva y Estética. Barcelona: Salvat Editores. Roa TT. Materiales inertes. In: En Coiffman F. 1986, s. 805–808.

3D Baskı Kullanarak Kişiye Özel Asetabular Labrum Kalıbı

Yıl 2019, Cilt: 1 Sayı: 1, 16 - 20, 17.06.2019

Öz

Labral bozukluklar genellikle travma, tümör rezeksiyonları, enfeksiyon ve konjenital defektlerden sonra ortaya çıkar. Labral onarımın amacı, lokalize ağrıyı azaltmak için alt kısımdaki pelvisi korumaktır. Asetabular labrum diseksiyonu ortopedik prosedürde sık görülür. Bu çalışmada, sentetik kıkırdak benzeri malzemelerden yapılan labral protez oluşumu değerlendirilmiştir. Protez üretimi genellikle maliyetlidir ve karmaşık intraoperatif işlemler gerektirir. Labral yapılar için özel implant üretimi, diğer geleneksel tekniklere kıyasla daha kısa bir operasyon zamanı hassas ve anatomik rekonstrüksiyon sağlar. Çalışmada asetabular labrum yırtıkları için cerrahi başarı sağlayan, hastaya özel bir yöntem sunulmaktadır. Labral yırtığı olan hastalar rekonstrüksiyon için üç boyutlu (3D) baskı tekniğini tanımlamak için sunulmuştur. Labrum modeli 3B bilgisayarlı tomografi yardımı ile tasarlanmış dijitalize edilmiş ve üretilmiştir. Hem üst hem alt labral kısımlar, 3 boyutlu bir yazıcıya aktarılarak poli-laktik asitte fiziksel bir model elde edildi; bu, daha sonra silikonda son özelleştirilmiş protezi dökmek için bir laboratuvarda kullanıldı. Labral kalıbın labral defekt ile tam uyumu sağlandı. Kişiye özel 3D labral kalıp anatomik olarak uygun, maliyet bakımından avantajlı, iyi bir sonuç sunmuştur. Bu çalışmada, 3D baskının anatomik olarak karmaşık geometrileri tedavi etmek için klinik açıdan son derece uygulanabilir ve kullanımı kolay bir teknoloji olduğunu gösterdik.

Kaynakça

  • 1. Eufinger H, Saylor B. . implants, Computer-assisted prefabrication of individual craniofacial. 2001, AORN J., s. 74:648–654.
  • 2. 3D printing: clinical applications in orthopaedics and traumatology . Auricchio F, Marconi S. 2016, s. 1:121–7.
  • 3. Joint effort produces Australia’s first 3D printed spine implant. [Çevrimiçi] 2019 . [Alıntı Tarihi: 24 May 2019.] https://www.rmit.edu.au/news/all-news/2015/august/australias-first-3d-printed-spine-implant.
  • 4. Application of computer-generated stereolithography and interpositioning template in acetabular fractures: a report of eight cases. Brown GA, Milner B, Firoozbakhsh K. 2002, J Orthop Trauma, s. 16:347–52.
  • 5. Tactile surgical navigation system for complex acetabular fracture surgery. Niikura T, Sugimoto M, Lee SY, Sakai Y, Nishida K, Kuroda R, et al. 2014, Orthopedics, s. 37:237–42.
  • 6. 3D printing and its applications in orthopaedic trauma: A technological marvel. Lal H, Patralekh MK. 2018, Journal of Clinical Orthopaedics and Trauma, s. 9:260–8.
  • 7. Use of 3-Dimensional Printing for Preoperative Planning in the Treatment of Recurrent Anterior Shoulder Instability. Sheth U, Theodoropoulos J, Abouali J. 2015, Arthrosc Tech., s. 4:e311–6.
  • 8. Publication trends and knowledge mapping in 3D printing in orthopaedics. Vaishya R, Patralekh MK, Vaish A, Agarwal AK, Vijay V. 2018, J Clin Orthop Trauma, s. 9:194–201.
  • 9. Use of 3-Dimensional Printing for Preoperative Planning in the Treatment of Recurrent Anterior Shoulder Instability. Sheth U, Theodoropoulos J, Abouali J. 2015, Arthrosc Tech. , s. e311–6.
  • 10. Gradient-recalled echo sequences in direct shoulder MR arthrography for evaluating the labrum. Lee MJ, Motamedi K, Chow K, Seeger LL. 2008, Skeletal Radiol, s. 37:19–25.
  • 11. Rapid prototyping in the assessment, classification and preoperative planning of acetabular fractures. Hurson C, Tansey A, O’Donnchadha B, Nicholson P, Rice J, McElwain J. 2007, Injury, s. 38:1158–62.
  • 12. The effect of an acetabular labral tear, repair, resection, and reconstruction on hip stability to distraction. Nepple JJ, Philippon MJ, Campbell KJ, et al. The hip fluid seal. 2014, Knee Surg Sports Traumatol Arthrosc , s. 22:730–736.
  • 13. The role of the acetabular labrum and the transverse acetabular ligament in load transmission in the hip. Konrath GA, Hamel AJ, Olson SA, Bay B, Sharkey NA. 1998, J Bone Joint Surg [Am] , s. 80-A:1781–1788.
  • 14. Fabrication procedure for cranial prostheses. Dumbrigue HB, Arcuri MR, LaVelle WE, Ceynar KJ. 1998, J Prosthet Dent., s. 79:229–231.
  • 15. Cranioplasty using polymethyl methacrylate implant constructed from an alginate impression and wax elimination technique. Abdulai A, Iddrissu M, Dakurah T. 2006, Ghana Med J. , s. 40(1):18–21.
  • 16. Texto de Cirugía Plástica, Reconstructiva y Estética. Barcelona: Salvat Editores. Roa TT. Materiales inertes. In: En Coiffman F. 1986, s. 805–808.
Toplam 16 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Cerrahi
Bölüm Araştırma Makaleleri
Yazarlar

