Low-Cost Cranioplasty-A Systematic Review of 3D Printing in Medicine

被引:30
作者
Czyzewski, Wojciech [1 ,2 ]
Jachimczyk, Jakub [3 ]
Hoffman, Zofia [3 ]
Szymoniuk, Michal [4 ]
Litak, Jakub [2 ,5 ]
Maciejewski, Marcin [6 ]
Kura, Krzysztof [2 ]
Rola, Radoslaw [2 ]
Torres, Kamil [1 ]
机构
[1] Med Univ Lublin, Dept Didact & Med Simulat, PL-20093 Lublin, Poland
[2] Dept Neurosurg & Pediat Neurosurg Lublin, PL-20090 Lublin, Poland
[3] Med Univ Lublin, Student Sci Soc, PL-20059 Lublin, Poland
[4] Med Univ Lublin, Dept Neurosurg & Pediat Neurosurg, Student Sci Assoc Neurosurg, PL-20090 Lublin, Poland
[5] Med Univ Lublin, Dept Clin Immunol, PL-20093 Lublin, Poland
[6] Lublin Univ Technol, Fac Elect Engn & Comp Sci, Dept Elect & Informat Technol, PL-20618 Lublin, Poland
关键词
cranioplasty; 3D cranioplasty; additive manufacturing; PMMA; PEEK; PLA; ABS; PET-G; POWDER BED FUSION; MECHANICAL-PROPERTIES; STRUCTURAL-ANALYSIS; TITANIUM CRANIOPLASTY; STRESS-DISTRIBUTION; CRANIAL DEFECTS; BONE; IMPLANT; PLA; PEEK;
D O I
10.3390/ma15144731
中图分类号
O64 [物理化学(理论化学)、化学物理学];
学科分类号
070304 ; 081704 ;
摘要
The high cost of biofabricated titanium mesh plates can make them out of reach for hospitals in low-income countries. To increase the availability of cranioplasty, the authors of this work investigated the production of polymer-based endoprostheses. Recently, cheap, popular desktop 3D printers have generated sufficient opportunities to provide patients with on-demand and on-site help. This study also examines the technologies of 3D printing, including SLM, SLS, FFF, DLP, and SLA. The authors focused their interest on the materials in fabrication, which include PLA, ABS, PET-G, PEEK, and PMMA. Three-dimensional printed prostheses are modeled using widely available CAD software with the help of patient-specific DICOM files. Even though the topic is insufficiently researched, it can be perceived as a relatively safe procedure with a minimal complication rate. There have also been some initial studies on the costs and legal regulations. Early case studies provide information on dozens of patients living with self-made prostheses and who are experiencing significant improvements in their quality of life. Budget 3D-printed endoprostheses are reliable and are reported to be significantly cheaper than the popular counterparts manufactured from polypropylene polyester.
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页数:25
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