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3D printing of patient-specific implants for osteochondral defects: workflow for an MRI-guided zonal design

Bio-Design and Manufacturing 2021年第4期4卷 818-832页

作者： David Kilian philipp sembdner Henriette Bretschneider Tilman Ahlfeld Lydia Mika Jörg Lützner Stefan Holtzhausen Anja Lode Ralph Stelzer Michael Gelinsky Centre for Translational Bone Joint and Soft Tissue ResearchUniversity Hospital Carl Gustav Carus and Faculty of MedicineTechnische Universität DresdenDresdenGermany Institute of Machine Elements and Machine Design Faculty of Mechanical EngineeringTechnische Universität DresdenDresdenGermany University Center of Orthopaedic Trauma and Plastic SurgeryUniversity Hospital Carl Gustav CarusTechnische Universität DresdenDresdenGermany

Magnetic resonance imaging(MRI)is a common clinical practice to visualize defects and to distinguish different tissue types and pathologies in the human *** far,MRI data have not been used to model and generate a patient-specific design of multilayered tissue substitutes in the case of interfacial *** orthopedic cases that require highly individual surgical treatment,implant fabrication by additive manufacturing holds great ***-based techniques like 3D plot-ting allow the spatially defined application of several materials,as well as implementation of bioprinting *** the example of a typical multi-zonal osteochondral defect in an osteochondritis dissecans(OCD)patient,this study aimed to close the technological gap between MRI analysis and the additive manufacturing process of an implant based on dif-ferent biomaterial inks.A workflow was developed which covers the processing steps of MRI-based defect identification,segmentation,modeling,implant design adjustment,and implant generation.A model implant was fabricated based on two biomaterial inks with clinically relevant properties that would allow for bioprinting,the direct embedding of a patient’s own cells in the printing *** demonstrated by the geometric compatibility of the designed and fabricated model implant in a stereolithography(SLA)model of lesioned femoral condyles,a novel versatile CAD/CAM workflow was successfully established that opens up new perspectives for the treatment of multi-zonal(osteochondral)defects.

关键词： Additive manufacturing(AM) Magnetic resonance imaging(MRI) Computer-aided design(CAD) Osteochondritis dissecans(OCD) Bone cement Hydrogel

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