Rekonstruktion großer osteochondraler Defekte des distalen Femurs und der proximalen Tibia

Fleischhacker, Evi; Ehrl, Denis; Fürmetz, Julian; Meller, Rupert; Böcker, Wolfgang; Zeckey, Christian

doi:10.1007/s00113-020-00846-y

Cited by 3 publications

(1 citation statement)

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“…The situation with a coexisting shaft fracture at a distal femoral epiphyseal defect has not been described in the literature to date. Therefore, it required an innovative approach and an individual technical solution to this problem [ 68 , 69 , 70 ]. These actions allowed us, first of all, to shorten the time of immobilization and earlier commencement of rehabilitation to faster recovery of the flexion and extension movement functions in the knee joint.…”

Section: Discussionmentioning

confidence: 99%

Manufacturing Polymer Model of Anatomical Structures with Increased Accuracy Using CAx and AM Systems for Planning Orthopedic Procedures

et al. 2022

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Currently, medicine uses typical industrial structure techniques, including reverse engineering, data processing, 3D-CAD modeling, 3D printing, and coordinate measurement techniques. Taking this into account, one can notice the applications of procedures used in the aviation or automotive industries based on the structure of Industry 4.0 in the planning of operations and the production of medical models with high geometric accuracy. The procedure presented in the publication shortens the processing time of tomographic data and increases the reconstruction accuracy within the hip and knee joints. The procedure allows for the partial removal of metallic artifacts from the diagnostic image. Additionally, numerical models of anatomical structures, implants, and bone cement were developed in more detail by averaging the values of local segmentation thresholds. Before the model manufacturing process, additional tests of the PLA material were conducted in terms of its strength and thermal properties. Their goal was to select the appropriate type of PLA material for manufacturing models of anatomical structures. The numerical models were divided into parts before being manufactured using the Fused Filament Fabrication technique. The use of the modifier made it possible to change the density, type of filling, number of counters, and the type of supporting structure. These treatments allowed us to reduce costs and production time and increase the accuracy of the printout. The accuracy of the manufactured model geometry was verified using the MCA-II measuring arm with the MMDx100 laser head and surface roughness using a 3D Talyscan 150 profilometer. Using the procedure, a decrease in geometric deviations and amplitude parameters of the surface roughness were noticed. The models based on the presented approach allowed for detailed and meticulous treatment planning.

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Section: Discussionmentioning

confidence: 99%