Custom Design & Fabrication of 3D printed cast for ankle immobilisation

Abstract

Management of bone and joint injuries is commonly done by immobilisation using plaster/fibreglass casts. This study describes design and fabrication of patient specific cast using 3D printing.  The 3D printed cast while being patient friendly is superior to earlier casts in healing efficacy and hence redefines the joint immobilisation practice. We present here a case of “walk on brace” design and fabrication using 3D printing. The custom design of ankle immobilisation cast was done for an 18-year-old boy having tibia bone fracture during gymnastic activity. The workflow comprises of anatomical data acquisition, CAD, 3D printing, post processing and clinical approval for use. Additional features such as straps, anti-slip inner surface and tread for floor grip were incorporated in the design. 

References
[1] R. Singh, T. Kamal, N. Roulohamin, G. Maoharan, B. Ahmed, and P. Theobald, Ankle Fractures: A Literature Review of Current Treatment Methods, Open Journal of Orthopaedics, 4, 292–303, (2014), 10.4236/ojo.2014.411046.


[2] S. V. Casting, Principles of casting and splinting, (2009).


[3] R. Y. Hsu, and J.A.S.O.N. Bariteau, Management of ankle fractures, RI Med J, 96, no. 5, 23–7, (2013).


[4] A. M. Scott, Diagnosis and treatment of ankle fractures, Radiologic technology, 81, no. 5, 457–475, (2010).


[5] C. R. Labella, Common acute sports-related lower extremity injuries in children and adolescents, Clinical Pediatric Emergency Medicine, 8, no. 1, 31–42, (2007), 10.1016/j.cpem.2007.02.010.


[6] N. Hopkinson, R. Hague, and P. Dickens, Rapid Manufacturing: An Industrial Revolution for the Digital
Age, John Wiley & Sons, New York, NY, USA, (2006).


[7] I. Gibson, D. W. Rosen, and B. Stucker, Additive Manufacturing Technologies: Rapid Prototyping to Direct
Digital Manufacturing, Springer, Berlin, Germany, (2010).


[8] B. Sanghera, S. Naique, Y. Papaharilaou, and A. Amis, Preliminary study of rapid prototype medical models, Rapid Prototyping Journal, 7, no. 5, 275–284, (2001), 10.1108/13552540110410486.


[9] F. Rengier, A. Mehndiratta, H. von Tengg-Kobligk, et al., 3D printing based on imaging data: review of medical applications, International Journal of Computer Assisted Radiology and Surgery, 5, no. 4, 335–341, (2010), 10.1007/s11548-010-0476-x.