Investigation into the Development of Technology for Orthopeadic Surgery Utilizing Reverse Engineering and Rapid Prototyping Technology

역공학과 쾌속조형공정을 이용한 정형외과수술기법 개발에 관한 연구

  • 안동규 (조선대학교 공과대학 기계공학과) ;
  • 이준영 (조선대학교 의과대학 정형외과 교) ;
  • 양동열 (한국과학기술원 기계공학) ;
  • 한길영 (조선대학교 공과대학 기계공학과)
  • Published : 2004.06.01

Abstract

The objective of this paper is to propose a new technology of the orthopaedic surgery using the combination of reverse engineering (RE) based on CT data and rapid prototyping (RP). The proposed technology utilizes symmetrical characteristics of the human body and capability of the combination of RE and RP, which rapidly manufactures three-dimensional parts from CT data. The original .stl data of injured extents are generated from the mirror transformation of .stl file fur uninjured extents. The physical shape before injuring is manufactured from RP using the original .stl data. Subsequently, pre-operative planning, such as a selection of proper implants, preforming of the implant, a decision of fixation locations and an insert position for the implant, an estimation of the invasive size, and pre-education of operators are performed using the physical shape. In order to examine the applicability and the efficiency of the proposed surgical technology, various case studies, such as a distal tibia commented fracture, a proximal tibia plateau fracture and an iliac wing fracture of pelvis, are carried out. From the results of case studies, it has been shown that the proposed technology is an effective surgical tool of the orthopaedic surgery reducing the operational time, the operational cost, the radiation exposure of the patient and operators, and morbidity. In addition, the proposed technology could improve the accuracy of operation and the speed of rehabilitation.

Keywords

References

  1. Kulkarni, P., Marson, D. and Dutta, D., 'A review of process planning techniques in layered manufacturing,' Repid Prototyping Journal, Vol 6, No. 1, pp. 18-35, 2000 https://doi.org/10.1108/13552540010309859
  2. Choi, H. R., Jun, J., Chang, M., Rho, H. and Park, S., 'A reverse engineering system for reproducing a 3D human bust,' Proceedings of 2003 Spring Conference on KSPE, pp. 15-19, 2001
  3. Winder, J., Cooke, R. S., Gray, J., Fennin, T. and Fegan, T., 'Medical rapid prototyping and 3D CT in the manufacture of custom made cranial titanium plates,' Journal of Medical Engineering & Technology, Vol. 23, No. 1, pp. 26-28, 1999 https://doi.org/10.1080/030919099294401
  4. Wholer, T., 'Wholers report 2003, Rapid Prototyping & Tooling State of the Industry,' Wholers Associates Inc., 2003
  5. Kai, C. C., Meng, C. S., Ching, L. S., Hoe, E. K. and Fah, L. K., 'Rapid prototyping assisted surgery planning,' The International Journal of Advanced Manufacturing Technology, Vol. 14, pp. 624-630, 1998 https://doi.org/10.1007/BF01192281
  6. Goto, M., Katsuki, T., Noguchi, H. and Hino, N., 'Surgical simulation for reconstruction of mandibular bone defects using photocurable plastic skull modes : report of three cases,' Journal of Oral & Maxillofacial Surgery, Vol. 55, pp. 772-780, 1997 https://doi.org/10.1016/S0278-2391(97)90597-8
  7. Stocker, N. G., Mankovitch, N. J. and Valentino, D., 'Stereolithographic models for surgical planning : preliminary report,' Journal of Oral & Maxillofacial Surgery, Vol. 50, pp. 446-471, 1992
  8. Web, P. A., 'A review of rapid prototyping (RP) techniques in the medical and biomedical sector,' Journal of Medical Engineering & Technology, Vol. 24, pp. 149-153, 2000 https://doi.org/10.1080/03091900050163427
  9. Potamianos, P., Amis, A. A., Forester, A. J., McGurk, M. and Bircher, M., 'Rapid prototyping for orthopaedic surgery,' Proceedings of the Institute Mechanical Engineering Part H : Journal of Engineering in Medicine, Vol. 212, pp. 383-393, 1998 https://doi.org/10.1243/0954411981534150
  10. Sanghera, B., Naique, S., Papaharilaou, Y. and Amis, A., 'Preliminary study of rapid prototypes medical models,' Rapid Prototyping Journal, Vol. 7, No. 5, pp. 275-284, 2001 https://doi.org/10.1108/13552540110410486
  11. Brown, G. A. Brenton, M. and Firoozbaksh, K., 'Application of Computer-Generated Stereolithography and Interpositioning Template in Acetabular Fracture: A Report of Eight Case,' Journal of Orthopaedic Trauma, Vol. 16, No. 5, pp. 347-352, 2002 https://doi.org/10.1097/00005131-200205000-00010
  12. Brown, G. A., Firoozbaksh, K., Decoster, T., Reyna, J. R. and Moneim, M., 'Rapid prototyping : The future of of trauma surgery ?,' Journal of Bone and Joint Surgery, Vol. 85-A, Supplement 4, pp. 49-55, 2003
  13. Yeom, J. S., Lee, K. W., Kim, M. H., Kim, Y., Kim, N., Leed, J. B. and Choy, W. S., 'Surgical simulation for placement of isometric point of anterior cruciate ligament : A system using three-dimensional computer models and rapid prototyping models,' J. of Korean Orthopeadic Association, Vol. 37, No. 5, pp. 600-605, 2002
  14. http://www.materialise.com
  15. http://www.sysopt.co.kr