Abstract:
Three-dimensional printing (3D) is an additive manufacturing technology based on material deposition layer by layer for 3D object construction. Every year, 3D Printing offers more alternatives and solutions in the healthcare field. Nowadays, applications such as 3D Printing labs in hospitals, low-cost patient-specific prosthetics, customized medical implants and manufacture of anatomical models with high dimensional accuracy are the most immediate emerging trends. Indeed, 3D Printing application is the convergence of multiple factors, including improvements in medical software, 3D printers evolution and new printing materials. In particular, anatomical models manufacturing is becoming increasingly popular and accessible due to its application in medical training and pre-operative planning. Anatomical models manufacturing is based on several data acquisition techniques such as computed tomography (CT), optical coherence tomography (OCT), magnetic resonance imaging (MRI) or 3D solid modeling through computer-aided-design (CAD) and anatomical structures 3D scanning.
The Shirley Ryan Abilitylab research hospital has a full-color multi-material 3D printer Stratasys J750™. It uses Photopolymer jetting (Polyjet™ technology) for manufacture of highly realistic and functional 3D models in a wide range of colors and materials with variable durometers.
Materials and methods: Polygonal mesh files (*.hm) corresponding to a finite elements (FE) model of the right knee joint reported by Dhaher et al. 2014 were the basis of this study. The 3D model included femur, tibia, patella, fibula, ligaments, articular cartilage, menisci, retinacula, patella and quadriceps tendons (PT-QT). Three anatomical models were projected and printed achieving the following objectives.
(1) 3D model improvement of the right knee joint emulating the hierarchical structure of the collagen fibers matrix of the tendons and ligaments.
(2) Anterior cruciate ligament reconstruction (ACL-R) model manufacturing using a bone-patellar-tendon-bone (BPTB) auto-graft and pre-operative planning to improve surgery outcomes, incorporating key surgical elements, such as orientation-architecture of the femoral and tibial tunnels and auto-graft dimensions reported by Dhaher et al. 2014. The surgical planning considers single bundle (SB) reconstruction and includes a customized surgical guide (SG) based on PT anatomy (it used in the graft harvest). The SG requirements followed the indications reported by Wang et al. 2017 with the aim to avoid graft tunnel length mismatch.
(3) Total knee replacement (TKR) model manufacturing considering a cruciate sacrificing (CS) implant with customized design of symmetric tibial bearing, adjustment and assembly of standard prosthetic components in the improved 3D model emulating a TKR procedure. The selection process and printing materials matching with anatomical structures was based on stiffness and elastic modulus analysis of different Agilus30 printing material combinations. Mechanical uni-axial tensile tests were conducted in Northwestern University Kaiser Lab using an Instron S3300, Canton, MA Uniaxial Testing Instrument following ASTM test designation D412-C. The combinations No 1-4 were the most similar to real materials with elastic modulus of 1.8-0.7 and Pearson coefficients of the linear region of 0.980-0.991 respectively.
Citación recomendada (normas APA)
Oliver Grimaldo Ruiz, "Three-dimensional Printing of a multi-material model of the Knee Joint", Colombia:-, 2019. Consultado en línea en la Biblioteca Digital de Bogotá (https://www.bibliotecadigitaldebogota.gov.co/resources/3711510/), el día 2025-05-26.
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