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Validation study of 3D-printed anatomical models using 2 PLA printers for preoperative planning in trauma surgery, a human cadaver study

Overview of attention for article published in European Journal of Trauma and Emergency Surgery, June 2018
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Title
Validation study of 3D-printed anatomical models using 2 PLA printers for preoperative planning in trauma surgery, a human cadaver study
Published in
European Journal of Trauma and Emergency Surgery, June 2018
DOI 10.1007/s00068-018-0970-3
Pubmed ID
Authors

Lars Brouwers, Arno Teutelink, Fiek A. J. B. van Tilborg, Mariska A. C. de Jongh, Koen W. W. Lansink, Mike Bemelman

Abstract

3D printing contributes to a better understanding of the surgical approach, reduction and fixation of complex fractures. It is unclear how a 3D-printed model relates to a human bone. The accuracy of 3D-printed models is important to pre-bend plates and fit of surgical guides. We conduct a validation study in which we compare human cadavers with 3D-printed models to test the accuracy of 3D printing. Nine specimens were scanned, volume rendered into 3D reconstructions and saved as STL data. All models were in a ratio of 1:1 printed on the Ultimaker 3 and Makerbot Replicator Z18. Two independent observers measured all distances between the K-wires on the human cadavers, 2DCT, 3D reconstruction, Meshlab and both printers. A paired Samples T test was used to compare the measurements between the different modalities. The least decrease in average distance in millimetres was seen in "the 3D printed pelvis 1", - 0.3 and - 0.8% on respectively the Ultimaker and Makerbot when compared with cadaver Pelvis (1) The 3D model of "Hand 2" showed the most decrease, - 2.5 and - 3.2% on the Ultimaker and Makerbot when compared with cadaver hand (2) Most significant differences in measurements were found in the conversion from 3D file into a 3D print and between the cadaver and 3D-printed model from the Makerbot. Our 3D printing process results in accurate models suitable for preoperative workup. The Ultimaker 3 is slightly more accurate than the Makerbot Replicator Z18. We advise that medical professionals should perform a study that tests the accuracy of their 3D printing process before using the 3D-printed models in medical practice.

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Geographical breakdown

Country Count As %
Unknown 95 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 17 18%
Student > Bachelor 12 13%
Other 7 7%
Researcher 7 7%
Student > Ph. D. Student 7 7%
Other 17 18%
Unknown 28 29%
Readers by discipline Count As %
Medicine and Dentistry 29 31%
Engineering 20 21%
Unspecified 4 4%
Nursing and Health Professions 2 2%
Biochemistry, Genetics and Molecular Biology 1 1%
Other 5 5%
Unknown 34 36%