Orthopedic cast design and simulation: innovations for improved patient care

Rochmad Winarso; Rianto Wibowo; Taufiq Hidayat; Dwi Agung Laksono

doi:10.24176/crankshaft.v7i1.12215

Orthopedic cast design and simulation: innovations for improved patient care

Rochmad Winarso - [ https://orcid.org/0000-0002-7111-1053 ]
Rianto Wibowo
Taufiq Hidayat
Dwi Agung Laksono

Abstract

Some problems that often happen with clay casts are limited joint movement, muscle loss, and lower blood flow. There is a higher chance of systemic problems like clotting, local allergic reactions, skin trauma, compartment syndrome, and heat injuries. Plaster casts can cause skin sores from the pressure on the skin, skin infections, rashes, and stiffness in the joints over time. To get around these problems, many methods combining reverse engineering (RE) and additive manufacturing (AM) have been tested and shown to be effective in healing orthopedic casts problems, which are common fractures. Finite element analysis may be used to forecast the mechanical characteristics of devices such as orthopedic casts. In this study, we will use finite element analysis to examine the orthopedic cast designs' mechanical properties. Acrylonitrile butadiene styrene (ABS) was chosen as the material for this investigation because ABS is a recyclable material. A reduction in safety factor is observed as the weight imparted to the model increases. The utmost recommended burden at loading position 1 is 50 pounds of force. According to the findings derived from the simulations, the application of a 50-pound force burden will yield a safety factor of three. 10 pounds is the utmost weight that is recommended for loading position 2. This is based on the findings of the modeling, which suggest that the 10 lbf loading will generate a safety factor of 3.3. The maximum burden capacity that is advised for loading position 3 is 13 lbf. The deduction of this conclusion is supported by the simulation outcomes, which demonstrate that a 13-pound force application yields a safety factor of 3.01. 220 lbf is the utmost recommended force for loading position 4. Because the 220 lbf loading will produce a safety factor of 3.0, this is the case.

Keywords

orthopedic oasts, finite element analysis, ABS, reverse engineering

Teks Lengkap:

PDF (English)

Referensi

[1] Li J, Tanaka H. Rapid customization system for 3D-printed splint using programmable modeling technique – a practical approach. 3D Print Med 2018;4:5. https://doi.org/10.1186/s41205-018-0027-6.

[2] Ghaben SJ, Al-Hour MN, Dabar RF, Al-najjar AO, Zaq ZM Al, Alsersawi SFA. 3D Printed Casts: A Promising Technology for Improving Orthopaedic Physiotherapy Outcomes. 2020 International Conference on Assistive and Rehabilitation Technologies (iCareTech), 2020, p. 115–9. https://doi.org/10.1109/iCareTech49914.2020.00029.

[3] Hart ES, Albright MB, Rebello GN, Grottkau BE. Broken Bones: Common Pediatric Fractures—Part I. Orthopaedic Nursing 2006;25.

[4] Ali S, Bulloch B, Clifford T, Joubert G, Lalani A, Millar K, et al. Wrist buckle fractures: a survey of current practice patterns and attitudes toward immobilization. Canadian Journal of Emergency Medicine 2003;5:95–100. https://doi.org/DOI: 10.1017/S1481803500008228.

[5] Guida P, Casaburi A, Busiello T, Lamberti D, Sorrentino A, Iuppariello L, et al. An alternative to plaster cast treatment in a pediatric trauma center using the CAD/CAM technology to manufacture customized three-dimensional-printed orthoses in a totally hospital context: a feasibility study. Journal of Pediatric Orthopaedics B 2019;28.

[6] Beumer A, McQueen MM. Fractures of the distal radius in low-demand elderly patients: Closed reduction of no value in 53 of 60 wrists. Acta Orthop Scand 2003;74:98–100. https://doi.org/10.1080/00016470310013743.

[7] Schlégl ÁT, Told R, Kardos K, Szőke A, Ujfalusi Z, Maróti P. Evaluation and Comparison of Traditional Plaster and Fiberglass Casts with 3D-Printed PLA and PLA–CaCO3 Composite Splints for Bone-Fracture Management. Polymers (Basel) 2022;14. https://doi.org/10.3390/polym14173571.

[8] Sandford F, Barlow N, Lewis J. A Study to Examine Patient Adherence to Wearing 24-Hour Forearm Thermoplastic Splints after Tendon Repairs. Journal of Hand Therapy 2008;21:44–53. https://doi.org/https://doi.org/10.1197/j.jht.2007.07.004.

[9] Buonamici F, Furferi R, Governi L, Lazzeri S, McGreevy KS, Servi M, et al. A CAD-based Procedure for Designing 3D Printable Arm-Wrist-Hand Cast. Comput Aided Des Appl 2018.

