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3D列印於骨科骨盆手術之應用

Application of 3D Printing in Pelvis Orthopedic Surgeries

摘要


手術技術要求較高的骨科骨盆手術,已有許多積層製造(3D列印)技術之研究及應用,包括列印出模型進行術前模擬、客製化截骨導版、結構骨替代物、客製化植入物等,部分技術應用已顯示可增加安全性及減少手術時間,客製化植入物要大量於市場應用仍需流程及製程優化之過程,受限於我國相關規範公告於2018年1月,國內近年多數應用於骨盆相關之研究以截骨導板及3D列應實體之術前模擬為主,3D列印客製化植入物仍未進入市場,尚屬臨床試驗階段。

關鍵字

3D列印 骨盆

並列摘要


There are numerous researches and application of additive manufacturing (3D printing) to the field of orthopedic pelvic surgeries, including preoperative virtual simulation, 3D printed patient-specific instruments, 3D printed structural bone substitute and patient-specific implants. Some techniques are proved to increase safety of the patients and to decrease the surgical time. Routine application to the market requires optimization of workflow and manufacturing. Regulation of 3D printed medical device was announced in January, 2018. Most researches were confined to categories of patient-specific instruments and preoperative simulation. Three-dimensional printing patient-specific implants has not entered the market, which are still tested clinical trials.

並列關鍵字

3D printing pelvis

參考文獻


Hung CC, Li YT, Chou YC, et al: Conventional plate fixation method versus pre-operative virtual simulation and three-dimensional printing- assisted contoured plate fixation method in the treatment of anterior pelvic ring fracture. Int Orthop 2018; May 3.
Hsu CL, Chou YC, Li YT, et al: Pre-operative virtual simulation and three-dimensional printing techniques for the surgical management of acetabular fractures. Int Orthop 2018; Aug 20. doi: 10.1007/s00264-018-4111-8. [Epub ahead of print] doi: 10.1007/s002
Kelil T, Imanzadeh A, Pietila T, et al: Application of 3D printing in management of complex fractures. European Congress of Radiology 2015, Poster C-1304 DOI:10.1594/ecr2015/C-1304.
Wang GY, Huang WJ, Song Q, et al: Computer-assisted virtual preoperative planning in orthopedic surgery for acetabular fractures based on actual computed tomography data. Comput Assist Surg (Abingdon). 2016;21:160-5. doi: 10.1080/24699322.2016.1240235
Wong, KC, Kumta SM, Geel NV, et al: One-step reconstruction with a 3D-printed, biomechanically evaluated custom implant after complex pelvic tumor resection. Comput Aided Surg 2015;20:14-23. doi: 10.3109/10929088.2015.1076039

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