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3D-Printed Patient-Specific Casts for the Distal Radius in Children: Outcome and Pre-Market Survey

Background: Orthopaedic and Trauma surgery is expected to undergo profound transformation as a result of the adoption of 3D technology. Among the various applications, patient specific manufacturing of splints and casts would appear to be, particularly in children, an interesting implementation. Thi...

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Autores principales: Lazzeri, Simone, Talanti, Emiliano, Basciano, Simone, Barbato, Raffaele, Fontanelli, Federico, Uccheddu, Francesca, Servi, Michaela, Volpe, Yary, Vagnoli, Laura, Amore, Elena, Marzola, Antonio, McGreevy, Kathleen S., Carfagni, Monica
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9027121/
https://www.ncbi.nlm.nih.gov/pubmed/35454555
http://dx.doi.org/10.3390/ma15082863
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author Lazzeri, Simone
Talanti, Emiliano
Basciano, Simone
Barbato, Raffaele
Fontanelli, Federico
Uccheddu, Francesca
Servi, Michaela
Volpe, Yary
Vagnoli, Laura
Amore, Elena
Marzola, Antonio
McGreevy, Kathleen S.
Carfagni, Monica
author_facet Lazzeri, Simone
Talanti, Emiliano
Basciano, Simone
Barbato, Raffaele
Fontanelli, Federico
Uccheddu, Francesca
Servi, Michaela
Volpe, Yary
Vagnoli, Laura
Amore, Elena
Marzola, Antonio
McGreevy, Kathleen S.
Carfagni, Monica
author_sort Lazzeri, Simone
collection PubMed
description Background: Orthopaedic and Trauma surgery is expected to undergo profound transformation as a result of the adoption of 3D technology. Among the various applications, patient specific manufacturing of splints and casts would appear to be, particularly in children, an interesting implementation. This study aims to assess the safety of patient specific 3D casts obtained with a newly developed 3D-scanning devise in a small case series. We therefore conducted a clinical outcome and pre-marketing study in 10 consecutive patients with distal radius fractures treated at an Academic Level I Pediatric Trauma Center. After the application of the 3D cast, patients underwent three consecutive evaluations in the following 21 days. The main outcome measurements were: pain, skin lesions and general comfort, and acceptance of the cast. The three domains were measured with the Visual Analogue Scale (VAS), the NPUAP/EPUAP classification and the Positive affect-Negative affect Scale for Children (PANAS-C), the Self-Assessment Manikin (SAM) clinical psychology tests and a Likert-type five item questionnaire, respectively. A final mechanical analysis of the cast was carried out to confirm product integrity. Results: The results obtained were consistently positive in the investigated domains of general comfort, efficacy of contention and mechanical integrity of the 3D-printed cast as well as in the practicability of the supply chain. Conclusions: This study provides Level IV evidence that patient specific 3D printed casts obtained with a specifically designed software were safe in the management of “buckle” fractures of the distal radius in children. These results encourage to extend the technology to the treatment of more demanding fractures.
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spelling pubmed-90271212022-04-23 3D-Printed Patient-Specific Casts for the Distal Radius in Children: Outcome and Pre-Market Survey Lazzeri, Simone Talanti, Emiliano Basciano, Simone Barbato, Raffaele Fontanelli, Federico Uccheddu, Francesca Servi, Michaela Volpe, Yary Vagnoli, Laura Amore, Elena Marzola, Antonio McGreevy, Kathleen S. Carfagni, Monica Materials (Basel) Article Background: Orthopaedic and Trauma surgery is expected to undergo profound transformation as a result of the adoption of 3D technology. Among the various applications, patient specific manufacturing of splints and casts would appear to be, particularly in children, an interesting implementation. This study aims to assess the safety of patient specific 3D casts obtained with a newly developed 3D-scanning devise in a small case series. We therefore conducted a clinical outcome and pre-marketing study in 10 consecutive patients with distal radius fractures treated at an Academic Level I Pediatric Trauma Center. After the application of the 3D cast, patients underwent three consecutive evaluations in the following 21 days. The main outcome measurements were: pain, skin lesions and general comfort, and acceptance of the cast. The three domains were measured with the Visual Analogue Scale (VAS), the NPUAP/EPUAP classification and the Positive affect-Negative affect Scale for Children (PANAS-C), the Self-Assessment Manikin (SAM) clinical psychology tests and a Likert-type five item questionnaire, respectively. A final mechanical analysis of the cast was carried out to confirm product integrity. Results: The results obtained were consistently positive in the investigated domains of general comfort, efficacy of contention and mechanical integrity of the 3D-printed cast as well as in the practicability of the supply chain. Conclusions: This study provides Level IV evidence that patient specific 3D printed casts obtained with a specifically designed software were safe in the management of “buckle” fractures of the distal radius in children. These results encourage to extend the technology to the treatment of more demanding fractures. MDPI 2022-04-13 /pmc/articles/PMC9027121/ /pubmed/35454555 http://dx.doi.org/10.3390/ma15082863 Text en © 2022 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
Lazzeri, Simone
Talanti, Emiliano
Basciano, Simone
Barbato, Raffaele
Fontanelli, Federico
Uccheddu, Francesca
Servi, Michaela
Volpe, Yary
Vagnoli, Laura
Amore, Elena
Marzola, Antonio
McGreevy, Kathleen S.
Carfagni, Monica
3D-Printed Patient-Specific Casts for the Distal Radius in Children: Outcome and Pre-Market Survey
title 3D-Printed Patient-Specific Casts for the Distal Radius in Children: Outcome and Pre-Market Survey
title_full 3D-Printed Patient-Specific Casts for the Distal Radius in Children: Outcome and Pre-Market Survey
title_fullStr 3D-Printed Patient-Specific Casts for the Distal Radius in Children: Outcome and Pre-Market Survey
title_full_unstemmed 3D-Printed Patient-Specific Casts for the Distal Radius in Children: Outcome and Pre-Market Survey
title_short 3D-Printed Patient-Specific Casts for the Distal Radius in Children: Outcome and Pre-Market Survey
title_sort 3d-printed patient-specific casts for the distal radius in children: outcome and pre-market survey
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9027121/
https://www.ncbi.nlm.nih.gov/pubmed/35454555
http://dx.doi.org/10.3390/ma15082863
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