[10] Winarso R, Ismail R, Anggoro PW, Jamari J, Bayuseno AP. A scoping review of the additive manufacturing of mandibular implants. Front Mech Eng 2023;9. https://doi.org/10.3389/fmech.2023.1079887.

[11] Tao Z, Ahn H-J, Lian C, Lee K-H, Lee C-H. Design and optimization of prosthetic foot by using polylactic acid 3D printing. Journal of Mechanical Science and Technology 2017;31:2393–8. https://doi.org/10.1007/s12206-017-0436-2.

[12] Surucu S, Aydın M, Batmaz AG, Karaşahin D, Mahiroğulları M. Evaluation of the patient satisfaction of using a 3D printed medical casting in fracture treatment. Jt Dis Relat Surg 2022;33:180–6. https://doi.org/10.52312/jdrs.2022.372.

[13] Fitzpatrick A, Mohammed M. Design of a Patient Specific, 3D printed Arm Cast. KnE Engineering 2017;2:135. https://doi.org/10.18502/keg.v2i2.607.

[14] Hidayat T, Ismail R, Tauviqirrahman M, Saputra E, Ammarullah MI, Lamura MDP, et al. Running-in behavior of dual-mobility cup during the gait cycle: A finite element analysis. Proc Inst Mech Eng H 2023;238:99–111. https://doi.org/10.1177/09544119231216023.

[15] Hidayat T, Jamari J, Bayuseno AP, Ismail R, Tauviqirrahman M, Saputra E. Short communication: Running-in behavior on single-mobility total hip arthroplasty. Med Eng Phys 2022;104:103806. https://doi.org/https://doi.org/10.1016/j.medengphy.2022.103806.

[16] Lekadir K, Noble C, Hazrati-Marangalou J, Hoogendoorn C, van Rietbergen B, Taylor ZA, et al. Patient-Specific Biomechanical Modeling of Bone Strength Using Statistically-Derived Fabric Tensors. Ann Biomed Eng 2016;44:234–46. https://doi.org/10.1007/s10439-015-1432-2.

[17] Winarso R, Ismail R, Anggoro PW, Jamari J, Bayuseno AP. Porous Structures Simulation Analysis: The Effect of Different Strut Geometry on the Bone Scaffold. In: Irwansyah, Iqbal Mohd, Huzni S, Akhyar, editors. Proceedings of the 4th International Conference on Experimental and Computational Mechanics in Engineering, Singapore: Springer Nature Singapore; 2024, p. 103–12.

[18] Winarso R, Ismail R, Anggoro PW, Jamari J, Bayuseno AP. Finite Element Analysis Of Irregular Porous Scaffold For Bone Tissue Engineering. ARPN Journal of Engineering and Applied Sciences 2023;18:569–80.

[19] Hidayat T, Jamari J, Bayuseno AP, Ismail R, Tauviqirrahman M, Wijaya PN. Study of Lubrication Fluid Pressure in Artificial Hip Joint During Bowing (Ruku’). In: Abdollah MF Bin, Amiruddin H, Phuman Singh AS, Abdul Munir F, Ibrahim A, editors. Proceedings of the 7th International Conference and Exhibition on Sustainable Energy and Advanced Materials (ICE-SEAM 2021), Melaka, Malaysia, Singapore: Springer Nature Singapore; 2022, p. 303–6. https://doi.org/https://doi.org/10.1007/978-981-19-3179-6_56.

[20] Hidayat T, Ammarullah MI, Saputra E, Lamura MDP, K N C, Ismail R, et al. A method for estimating the contact area of a dual-mobility total hip prosthesis. AIP Adv 2024;14:015317. https://doi.org/10.1063/5.0188638.

[21] Essabir H, Bouhfid R, Qaiss A el kacem. 14 - Fracture surface morphologies in understanding of composite structural behavior. In: Jawaid M, Thariq M, Saba N, editors. Structural Health Monitoring of Biocomposites, Fibre-Reinforced Composites and Hybrid Composites, Woodhead Publishing; 2019, p. 277–93. https://doi.org/https://doi.org/10.1016/B978-0-08-102291-7.00014-9.

[22] Carrasco F, Santana OO, Cailloux J, Sánchez-Soto M, Maspoch MLl. Poly(lactic acid) and acrylonitrile−butadiene−styrene blends: Influence of adding ABS−g−MAH compatibilizer on the kinetics of the thermal degradation. Polym Test 2018;67:468–76. https://doi.org/https://doi.org/10.1016/j.polymertesting.2018.03.010.

[23] Chen D-C, Lai B-Y, Gao F-Y. Simulation analysis of turbine blade in 3D printing aquarium. MATEC Web of Conferences 2017;123:00008. https://doi.org/10.1051/matecconf/201712300008.

DOI: https://doi.org/10.24176/crankshaft.v7i1.12215