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PolliRS: A 3D-printed Pollicization Retractor System that Improves Access and Autonomy during the Surgical Procedure
Theodora Papavasiliou1, Stelios Chatzimichail2, Ryo Yoshimura3
1Department of Plastic Surgery, Great Ormond Street Hospital for Children NHS Trust, Great Ormond St, Holborn, London, UK.
Plastic and Reconstructive Surgery. Global Open
|June 14, 2021
Summary
This study introduces the first 3D-printed hand retractor for pollicization surgery, offering patient-precise customization. The custom tool enhanced surgeon autonomy and demonstrated the potential of rapid prototyping in surgical applications.
Area of Science:
- Biomedical Engineering
- Orthopedic Surgery
- Medical Device Design
Background:
- The pollicization procedure requires specialized surgical instruments.
- Existing retractors may lack patient-specific adaptability.
- Rapid prototyping offers potential for custom surgical tool development.
Purpose of the Study:
- To design, manufacture, and deploy a custom 3D-printed hand retractor for pollicization.
- To evaluate the device's usability and impact on surgical autonomy.
- To showcase the application of 3D printing in creating patient-precise surgical tools.
Main Methods:
- Preoperative radiological imaging for patient-specific anatomical measurements.
- Computer-aided design (CAD) for custom retractor design.
- 3D printing of a sterilizable, radiolucent hand retractor.
- Intraoperative use of the device during a pollicization procedure.
Main Results:
- Successful design, manufacture, and sterilization of the custom 3D-printed retractor.
- The device was effectively used during a pollicization procedure.
- The retractor's radiolucency and interchangeable positions enhanced surgeon autonomy.
- Demonstrated feasibility of on-the-fly, patient-precise tool production using 3D printing.
Conclusions:
- Custom 3D-printed hand retractors are feasible for pollicization surgery.
- This technology enhances surgeon control and adaptability during complex procedures.
- Rapid prototyping enables the creation of patient-specific surgical instruments.
