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Tytuł artykułu

Customized porous implants by additive manufacturing for zygomatic reconstruction

Identyfikatory
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Background: Moderate to severe facial esthetic problems challenge the surgeons to discover alternate ways, to rehabilitate the patients using customized porous designs. Porous metal implants are available for over 30 years, but the pore architecture, is constantly changing to improve the stability and longevity of the implant. Objective: To evaluate a customized porous implant produced from electron beam melting and to restore the zygomatic functionality. Methods: Two customized zygomatic reconstruction implants-bulk and porous, are designed based on the bone contours and manufactured using state of art-electron beam melting technology. The two designed implants are evaluated based on strength, weight and porosity for the better osseointegration and rehabilitation of the patient. Results: Porous structures due to their light weight, low volume and high surface area provided better specific strength and young's modulus closer to the bone. Microscopic and CT scanning confirmed that the EBM produced porous structures are highly regular and interconnected without any major internal defects. Conclusions: The customized porous implants satisfies the need of lighter implants with an adequate mechanical strength, restoring better functionality and esthetic outcomes for the patients.
Twórcy
autor
  • Princess Fatima Alnijiris's Research Chair for Advanced Manufacturing Technology (FARCAMT), King Saud University, Riyadh, Saudi Arabia; Advanced Manufacturing Institute (AMI), King Saud University, Riyadh, Saudi Arabia; Industrial Engineering Department, College of Engineering, King Saud University, Riyadh, Saudi Arabia
autor
  • Princess Fatima Alnijiris's Research Chair for Advanced Manufacturing Technology (FARCAMT), King Saud University, Riyadh, Saudi Arabia; Advanced Manufacturing Institute (AMI), King Saud University, Riyadh, Saudi Arabia; Industrial Engineering Department, College of Engineering, King Saud University, Riyadh, Saudi Arabia
autor
  • College of Dentistry, King Saud University, Riyadh, Saudi Arabia; Engineer Abdullah Bagshan Research Chair for Growth Factors & Bone Regeneration (GFBR), College of Dentistry & Applied Biomedical Sciences, King Saud University, Riyadh, Saudi Arabia
  • Industrial Engineering Department, College of Engineering, King Saud University, Riyadh, Saudi Arabia; Mechanical Engineering Department, Faculty of Engineering, Helwan University, Cairo, Egypt
autor
  • Princess Fatima Alnijiris's Research Chair for Advanced Manufacturing Technology (FARCAMT), King Saud University, Riyadh, Saudi Arabia; Advanced Manufacturing Institute (AMI), King Saud University, Riyadh, Saudi Arabia; Industrial Engineering Department, College of Engineering, King Saud University, Riyadh, Saudi Arabia
  • Engineer Abdullah Bagshan Research Chair for Growth Factors & Bone Regeneration (GFBR), College of Dentistry & Applied Biomedical Sciences, King Saud University, Riyadh, Saudi Arabia
Bibliografia
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  • [2] Rana M, Warraich R, Tahir S, Iqbal A, von See C, Eckardt AM, et al. Surgical treatment of zygomatic bone fracture using two points fixation versus three point fixation – a randomised prospective clinical trial. Trials 2012;13:36.
  • [3] Britt LD, Peitzman A, Barie P, Jurkovich G. Acute care surgery. Lippincott Williams & Wilkins; 2012.
  • [4] Chowdhury SR, Menon PS. Etiology and management of zygomaticomaxillary complex fractures in the armed forces. Med J Armed Forces India 2005;61:238–40.
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  • [7] Parthasarathy J. 3D modeling, custom implants and its future perspectives in craniofacial surgery. Ann Maxillofac Surg 2014;4:9–18.
  • [8] Modabber A, Gerressen M, Ayoub N, Elvers D, Stromps JP, Riediger D, et al. Computer-assisted zygoma reconstruction with vascularized iliac crest bone graft. Int J Med Robot 2013;9:497–502.
  • [9] Liu Y, Xu L, Zhu H, Liu SSY. Technical procedures for template-guided surgery for mandibular reconstruction based on digital design and manufacturing. Biomed Eng Online 2014;13:63.
  • [10] Scolozzi P. Maxillofacial reconstruction using polyetheretherketone patient-specific implants by 'mirroring' computational planning. Aesthetic Plast Surg 2012;36:660–5.
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  • [14] Parthasarathy J, Starly B, Raman S, Christensen A. Mechanical evaluation of porous titanium (Ti6Al4V) structures with electron beam melting (EBM). J Mech Behav Biomed Mater 2010;3:249–59.
  • [15] Dujovne AR, Bobyn JD, Krygier JJ, Miller JE, Brooks CE. Mechanical compatibility of noncemented hip prostheses with the human femur. J Arthroplasty 1993;8:7–22.
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  • [17] Chiu YC, Cheng MH, Engel H, Kao SW, Larson JC, Gupta Brey SE. The role of pore size on vascularization and tissue remodeling in PEG hydrogels. Biomaterials 2011;32:6045–51.
  • [18] Salerno A, Maio ED, Iannace S, Netti PA. Tailoring the pore structure of PCL scaffolds for tissue engineering prepared via gas foaming of multi-phase blends. J Porous Mater 2011;19:181–8.
  • [19] Cheah CM, Chua CK, Leong KF, Chua SW. Development of a tissue engineering scaffold structure library for rapid prototyping. Part 2: Parametric library and assembly program. Int J Adv Manuf Technol 2003;21:302–12.
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  • [22] FDA Clearance, Arcam. Arcam announces FDA clearance of implants produced with Additive Manufacturing. Arcam AB; 2015, Available at: http://www.arcam.com/arcam-announces-fda-clearance- of-implants-produced-with-additive-manufacturing/ [accessed 31.03.15] [Online].
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  • [24] Murr LE, Gaytan SM, Medina F, Martinez E, Hernandez DH, Martinez L, et al. Effect of build parameters and build geometries on residual microstructures and mechanical properties of Ti–6Al–4V components built by electron beam melting (EBM). 20th Annual International Solid Freeform Fabrication Symposium; 2009.
  • [25] Karlsson J, Snis A, Engqvist H, Lausmaa J. Characterization and comparison of materials produced by Electron Beam Melting (EBM) of two different Ti–6Al–4V powder fractions. J Mater Process Technol 2013;213:2109–18.
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Uwagi
PL
Opracowanie ze środków MNiSW w ramach umowy 812/P-DUN/2016 na działalność upowszechniającą naukę.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-e340c2db-f50d-46c9-97e2-9a0a9c62c3e4
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