Advances in Clinical and Experimental Medicine

Title abbreviation: Adv Clin Exp Med
JCR Impact Factor (IF) – 2.1
5-Year Impact Factor – 2.2
Scopus CiteScore – 3.4 (CiteScore Tracker 3.7)
Index Copernicus  – 161.11; MNiSW – 70 pts

ISSN 1899–5276 (print)
ISSN 2451-2680 (online)
Periodicity – monthly

Download original text (EN)

Advances in Clinical and Experimental Medicine

2016, vol. 25, nr 6, November-December, p. 1157–1163

doi: 10.17219/acem/64024

Publication type: original article

Language: English

Download citation:

  • BIBTEX (JabRef, Mendeley)
  • RIS (Papers, Reference Manager, RefWorks, Zotero)

The Use of 3D Printing Technology in the Ilizarov Method Treatment: Pilot Study

Karolina Burzyńska1,A,B,C,D,E,F, Piotr Morasiewicz2,A,B,C,D,E,F, Jarosław Filipiak1,A,C,D,E,F

1 Division of Biomedical Engineering, Mechatronics and Theory of Mechanisms, Wrocław University of Science and Technology, Poland

2 Department and Clinic of Orthopaedic and Traumatologic Surgery, Wroclaw Medical University, Poland

Abstract

Background. Significant developments in additive manufacturing technology have occurred in recent years. 3D printing techniques can also be helpful in the Ilizarov method treatment.
Objectives. The aim of this study was to evaluate the usefulness of 3D printing technology in the Ilizarov method treatment.
Material and Methods. Physical models of bones used to plan the spatial design of Ilizarov external fixator were manufactured by FDM (Fused Deposition Modeling) spatial printing technology. Bone models were made of poly(L-lactide) (PLA).
Results. Printed 3D models of both lower leg bones allow doctors to prepare in advance for the Ilizarov method treatment: detailed consideration of the spatial configuration of the external fixation, experimental assembly of the Ilizarov external fixator onto the physical models of bones prior to surgery, planning individual osteotomy level and Kirschner wires introduction sites.
Conclusion. Printed 3D bone models allow for accurate preparation of the Ilizarov apparatus spatially matched to the size of the bones and prospective bone distortion. Employment of the printed 3D models of bone will enable a more precise design of the apparatus, which is especially useful in multiplanar distortion and in the treatment of axis distortion and limb length discrepancy in young children. In the course of planning the use of physical models manufactured with additive technology, attention should be paid to certain technical aspects of model printing that have an impact on the accuracy of mapping of the geometry and physical properties of the model. 3D printing technique is very useful in 3D planning of the Ilizarov method treatment.

Key words

3D printing, medicine, the Ilizarov method

References (14)

  1. Bergmann C, Lindner M, Zhang W: 3D printing of bone substitute implants using calcium phosphate and bioactive glasses. J Eur Ceram Soc 2010, 30, 2563–2567.
  2. Lijing G, Linsheng L, Jialong X: Artificial bone with personalised ordering and laser rapid prototyping based on CT image processing. Image processing 2015, 57, 562–566.
  3. Sutradhar A, Park J, Carrau D: Experimental validation of 3D printed patient-specific implants using digital image correlation and finite element analysis. Comput Biol Med 2014, 52, 8–17.
  4. Cykowska-Błasiak M, Ozga P: Wydruk 3D jako narzędzie do planowania zabiegów ortopedycznych (3D printing as device for orthopaedic surgery planning). Budownictwo i Architektura 2015, 14, 15–23 [in Polish].
  5. Nakase T, Kitano M, Kawai H: Distraction osteogenesis for correction of three-dimensional deformities with shortening of lower limbs by Taylor Spatial Frame. Arch Orthop Trauma Surg 2009, 129, 1197–1201.
  6. Morasiewicz P, Morasiewicz L, Stępniewski M: Results and biomechanical consideration of treatment of congenital lower limb shortening and deformity using the Ilizarov method. Acta Bioeng Biomech 2014, 16, 133–140.
  7. Morasiewicz P, Filipiak J, Krysztoforski K: Clinical factors affecting lower limb torsional deformities treatment with the Ilizarov method. Orthop Traumatol Surg Res 2014, 100, 631–636.
  8. Bor N, Rubin G, Rozen N: Ilizarov method for gradual deformity correction. Oper Tech Orthop 2011, 21, 1004–1012.
  9. Paley D: Problems, obstacles, and complications of limb lengthening by the Ilizarov technique. Clin Orthop Rel Res 1990, 250, 81–104.
  10. Naudie D, Hamdy R, Fassier F: Complications of limb-lengthening in children who have an underlying bone disorder. J. Bone Joint Surg 1998, 80-A, 18–24.
  11. Morasiewicz P, Filipiak J, Krysztoforski K: Biomechanical aspects of lower limb torsional deformation correction with the Ilizarov external fixator. Ann Biomed Eng 2014, 42, 613–618.
  12. Ścigała K, Będziński R, Filipiak J, Chlebus E, Dybała B: Application of generative technologies in the design of reduced stiffness stems of hip joint endoprosthesis. Arch Civ Mech Eng 2011, 11, 753–767.
  13. Morasiewicz P, Filipiak J, Konietzko M: The impact of the type of derotation mechanism on the stiffness of the Ilizarov fixator. Acta Bioeng Biomech 2012, 14, 67–73.
  14. Grubor P, Grubor M, Asotic M: Comparision of stability of different types of external fixation. Med Arch 2011, 65, 157–159.
© Wroclaw Medical University