R. Buğra Hüsemoğlu Bu kişi benim 0000-0003-1979-160X

Belma Nalbant Bu kişi benim 0000-0002-2288-6979

Mehmet Dilsiz Bu kişi benim 0000-0002-5437-656X

Hasan Havıtçıoğlu Bu kişi benim 0000-0001-8169-3539

Yayımlanma Tarihi 17 Haziran 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 1 Sayı: 1

Kaynak Göster

APA Hüsemoğlu, R. B., Nalbant, B., Dilsiz, M., Havıtçıoğlu, H. (2019). Customized Acetabular Labrum Mold Using a 3D Printing. Journal of Medical Innovation and Technology, 1(1), 16-20.
AMA Hüsemoğlu RB, Nalbant B, Dilsiz M, Havıtçıoğlu H. Customized Acetabular Labrum Mold Using a 3D Printing. Journal of Medical Innovation and Technology. Haziran 2019;1(1):16-20.
Chicago Hüsemoğlu, R. Buğra, Belma Nalbant, Mehmet Dilsiz, ve Hasan Havıtçıoğlu. “Customized Acetabular Labrum Mold Using a 3D Printing”. Journal of Medical Innovation and Technology 1, sy. 1 (Haziran 2019): 16-20.
EndNote Hüsemoğlu RB, Nalbant B, Dilsiz M, Havıtçıoğlu H (01 Haziran 2019) Customized Acetabular Labrum Mold Using a 3D Printing. Journal of Medical Innovation and Technology 1 1 16–20.
IEEE R. B. Hüsemoğlu, B. Nalbant, M. Dilsiz, ve H. Havıtçıoğlu, “Customized Acetabular Labrum Mold Using a 3D Printing”, Journal of Medical Innovation and Technology, c. 1, sy. 1, ss. 16–20, 2019.
ISNAD Hüsemoğlu, R. Buğra vd. “Customized Acetabular Labrum Mold Using a 3D Printing”. Journal of Medical Innovation and Technology 1/1 (Haziran 2019), 16-20.
JAMA Hüsemoğlu RB, Nalbant B, Dilsiz M, Havıtçıoğlu H. Customized Acetabular Labrum Mold Using a 3D Printing. Journal of Medical Innovation and Technology. 2019;1:16–20.
MLA Hüsemoğlu, R. Buğra vd. “Customized Acetabular Labrum Mold Using a 3D Printing”. Journal of Medical Innovation and Technology, c. 1, sy. 1, 2019, ss. 16-20.
Vancouver Hüsemoğlu RB, Nalbant B, Dilsiz M, Havıtçıoğlu H. Customized Acetabular Labrum Mold Using a 3D Printing. Journal of Medical Innovation and Technology. 2019;1(1):16-20.