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Fabrication of Engineered Vascular Flaps Using 3D Printing Technologies
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Surgeon-Based 3D Printing for Microvascular Bone Flaps.

Erin M Taylor1, Matthew L Iorio1,2

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Journal of Reconstructive Microsurgery
|March 5, 2017
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Summary
This summary is machine-generated.

Surgeon-designed 3D models offer a cost-effective and precise method for planning vascularized bone transfers. This innovative approach enhances surgical accuracy and efficiency in complex reconstructions.

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering
  • Medical Imaging

Background:

  • Three-dimensional (3D) printing is a transformative technology for creating patient-specific physical models.
  • These models aid significantly in preoperative planning for complex surgical procedures.
  • Surgeon-based 3D model design using in-office technology offers a novel approach to vascularized bone transfer.

Purpose of the Study:

  • To present the experience of using surgeon-designed 3D models as an adjunct in vascularized bone transfer procedures.
  • To evaluate the feasibility, accuracy, and economic benefits of in-office 3D printing for surgical planning.
  • To demonstrate the application of 3D models in various vascularized bone flap reconstructions.

Main Methods:

  • Utilized open-source imaging software to convert computed tomography (CT) scans into 3D models.
  • Printed 3D models in the surgeon's office for pre- and intraoperative planning.
  • Designed vascularized bone flaps intraoperatively based on the 3D printed models, enabling precise contouring before pedicle ligation.

Main Results:

  • Successfully created and utilized 3D models for four distinct vascularized bone flap cases.
  • Included medial femoral trochlea (MFT) flaps for scaphoid and lunate avascular necrosis/nonunion, medial femoral condyle (MFC) flap for wrist arthrodesis, and free fibula osteocutaneous flap for distal radius septic nonunion.
  • 3D printed templates facilitated precise and rapid contouring of bone flaps in situ.

Conclusions:

  • Surgeon-based 3D printing is a practical and innovative adjunct for vascularized bone transfer.
  • This method allows for precise, rapid model creation for pre- and intraoperative planning in various configurations.
  • The technology is user-friendly, convenient, and economical compared to traditional manufacturing methods.