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3D列印在足踝外科的應用

Applications of 3D Printing in Foot and Ankle Surgery

摘要


3D列印(three-dimensional printing)是採用積層製造(additive manufacturing)的技術,可以應用於快速原型(rapid prototyping)與快速製造(rapid manufacturing),其特性特別適合應用於小量客製化的需求。3D列印的技術能夠使用多種塑膠材質,金屬材質,甚至是生物材質,其解析度與精確度足以應付目前臨床使用的要求,並且可以製作形狀與結構複雜的成品,能針對各種困難的情境做出相應的設計與修飾。在足踝外科的領域,疾病與症狀的發生都與個人的下肢3D解剖構造以及其生物力學功能息息相關,也因此特別需要3D的技術來對患者做個別的評估並提供個人化的治療。基於這些特性,3D列印在保守治療使用的鞋墊矯具、手術前的評估模擬、手術中的個人化器械、與手術用的植體等應用,都能找到它的角色與優勢。

關鍵字

3D列印 足踝外科

並列摘要


Three-dimensional (3D) printing involves the technologies of additive manufacturing, and is ordinarily used in rapid prototyping and rapid manufacturing. It is suitable in manufacturing small amount of customized products. Modern 3D printing can employ plastic, metal, and biological materials, and has the resolution and precision good enough for clinical applications. Constructs with complex shapes and intricate structures can be regularly fabricated by 3D printing. Complicated clinical needs can be fulfilled by proper designs and modifications assisted by computer. Symptoms and disorders in the foot and ankle are closely related to individuals' 3D anatomy and biomechanical functions of the lower limbs. Patients should be evaluated and treated individually by 3D technologies. With all the relative advantages, 3D printing technology is now getting an important role in the fabrication of insoles and orthoses, preoperative planning and surgical simulation, patient specific instrumentation, and patient specific implants in foot and ankle surgery.

參考文獻


Jin Y, Plott J, Chen R, et al: Additive manufacturing of custom orthoses and prostheses—a review. Procedia CIRP 2015;36: 199-204. doi: 10.1016/j.procir.2015.02.125
Jastifer JR, Gustafson PA: Three-dimensional printing and surgical simulation for preoperative planning of deformity correction in foot and ankle surgery. J Foot Ankle Surg 2017;56:191-5. doi: 10.1053/j.jfas.2016.01.052
Weigelt L, Furnstahl P, Hirsiger S, et al: Three-dimensional correction of complex ankle deformities with computer-assisted planning and patient-specific surgical guides. J Foot Ankle Surg 2017; 56:1158-64. doi: 10.1053/j.jfas.2017.05.025
Dekker TJ, Steele JR, Federer AE, et al: Use of patient-specific 3D-printed titanium implants for complex foot and ankle limb salvage, deformity correction, and arthrodesis procedures. Foot Ankle Int 2018;39:916-21. doi: 10.1177/1071100718770133
Tracey J, Arora D, Gross CE, et al: Custom 3D-printed total talar prostheses restore normal joint anatomy throughout the hindfoot. Foot Ankle Spec. 2018 Mar 1:1938640018762567. doi: 10.1177/1938640018762567

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