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      3D printing lunate prosthesis for stage IIIc Kienböck’s disease: a case report

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          Abstract

          Stage IIIc Kienböck’s disease is a clinical challenge to treat collapse of the lunate bone. A new reconstructive surgery was described in one patient using 3D printing lunate prosthesis. The prosthesis shape was designed by tomographic image processing and segmentation using technology compared with the intact side matched by mirror symmetry and 3D post-processing technologies. The patient recovered nearly full range of motion of the wrist after 12 months. The visual analog scale scores and Cooney scores were 2 points and 91 points. We demonstrated that an anatomical reconstruction to Kienböck’s Disease is possible using 3D printing lunate prosthesis.

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          Multiprocess 3D printing for increasing component functionality.

          Layer-by-layer deposition of materials to manufacture parts-better known as three-dimensional (3D) printing or additive manufacturing-has been flourishing as a fabrication process in the past several years and now can create complex geometries for use as models, assembly fixtures, and production molds. Increasing interest has focused on the use of this technology for direct manufacturing of production parts; however, it remains generally limited to single-material fabrication, which can limit the end-use functionality of the fabricated structures. The next generation of 3D printing will entail not only the integration of dissimilar materials but the embedding of active components in order to deliver functionality that was not possible previously. Examples could include arbitrarily shaped electronics with integrated microfluidic thermal management and intelligent prostheses custom-fit to the anatomy of a specific patient. We review the state of the art in multiprocess (or hybrid) 3D printing, in which complementary processes, both novel and traditional, are combined to advance the future of manufacturing.
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            3D Printing of Calcium Phosphate Ceramics for Bone Tissue Engineering and Drug Delivery

            Additive manufacturing, also known as 3D printing, has emerged over the past 3 decades as a disruptive technology for rapid prototyping and manufacturing. Vat polymerization, powder bed fusion, material extrusion, and binder jetting are distinct technologies of additive manufacturing, which have been used in a wide variety of fields, including biomedical research and tissue engineering. The ability to print biocompatible, patient-specific geometries with controlled macro- and micropores, and to incorporate cells, drugs and proteins has made 3D-printing ideal for orthopaedic applications, such as bone grafting. Herein, we performed a systematic review examining the fabrication of calcium phosphate (CaP) ceramics by 3D printing, their biocompatibility in vitro , and their bone regenerative potential in vivo , as well as their use in localized delivery of bioactive molecules or cells. Understanding the advantages and limitations of the different 3D printing approaches, CaP materials, and bioactive additives through critical evaluation of in vitro and in vivo evidence of efficacy is essential for developing new classes of bone graft substitutes that can perform as well as autografts and allografts or even surpass the performance of these clinical standards.
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              Minimally invasive plate osteosynthesis using 3D printing for shaft fractures of clavicles: technical note.

              This article describes a minimally invasive plate osteosynthesis technique for midshaft fractures of clavicles using intramedullary indirect reduction and prebent plates with 3D printing models. This technique allows for easy reduction of fractures with accurate prebent plates and minimal soft tissue injury around the fracture site.
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                Author and article information

                Contributors
                93319521@qq.com
                +86023-68765289 , tangkanglai@hotmail.com
                530270472@qq.com
                Journal
                Arch Orthop Trauma Surg
                Arch Orthop Trauma Surg
                Archives of Orthopaedic and Trauma Surgery
                Springer Berlin Heidelberg (Berlin/Heidelberg )
                0936-8051
                1434-3916
                12 December 2017
                12 December 2017
                2018
                : 138
                : 4
                : 447-451
                Affiliations
                ISNI 0000 0004 1760 6682, GRID grid.410570.7, Third Military Medical University Southwest Hospital, ; Chongqing, China
                Article
                2854
                10.1007/s00402-017-2854-0
                5854717
                29234864
                a5ffd95f-a3ab-4bdc-8aab-3b02c7c2b982
                © The Author(s) 2017

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

                History
                : 9 July 2017
                Funding
                Funded by: The National Key Research and Development of China
                Award ID: 2016YFC1100500
                Award Recipient :
                Categories
                Orthopaedic Surgery
                Custom metadata
                © Springer-Verlag GmbH Germany, part of Springer Nature 2018

                Orthopedics
                3d printing technology,kienböck’s disease,wrist,avascular necrosis
                Orthopedics
                3d printing technology, kienböck’s disease, wrist, avascular necrosis

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