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Updated: May 16, 2026

3D Planning and Printing of Patient Specific Implants for Reconstruction of Bony Defects
Published on: August 4, 2020
A new custom made bioceramic implant for the repair of large and complex craniofacial bone defects
Joël Brie1, Thierry Chartier, Christophe Chaput
1Service de Chirurgie Maxillo-Faciale, CHU de Limoges, 2, avenue Martin Luther King, 87042 Limoges, cedex, France. joel.brie@chu-limoges.fr
Introduction:
Neurosurgery and Maxillofacial Surgery Departments of Limoges University Hospital Centre have developed a new concept of a custom made ceramic implant in hydroxyapatite (HA) for the reconstruction of large and complex craniofacial bone defects (more than 25 cm(2)).
Materials And Methods:
The manufacturing process of the implants used a stereolithography technique that produces implants with three-dimensional shapes derived directly from the scan file of the patient's skull without moulding or machining. Eight patients received 8 implants between 2005 and 2008.
Results:
The surgical procedure is simple and fast. The post-operative follow-up was 12 months. No major complications (infection or fracture of the implant) were observed. The cosmetic result was considered satisfactory by both patients and surgeons.
Conclusions:
These new implants are well suited for reconstruction of large craniofacial bone defects (greater than 25 cm(2)) in adults and children over 8 years.
