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Orthopaedic support with 3D printing on
children: marketing effect or solution for the
future?
D. Mazy, M.D.*; L.P. Broze**; F. De Boeck**; R.Elbaum, M.D. PhD*
*Paediatric Orthopaedic Department, CHIREC Orthopaedic Group, Brussels, Belgium
**Societé Spentys, Brussels
® All rights & © copyright reserved
Summary
1. Introduction
1. Materials and
methods
1. Results
1. Discussion
1. Conclusion
® All rights & © copyright reserved
Classic castIntroduction
Introduction
Medical 3D printing
since 2000!
1. Ventola CL. Medical
Applications for 3D
Printing: Current and
Projected Uses. Pharm
Ther. oct
2014;39(10):704-11.
® All rights & © copyright reserved
Introduction
1. Chen Y-J, Lin H, Zhang X, Huang W, Shi L,
Wang D. Application of 3D–printed and
patient-specific cast for the treatment of distal
radius fractures: initial experience. 3D Print
Med. 2017;3(1):11.
2. Li J, Tanaka H. Rapid customization system
for 3D-printed splint using programmable
modeling technique–a practical approach. 3D
Print Med. 2018;4(1):5.
3. Cazon A, Kelly S, Paterson AM, Bibb RJ,
Campbell RI. Analysis and comparison of wrist
splint designs using the finite element
method: Multi-material three-dimensional
printing compared to typical existing practice
with thermoplastics. Proc Inst Mech Eng [H].
2017;231(9):881–897.
4. Graham J, Wang M, Frizzell K, Watkins C,
Beredjiklian P, Rivlin M. Conventional vs 3-
Dimensional Printed Cast Wear Comfort. Hand
N Y N. 27 août 2018;1558944718795291.
5. Fitzpatrick AP, Mohanned MI, Collins PK,
Gibson I. Design of a patient specific, 3D
printed arm cast. KnE Eng. 2017;2(2):135–142.
And about orthopaedic
support ?
® All rights & © copyright reserved
• Descriptive study
• 19 patients
• From 2 to 14 years old
• Between April and November 2018
• 1 institute
• 1 surgeon
• 2 questionnaries (for further studies)
Material and method
Material and method
Indications
Post-traumatic
(not immediate: edema)
- Forearm (8)
- Elbow (3)
- Knee (1)
Congenital
- Club-foot (7)
L’orthopédie et la traumatologie pédiatrique; cours Dr Robert Elbaum. Guide de
traumatologie pédiatrique; Pierre-Louis Docquier, Maryline Mousny.
® All rights & © copyright reserved
Material and method (3)
Ponseti method « French method » (functional)
Club foot treatment
For nocturnal
support > 2
years old
Herzenberg JE, Radler C, Bor N. Ponseti versus traditional methods of casting for idiopathic clubfoot.
J Pediatr Orthop. 2002;22:517–521.
Material and method
® All rights & © copyright reserved
Description of
patients
Scanning:
• Infrared patterns emission
• Non irradiant
• Polyolefin
• 0.2 mm layers at 30mm/sec
Material and method
Material and method
Production process
® All rights & © copyright reserved
Modelisation
3D SCANNING 3D MODELING 3D PRINTING
® All rights & © copyright reserved
Material and method
Production process
Movie
® All rights & © copyright reserved
Results
® All rights & © copyright reserved
- Feasability
- Easy to use
- Quick scanning
Results
IDEAL CAST …
Often approximated but never created ...
If therapeutic effect is the same ... QoL becomes the critical point
Discussion
Schuind F, Moulart F, Liegeois J et al. Mise au point review article. Acta Orthopa Edica Belg. 68:5–2002.
Advantages
® All rights & © copyright reserved
1. weight
1. Aeration
1. Waterproof
1. Cutaneous visibility
2. No irradiation
1. Recyclable
2. equipment easy to use
1. « Rx transparency »
« radiotransparency »
Disadvantages
® All rights & © copyright reserved
1. Printing time
1. Limited dimension
1. Printing failure
What’s already been done ?
- Descriptive studies, like ours
- Comparative study for QoL but healthy patients
- RPA and spastic limbs
- Scanning with CT (irradiation)
- For adults, in our study only children
Discussion
Graham J, Wang M, Frizzell K et al. Conventional vs 3-Dimensional Printed Cast Wear Comfort. Hand N Y N. 2018;1558944718795291.
Fitzpatrick AP, Mohanned MI, Collins PK, Gibson I. Design of a patient specific, 3D printed arm cast. KnE Eng. 2017;2(2):135–142.
Rosenmann GC, Weigert MC, Poier PH et al. Additive Manufacturing applied to development of low cost custom splint for spastic hand. Addit Manuf.
588:701–711
Discussion
WHAT DO WE NEED ?
RCT study
IN PROGRESS …
About therapeutic effects
About quality of life
Discussion
What we actually do …
Discussion
In a near future …
Less than a hour !
Others possibilities
The possibilities are endless …
Conclusion
1.Real theoretical
advantages for QoL
1.Traumatic,
congenital/chronic
diseases
1.Comparative study with
classic cast
® All rights & © copyright reserved
Orthopaedic support with 3D
printing on children: marketing
effect or solution for the future?
Thank you for your attention !
Questions or tips ?
