Minimally invasive plate osteosynthesis using 3D Printing for shaft fractures of clavicles: technical note

Jeong, Ho-Seung; Park, Kyoung-Jin; Kil, Kyung-Min; Chong, Suri; Eun, Hyeon-Jun; Lee, Tae-Soo; Lee, Jeong-Pyo

doi:10.1007/s00402-014-2075-8

Cited by 81 publications

(39 citation statements)

References 17 publications

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“…In preoperative planning, 3D-printed biomodels have been beneficial in orbital and mandibular reconstruction in maxillofacial surgery (21, 37–41); craniofacial, skull base, and cervical spine reconstruction in neurosurgery (35); prefabrication of bony fixation plates and planning excision of bony lesions in orthopedic surgery (42, 43); mapping complex congenital heart defects and tracheobronchial variation in cardiothoracic surgery and cardiac transplantation (26, 44–52) (Figure 2); endovascular repair of abdominal aortic aneurysm and aortic dissection in vascular surgery (53–55); partial nephrectomy for renal tumors in urology (56); osteoplastic flap reconstruction of frontal sinus defects in ear, nose, and throat surgery (57, 58); and hepatectomy and liver transplantation in general surgery (59–61). …”

Section: D Printing In Medicinementioning

confidence: 99%

Emerging Applications of Bedside 3D Printing in Plastic Surgery

et al. 2015

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Modern imaging techniques are an essential component of preoperative planning in plastic and reconstructive surgery. However, conventional modalities, including three-dimensional (3D) reconstructions, are limited by their representation on 2D workstations. 3D printing, also known as rapid prototyping or additive manufacturing, was once the province of industry to fabricate models from a computer-aided design (CAD) in a layer-by-layer manner. The early adopters in clinical practice have embraced the medical imaging-guided 3D-printed biomodels for their ability to provide tactile feedback and a superior appreciation of visuospatial relationship between anatomical structures. With increasing accessibility, investigators are able to convert standard imaging data into a CAD file using various 3D reconstruction softwares and ultimately fabricate 3D models using 3D printing techniques, such as stereolithography, multijet modeling, selective laser sintering, binder jet technique, and fused deposition modeling. However, many clinicians have questioned whether the cost-to-benefit ratio justifies its ongoing use. The cost and size of 3D printers have rapidly decreased over the past decade in parallel with the expiration of key 3D printing patents. Significant improvements in clinical imaging and user-friendly 3D software have permitted computer-aided 3D modeling of anatomical structures and implants without outsourcing in many cases. These developments offer immense potential for the application of 3D printing at the bedside for a variety of clinical applications. In this review, existing uses of 3D printing in plastic surgery practice spanning the spectrum from templates for facial transplantation surgery through to the formation of bespoke craniofacial implants to optimize post-operative esthetics are described. Furthermore, we discuss the potential of 3D printing to become an essential office-based tool in plastic surgery to assist in preoperative planning, developing intraoperative guidance tools, teaching patients and surgical trainees, and producing patient-specific prosthetics in everyday surgical practice.

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Section: D Printing In Medicinementioning

confidence: 99%

Emerging Applications of Bedside 3D Printing in Plastic Surgery

et al. 2015

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“…A key advantage offered by additive manufacture is the ability to create personalized treatments and devices at a relatively low cost compared with traditional manufacturing processes. The use of 3D printing for planning of complex surgery is one aspect, Jeong et al 4 reported using this technique to perform accurate pre‐bending of osteosynthesis plates to allow minimally invasive fracture repair. The other main application is the creation of custom devices, which can reduce operative time and improve outcomes 5,6 .…”

Section: Introductionmentioning

confidence: 99%

3D printed locking osteosynthesis screw threads have comparable strength to machined or hand‐tapped screw threads

MacLeod

Patterson

MacTear

et al. 2020

Journal Orthopaedic Research

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Additive manufacturing, aka three dimensional (3D) printing, is increasingly being used for personalized orthopedic implants. Additively manufactured components normally undergo further processing, in particular 3D printed locking osteosynthesis plates require post‐printing screw thread creation. The aim of this study was to compare 3D printed threads with machined and hand‐tapped threads for a locking plate application. Pushout tests were performed on 115 additively manufactured specimens with tapered screw holes; additive manufacture was performed at 0°, 20°, 45°, or 90° build orientations. The screw holes were either machined, hand‐tapped or 3D printed. The 3D printed screw holes were left as printed, or run through with a tap lubricated with water or with thread cutting oil. Printed threads run through using oil, with a build orientation of 90°, had comparable pushout force (median: 6377 N 95% confidence interval [CI]: 5616‐7739 N) to machined (median: 6757 N; 95% CI: 6682‐7303 N) and hand‐tapped (median: 7805 N; 95% CI: 7154‐7850 N) threads. As printed threads and those run through using water had significantly lower pushout forces. This study shows for the first time that 3D printed screw threads for a locking osteosynthesis plate application have comparable strength to traditionally produced screw threads.

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“…These may be related to extensive exposure of the fracture site and stripping of peripheral soft tissues. 2,8,9,28,34 Intramedullary nailing may minimize soft tissue injuries during fracture reduction. However, problems, such as malunion or nonunion, migration or nail breakages, difficulty in controlling clavicular rotation, and low fixation quality of the nail, are still concerns.…”

mentioning

confidence: 99%

Minimally invasive plate osteosynthesis for midshaft clavicular fractures using superior anatomic plating

Zhang

et al. 2016

Journal of Shoulder and Elbow Surgery

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Minimally invasive plate osteosynthesis using 3D Printing for shaft fractures of clavicles: technical note

Cited by 81 publications

References 17 publications

Emerging Applications of Bedside 3D Printing in Plastic Surgery

Emerging Applications of Bedside 3D Printing in Plastic Surgery

3D printed locking osteosynthesis screw threads have comparable strength to machined or hand‐tapped screw threads

Minimally invasive plate osteosynthesis for midshaft clavicular fractures using superior anatomic plating

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