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Additive Manufacturing of Patient-specific Femur Via 3D Printer Using Computed Tomography Images

CT 영상을 이용한 3D 프린팅으로 환자 맞춤형 대퇴골 첨삭가공

  • Received : 2013.09.13
  • Accepted : 2013.10.25
  • Published : 2013.10.30

Abstract

Femur is the largest bone in the human body which supports the weight of body. A long pipeline shape of femur has little cancellous bone, so that regeneration is difficult when fracture happens. The fracture caused by an accident most frequently occurs at diaphysis. IM Nailing is the surgical method that implants an IM Nail into a medullary cavity for the fixation of fracture parts. However, a secondary fracture may happen if an IM Nail does not penetrate at the center of femur. In this study, a patient-specific femur was manufactured by a 3D printer using the computed tomography images scanned before surgery, which was used for the simulation of IM Nailing. It is expected that this result may prevent the secondary damage, reduce surgical operation time, and increase the precision.

대퇴골은 사람의 뼈 중 가장 길며 체중을 지탱하는 골격체로 대퇴골간은 긴 파이프 모양이면서 안에 해면골이 거의 없어서 골절이 발생되면 재생이 어렵다. 사고로 인하여 발생되는 대퇴골의 골절은 골간부가 가장 높은 빈도로 발생한다. 골절의 수술방법은 골수강에 IM Nail을 삽입하여 골절부위를 고정하는 IM Nailing이다. 수술 시 대퇴골의 중심으로 진입하지 못하면 2차 골절 등의 피해가 발생하기도 한다. 본 연구에서는 수술 전 대퇴골의 CT IMAGE을 이용하여 3D 프린터로 환자 맞춤형 대퇴골을 제작하여 골수강으로 IM Nailing 시뮬레이션을 할 수 있도록 하였다. 수술 중 발생할 수 있는 2차적 손상을 방지 하고 시간 단축, 정밀한 수술을 할 수 있을 것이다.

Keywords

References

  1. C. H. Chun, S. S. Kim, D. C. Kim, H. J. Yoo, "The Treatment of Nonunion of Femoral Fractures with an Interlocking Nailing," Journal of the Korean Fracture Society, Vo1.8, No.3, pp. 497-504, July, 1995.
  2. S. T. Jung, T. R.Yoon, J. K. Seon, "Treatment of the Femoral Shaft Fractures with Interlocking Compression Nail," Journal of the Korean Fracture Society, Vol. 11, No. 2, pp. 281-287, April, 1998. https://doi.org/10.12671/jksf.1998.11.2.281
  3. http://cafe.naver.com/makerfac
  4. John Robert Honiballfdg "The Application of 3D Printing in reconstructive surgery," Dissertation presented in fulfilment of the requirements for the degree MscIng in Industrial Engineering at the University of Stellenbosch, March 2010.
  5. Gihyeon Kim, Ho-Joong Jung, Han-Jun Lee, Jae-Sung Lee, Seungbum Koo, Seung-Hwan Chang "Accuracy and Reliability of Length Measurements on Three-Dimensional Computed Tomography Using Open-Source OsiriX Software" Journal of Digital Imaging Volume 25, Number 4 486-491 0897-1889, 2012. https://doi.org/10.1007/s10278-012-9458-6
  6. Carlos Henrique Pereira Mello, Rafael Calandrin Martins, Bruno Rosa Parra, Edson de Oliveira Pamplona, Eduardo Gomes Salgado, Rodrigo Tavares Seguso "Systematic proposal to calculate price of prototypes manufactured through rapid prototyping an FDM 3D printer in a university lab" Rapid Prototyping Journal Volume 16, Issue 6 pp411-416 1355-2546, 2010.
  7. Mark Frame and James S. Huntley "Rapid Prototyping in Orthopaedic Surgery: A User''s Guide" The ScientificWorld Journal Volume 2012, Article ID 838575, 7 pages doi:10.1100/2012/838575, 2012.
  8. R. Petzold, H. F. Zeilhofer, and W. A. Kalender, ""Rapid prototyping technology in medicine-basics and applications,"" ComputerizedMedical Imaging and Graphics, vol. 23, no. 5, pp.277-284, 1999. https://doi.org/10.1016/S0895-6111(99)00025-7
  9. C. Hurson, A. Tansey, B. O''Donnchadha, P. Nicholson, J. Rice, and J. McElwain, ""Rapid prototyping in the assessment, classification and preoperative planning of acetabular fractures,"" Injury, vol. 38, no. 10, pp. 1158-1162, 2007. https://doi.org/10.1016/j.injury.2007.05.020
  10. S. D. Gittard, R. J. Narayan, J. Lusk et al., ""Rapid prototyping of scaphoid and lunate bones,"" Biotechnology Journal, vol. 4, no. 1, pp. 129-134, 2009. https://doi.org/10.1002/biot.200800233
  11. J. Guarino, S. Tennyson, G. McCain, L. Bond, K. Shea, and H. King, ""Rapid prototyping technology for surgeries of the pediatric spine and pelvis: benefits analysis,"" Journal of Pediatric Orthopaedics, vol. 27, no. 8, pp. 955-960, 2007. https://doi.org/10.1097/bpo.0b013e3181594ced
  12. V. Mironov, V. Kasyanov, C. Drake, and R. R. Markwald, ""Organ printing: promises and challenges,"" Regenerative Medicine, vol. 3, no. 1, pp. 93-103, 2008. https://doi.org/10.2217/17460751.3.1.93

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