® All rights & © copyright reserved

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Orthopaedic support with 3D printing in children

  • 1. Orthopaedic support with 3D printing on children: marketing effect or solution for the future? D. Mazy, M.D.*; L.P. Broze**; F. De Boeck**; R.Elbaum, M.D. PhD* *Paediatric Orthopaedic Department, CHIREC Orthopaedic Group, Brussels, Belgium **Societé Spentys, Brussels ® All rights & © copyright reserved
  • 2. Summary 1. Introduction 1. Materials and methods 1. Results 1. Discussion 1. Conclusion ® All rights & © copyright reserved
  • 4. Introduction Medical 3D printing since 2000! 1. Ventola CL. Medical Applications for 3D Printing: Current and Projected Uses. Pharm Ther. oct 2014;39(10):704-11. ® All rights & © copyright reserved
  • 5. Introduction 1. Chen Y-J, Lin H, Zhang X, Huang W, Shi L, Wang D. Application of 3D–printed and patient-specific cast for the treatment of distal radius fractures: initial experience. 3D Print Med. 2017;3(1):11. 2. Li J, Tanaka H. Rapid customization system for 3D-printed splint using programmable modeling technique–a practical approach. 3D Print Med. 2018;4(1):5. 3. Cazon A, Kelly S, Paterson AM, Bibb RJ, Campbell RI. Analysis and comparison of wrist splint designs using the finite element method: Multi-material three-dimensional printing compared to typical existing practice with thermoplastics. Proc Inst Mech Eng [H]. 2017;231(9):881–897. 4. Graham J, Wang M, Frizzell K, Watkins C, Beredjiklian P, Rivlin M. Conventional vs 3- Dimensional Printed Cast Wear Comfort. Hand N Y N. 27 août 2018;1558944718795291. 5. Fitzpatrick AP, Mohanned MI, Collins PK, Gibson I. Design of a patient specific, 3D printed arm cast. KnE Eng. 2017;2(2):135–142. And about orthopaedic support ? ® All rights & © copyright reserved
  • 6. • Descriptive study • 19 patients • From 2 to 14 years old • Between April and November 2018 • 1 institute • 1 surgeon • 2 questionnaries (for further studies) Material and method
  • 7. Material and method Indications Post-traumatic (not immediate: edema) - Forearm (8) - Elbow (3) - Knee (1) Congenital - Club-foot (7) L’orthopédie et la traumatologie pédiatrique; cours Dr Robert Elbaum. Guide de traumatologie pédiatrique; Pierre-Louis Docquier, Maryline Mousny. ® All rights & © copyright reserved
  • 8. Material and method (3) Ponseti method « French method » (functional) Club foot treatment For nocturnal support > 2 years old Herzenberg JE, Radler C, Bor N. Ponseti versus traditional methods of casting for idiopathic clubfoot. J Pediatr Orthop. 2002;22:517–521.
  • 9. Material and method ® All rights & © copyright reserved Description of patients
  • 10. Scanning: • Infrared patterns emission • Non irradiant • Polyolefin • 0.2 mm layers at 30mm/sec Material and method
  • 11. Material and method Production process ® All rights & © copyright reserved
  • 13. 3D SCANNING 3D MODELING 3D PRINTING ® All rights & © copyright reserved Material and method Production process
  • 14. Movie ® All rights & © copyright reserved
  • 15. Results ® All rights & © copyright reserved
  • 16. - Feasability - Easy to use - Quick scanning Results
  • 17. IDEAL CAST … Often approximated but never created ... If therapeutic effect is the same ... QoL becomes the critical point Discussion Schuind F, Moulart F, Liegeois J et al. Mise au point review article. Acta Orthopa Edica Belg. 68:5–2002.
  • 18. Advantages ® All rights & © copyright reserved 1. weight 1. Aeration 1. Waterproof 1. Cutaneous visibility 2. No irradiation 1. Recyclable 2. equipment easy to use 1. « Rx transparency »
  • 20. Disadvantages ® All rights & © copyright reserved 1. Printing time 1. Limited dimension 1. Printing failure
  • 21. What’s already been done ? - Descriptive studies, like ours - Comparative study for QoL but healthy patients - RPA and spastic limbs - Scanning with CT (irradiation) - For adults, in our study only children Discussion Graham J, Wang M, Frizzell K et al. Conventional vs 3-Dimensional Printed Cast Wear Comfort. Hand N Y N. 2018;1558944718795291. Fitzpatrick AP, Mohanned MI, Collins PK, Gibson I. Design of a patient specific, 3D printed arm cast. KnE Eng. 2017;2(2):135–142. Rosenmann GC, Weigert MC, Poier PH et al. Additive Manufacturing applied to development of low cost custom splint for spastic hand. Addit Manuf. 588:701–711
  • 22. Discussion WHAT DO WE NEED ? RCT study IN PROGRESS … About therapeutic effects About quality of life
  • 24. Discussion In a near future … Less than a hour !
  • 26. Conclusion 1.Real theoretical advantages for QoL 1.Traumatic, congenital/chronic diseases 1.Comparative study with classic cast ® All rights & © copyright reserved
  • 27. Orthopaedic support with 3D printing on children: marketing effect or solution for the future? Thank you for your attention ! Questions or tips ? ® All rights & © copyright reserved