Medical & Dental

Renishaw 3D printed ribs make a cancer survivor at Morriston Hospital Wales

一个3D打印的肋骨植入物莫里斯顿Hospitalin Wales has saved the life of Peter Maggs, a 71-year-old patient suffering from muscle cancer.

莫里斯顿外科医生在考虑手术的潜在并发症时选择了一个敏感的病例,该病例影响了Maggs先生的胸壁。

Due to Mr. Maggs’ successful recovery, the process is set to become model case for further procedures of this kind at the hospital, contributing to a number of national, and potentially international, firsts for 3D printed implants.

3D printing-enabled reconstruction of the chest wall

艾拉·戈德史密斯is a consulting cardiothoracic surgeon who has been working at Morriston since 2009. Handling benign diseases and cancer, Goldsmith’s expertise lies inminimally invasive surgery.

Describing the nature of Mr. Maggs’ tumor, Goldsmith,“这是一个非常广泛的增长,需要删除。但是,去除它也意味着去除部分胸骨和三个肋骨。”

Removing the ribs had the potential to destabilize Mr. Maggs’ entire chest wall.

步骤

The surgical team had to move some of Mr. Magg’s healthy back muscle to cover the potential implant. The remaining bone of Mr. Maggs’ ribcage was also narrow and soft, making any device without a custom fit exceedingly risky.

Goldsmith explains, “Traditionally the operation would have used a cement prosthesis, prepared at the time of surgery,”

“尽管它可能是相当实质性的,但它并不是一个精确的拟合,它可以移动,导致诸如脱位之类的问题。”

Morriston技术人员设计了一种使用CT扫描数据与剩余骨骼完美匹配的假体。通过莫里斯顿医院的图像
Morriston技术人员设计了一种使用CT扫描数据与剩余骨骼完美匹配的假体。通过莫里斯顿医院的图像

Renishaw印刷的3D

Maggs先生的3D印刷钛肋骨假体是由Morriston的生物医学3D技术人员Heather Goodrum和基于胸部CT扫描数据的上颌面实验室服务经理Peter Llewelyn Evans设计的。

The device was outsourced for 3D printing to UK based advanced manufacturing firm Renishaw, that has a great deal of experience in医疗部门的数字制造.

“我们对结果感到非常满意。植入物是一个完美的合适,”戈德史密斯说。

Following the operation, Mr. Maggs’ said of Goldsmith, “he’s a saint to me.”

The 3D printed titanium rib implant. Photo via Morriston Hospital
The 3D printed titanium rib implant. Photo via Morriston Hospital

进步的医学方法

Mr. Magg’s procedure adds to a list of 3D printed “firsts” at Morriston Hospital following its a appointment of specialist生物医学3D技术员Heather Goodrum于去年7月。

Debbie Hawkins, a patient who found a tumour in her jaw bone, also underwent3D印刷重建手术at Morriston in 2017.

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特色图像显示了Maggs先生的胸腔X射线,并带有3D打印的钛假体。通过莫里斯顿医院的图像