Three Dimensionally Printed Versus Conventional Casts in Pediatric Wrist Fractures

Skibicki, Hope E.; Katt, Brian M.; Lutsky, Kevin; Wang, Mark L.; McEntee, Richard; Vaccaro, Alexander R.; Beredjiklian, Pedro K.; Rivlin, Michael

doi:10.7759/cureus.19090

Cited by 6 publications

(12 citation statements)

References 12 publications

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“…No language restrictions were used. The search identified 12 publications ( Table 1 ) [10][11][12][13][14][15][16][17][18][19][20][21]. Five studies were performed in Europe, four in Northern America, and three in China.…”

Section: Literature Searchmentioning

confidence: 99%

“…All of the design processes started with scanning of the affected and (as applicable) the contralateral, unaffected limb. In 10 cases, that was done using a 3D scanner ( Table 2 ) [12][13][14][15][16][17][18][19][20][21]. The other two studies, that involved the same brace, used a Computed Tomography (CT)-scan with or without additional Magnetic Resonance Imaging (MRI) [ 10 , 11 ].…”

Section: Materials and Device Characteristicsmentioning

confidence: 99%

“…Skibicki et al compared their customized 3D-printed brace in a group of 11 pediatric patients with a distal radius or ulnar fracture (mean age 11.3 (SD 3.7) years) versus 11 patients treated with a conventional fiberglass cast [ 20 ]. In both groups > 90% fractures healed fully and in an excellent position.…”

Section: Article In Pressmentioning

confidence: 99%

See 2 more Smart Citations

Personalized 3D-printed forearm braces as an alternative for a traditional plaster cast or splint; A systematic review

Lieshout¹,

Verhofstad²,

Beens³

et al. 2022

Injury

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Section: Literature Searchmentioning

confidence: 99%

Section: Materials and Device Characteristicsmentioning

confidence: 99%

See 1 more Smart Citation

Personalized 3D-printed forearm braces as an alternative for a traditional plaster cast or splint; A systematic review

Lieshout¹,

Verhofstad²,

Beens³

et al. 2022

Injury

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“…[ 17 ]), splints, braces, or casts [ 18 ] are used for different periods of time, and functionality and comfort (to enhance compliance to wear the WHO) are the main criteria used in their development [ 19 , 20 ]. An attractive design, customization based on the patient’s forearm anatomy (usually acquired by 3D scanning [ 21 , 22 ]), and a lightweight design in comparison to traditional casts or splints are the frequently mentioned advantages of 3D-printed WHOs (3DP-WHOs) [ 23 , 24 ]. Usually these orthoses are built vertically (in their ready-to-use form) using the MEAM process, but there is also the alternative of producing WHOs in a flat 3D-printed form and thermoforming them in a warm environment for the subsequent form-fit on the patient forearm [ 25 , 26 ].…”

Section: Introductionmentioning

confidence: 99%

3D-Printed Polycaprolactone Mechanical Characterization and Suitability Assessment for Producing Wrist–Hand Orthoses

et al. 2023

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In this research, the mechanical properties of 3D-printed polycaprolactone (PCL), a biocompatible and biodegradable semi-crystalline polyester, available as feedstock for additive manufacturing technology based on the material extrusion process, were determined. The influence of the infill pattern (zig-zag vs. gyroid) and ultraviolet (UV-B) exposure over the specimens’ mechanical performances were also investigated to gather relevant data on the process parameter settings for different applications. Specimens and samples of 3D-printed PCL were analyzed through tensile and flexural tests. The experimental data showed the good repeatability of the manufacturing process, as well as a mechanical behavior independent of the specimens’ infill pattern at full density. No differences between the failure patterns of the tensile specimens were recorded. UV-B exposure proved to have a significant negative impact on the specimens’ tensile strength. The 3D printing of PCL and PCL blends is reported mainly for use in scaffold manufacturing or drug delivery applications. As another novelty, the suitability of commercial PCL filaments for producing patient-customized wrist–hand orthoses was also assessed in this study. Semi-cylindrical PCL samples mimicking the forearm part of a wrist–hand orthosis with hexagonal open pockets were 3D-printed and mechanically tested. The results were discussed in comparison to samples with a similar design, made of polylactic acid. The experiments revealed the need to carefully calibrate the manufacturing parameters to generate defect-free, good quality prints. Once settings were established, promising results were obtained when producing orthoses in a ready-to-use form. On the other hand, the attempts to thermoform flat 3D-printed PCL orthoses proved unsuccessful.

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“…An alternative to plaster cast treatment in pediatric wrist fracture [17][18][19] was precisely the demonstrated feasibility and safety of 3D-printed brace. It proved to be simple to use and accurate in patient-specific 3D-printed casts that were safe and well-tolerated in children.…”

Section: Introductionmentioning

confidence: 99%

Clinical Assessment of Customized 3D-Printed Wrist Orthoses

et al. 2022

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Plaster casting has been effective in fracture rehabilitation due to its immobility capability. Thermoplastic casting gains some efficiency and convenience from clinical processing but fitting and immobility are two major tradeoffs. Three-dimensional (3D)-printed braces have demonstrated improvements in innovation, customization, and appearance, but one may question their effectiveness in rehabilitation. Via a science-based data-centric approach, we evaluated the feasibility of customizing 3D-printed braces for wrist fractures after surgery. First, we established a framework for determining a proper timeframe for reliable pressure measurement for plaster casts, devised a method to evaluate the immobilization capability of the plaster casts and customized braces, and assessed changes in immobilization capability due to the clearance adjustment of customized braces. Second, we compared the customized wrist braces and plaster casts in immobilization capability and functional effectiveness in clinical trials. Thirty-three patients were recruited (9, control; 24, experimental). Both the Disability of Arm, Shoulder, and Head, and the Manual Ability Measure surveys showed significant differences between the control and experimental groups after brace wearing time frames of 2, 4, 8, and 12 weeks, and 6 and 12 months. We found that customized braces can match plaster casts in immobilization ability and can promote effective functional recovery.

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Three Dimensionally Printed Versus Conventional Casts in Pediatric Wrist Fractures

Cited by 6 publications

References 12 publications

Personalized 3D-printed forearm braces as an alternative for a traditional plaster cast or splint; A systematic review

Personalized 3D-printed forearm braces as an alternative for a traditional plaster cast or splint; A systematic review

3D-Printed Polycaprolactone Mechanical Characterization and Suitability Assessment for Producing Wrist–Hand Orthoses

Clinical Assessment of Customized 3D-Printed Wrist Orthoses

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