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In-House, Fast FDM Prototyping of a Custom Cutting Guide for a Lower-Risk Pediatric Femoral Osteotomy

Three-dimensional printed custom cutting guides (CCGs) are becoming more and more investigated in medical literature, as a patient-specific approach is often desired and very much needed in today’s surgical practice. Three-dimensional printing applications and computer-aided surgical simulations (CA...

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Autores principales: Frizziero, Leonardo, Santi, Gian Maria, Leon-Cardenas, Christian, Donnici, Giampiero, Liverani, Alfredo, Papaleo, Paola, Napolitano, Francesca, Pagliari, Curzio, Di Gennaro, Giovanni Luigi, Stallone, Stefano, Stilli, Stefano, Trisolino, Giovanni, Zarantonello, Paola
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8230284/
https://www.ncbi.nlm.nih.gov/pubmed/34073324
http://dx.doi.org/10.3390/bioengineering8060071
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author Frizziero, Leonardo
Santi, Gian Maria
Leon-Cardenas, Christian
Donnici, Giampiero
Liverani, Alfredo
Papaleo, Paola
Napolitano, Francesca
Pagliari, Curzio
Di Gennaro, Giovanni Luigi
Stallone, Stefano
Stilli, Stefano
Trisolino, Giovanni
Zarantonello, Paola
author_facet Frizziero, Leonardo
Santi, Gian Maria
Leon-Cardenas, Christian
Donnici, Giampiero
Liverani, Alfredo
Papaleo, Paola
Napolitano, Francesca
Pagliari, Curzio
Di Gennaro, Giovanni Luigi
Stallone, Stefano
Stilli, Stefano
Trisolino, Giovanni
Zarantonello, Paola
author_sort Frizziero, Leonardo
collection PubMed
description Three-dimensional printed custom cutting guides (CCGs) are becoming more and more investigated in medical literature, as a patient-specific approach is often desired and very much needed in today’s surgical practice. Three-dimensional printing applications and computer-aided surgical simulations (CASS) allow for meticulous preoperatory planning and substantial reductions of operating time and risk of human error. However, several limitations seem to slow the large-scale adoption of 3D printed CCGs. CAD designing and 3D printing skills are inevitably needed to develop workflow and address the study; therefore, hospitals are pushed to include third-party collaboration, from highly specialized medical centers to industrial engineering companies, thus increasing the time and cost of labor. The aim of this study was to move towards the feasibility of an in-house, low-cost CCG 3D printing methodology for pediatric orthopedic (PO) surgery. The prototype of a femoral cutting guide was developed for its application at the IOR—Rizzoli Orthopedic Institute of Bologna. The element was printed with an entry-level 3D printer with a high-temperature PLA fiber, whose thermomechanical properties can withstand common steam heat sterilization without bending or losing the original geometry. This methodology allowed for extensive preoperatory planning that would likewise reduce the overall surgery time, whilst reducing the risks related to the intervention.
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spelling pubmed-82302842021-06-26 In-House, Fast FDM Prototyping of a Custom Cutting Guide for a Lower-Risk Pediatric Femoral Osteotomy Frizziero, Leonardo Santi, Gian Maria Leon-Cardenas, Christian Donnici, Giampiero Liverani, Alfredo Papaleo, Paola Napolitano, Francesca Pagliari, Curzio Di Gennaro, Giovanni Luigi Stallone, Stefano Stilli, Stefano Trisolino, Giovanni Zarantonello, Paola Bioengineering (Basel) Article Three-dimensional printed custom cutting guides (CCGs) are becoming more and more investigated in medical literature, as a patient-specific approach is often desired and very much needed in today’s surgical practice. Three-dimensional printing applications and computer-aided surgical simulations (CASS) allow for meticulous preoperatory planning and substantial reductions of operating time and risk of human error. However, several limitations seem to slow the large-scale adoption of 3D printed CCGs. CAD designing and 3D printing skills are inevitably needed to develop workflow and address the study; therefore, hospitals are pushed to include third-party collaboration, from highly specialized medical centers to industrial engineering companies, thus increasing the time and cost of labor. The aim of this study was to move towards the feasibility of an in-house, low-cost CCG 3D printing methodology for pediatric orthopedic (PO) surgery. The prototype of a femoral cutting guide was developed for its application at the IOR—Rizzoli Orthopedic Institute of Bologna. The element was printed with an entry-level 3D printer with a high-temperature PLA fiber, whose thermomechanical properties can withstand common steam heat sterilization without bending or losing the original geometry. This methodology allowed for extensive preoperatory planning that would likewise reduce the overall surgery time, whilst reducing the risks related to the intervention. MDPI 2021-05-26 /pmc/articles/PMC8230284/ /pubmed/34073324 http://dx.doi.org/10.3390/bioengineering8060071 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Frizziero, Leonardo
Santi, Gian Maria
Leon-Cardenas, Christian
Donnici, Giampiero
Liverani, Alfredo
Papaleo, Paola
Napolitano, Francesca
Pagliari, Curzio
Di Gennaro, Giovanni Luigi
Stallone, Stefano
Stilli, Stefano
Trisolino, Giovanni
Zarantonello, Paola
In-House, Fast FDM Prototyping of a Custom Cutting Guide for a Lower-Risk Pediatric Femoral Osteotomy
title In-House, Fast FDM Prototyping of a Custom Cutting Guide for a Lower-Risk Pediatric Femoral Osteotomy
title_full In-House, Fast FDM Prototyping of a Custom Cutting Guide for a Lower-Risk Pediatric Femoral Osteotomy
title_fullStr In-House, Fast FDM Prototyping of a Custom Cutting Guide for a Lower-Risk Pediatric Femoral Osteotomy
title_full_unstemmed In-House, Fast FDM Prototyping of a Custom Cutting Guide for a Lower-Risk Pediatric Femoral Osteotomy
title_short In-House, Fast FDM Prototyping of a Custom Cutting Guide for a Lower-Risk Pediatric Femoral Osteotomy
title_sort in-house, fast fdm prototyping of a custom cutting guide for a lower-risk pediatric femoral osteotomy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8230284/
https://www.ncbi.nlm.nih.gov/pubmed/34073324
http://dx.doi.org/10.3390/bioengineering8060071
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