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RAPID MANUFACTURING SYSTEM OF ORTHOPEDIC IMPLANTS

机译:骨科植入物快速制造系统

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摘要

This study, aimed the development of a methodology for rapid manufacture of orthopedic implants simultaneously with the surgical intervention, considering two potential applications in the fields of orthopedics: the manufacture of anatomically adapted implants and implants for bone loss replacement. This work innovation consists on the capitation of the in situ geometry of the implant by direct capture of the shape using an elastomeric material (polyvinylsiloxane) which allows fine detail and great accuracy of the geometry. After scanning the elastomeric specimen, the implant is obtained by machining using a CNC milling machine programmed with a dedicated CAD/CAM system. After sterilization, the implant is able to be placed on the patient. The concept was developed using low cost technology and commercially available. The system has been tested in an in vivo hip arthroplasty performed on a sheep. The time increase of surgery was 80 minutes being 40 minutes the time of implant manufacturing. The system developed has been tested and the goals defined of the study achieved enabling the rapid manufacture of an implant in a time period compatible with the surgery time.
机译:这项研究旨在开发一种能够在外科手术干预的同时快速制造整形外科植入物的方法,同时考虑到整形外科领域的两个潜在应用:解剖适应性植入物的制造和用于骨损失置换的植入物的制造。这项工作的创新在于通过使用弹性体材料(聚乙烯基硅氧烷)直接捕获形状来模仿植入物的原位几何形状,从而可以实现精细的细节设计和极高的几何精度。扫描弹性体样本后,可通过使用编程有专用CAD / CAM系统的CNC铣床进行机加工获得植入物。灭菌后,可以将植入物放在患者身上。该概念是使用低成本技术开发的,并且可以通过商业途径获得。该系统已在绵羊体内进行的髋关节置换术中进行了测试。手术时间增加了80分钟,而植入物制造时间增加了40分钟。已开发的系统已经过测试,并且达到了研究的目标,能够在与手术时间相适应的时间内快速制造植入物。

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