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Three-dimensional-printed upper limb prosthesis for a child with traumatic amputation of right wrist: A case report.

Abstract For traumatic upper limb amputees, the prohibitive cost of a custom-made prosthesis brings an insufferable financial burden for their families in developing countries. Three-dimensional (3D) printing allows for creating affordable, lightweight, customized, and well-fitting prosthesis, especially for the growing children.
PMID
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Authors

Mayor MeshTerms

Artificial Limbs

Printing, Three-Dimensional

Prosthesis Design

Keywords
Journal Title medicine
Publication Year Start



 

PMID- 29384921
OWN - NLM
STAT- MEDLINE
DCOM- 20180209
LR  - 20180209
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 52
DP  - 2017 Dec
TI  - Three-dimensional-printed upper limb prosthesis for a child with traumatic
      amputation of right wrist: A case report.
PG  - e9426
LID - 10.1097/MD.0000000000009426 [doi]
AB  - RATIONALE: For traumatic upper limb amputees, the prohibitive cost of a
      custom-made prosthesis brings an insufferable financial burden for their families
      in developing countries. Three-dimensional (3D) printing allows for creating
      affordable, lightweight, customized, and well-fitting prosthesis, especially for 
      the growing children. PATIENT CONCERNS: We presented a case of an 8-year-old boy,
      who suffered a traumatic right wrist amputation as result of a mincing machine
      accident. The patient was immediately sent to the emergency orthopedics
      department after the accident. DIAGNOSES: He was diagnosed as severed mangled
      limb crash injury at the level of the right wrist with a Mangled Extremity
      Severity Score of 8. INTERVENTIONS: A wrist disarticulation was performed and a
      3D-printed prosthetic hand was designed and manufactured for this child. A
      personalized prosthetic rehabilitation training was applied after the prosthesis 
      installation at 6 months postoperatively. The function of the prosthesis was
      evaluated at 1-month and 3-month follow-up using the Children Amputee Prosthetics
      Projects (CAPP) score and the University Of New Brunswick Test Of Prosthetic
      Function for Unilateral Amputees (UNB test). OUTCOMES: The materials cost <20
      dollars. The printing took <8 hours and the component assembling was completed
      within 20 minutes. During the 3-month follow-up, the child's parents were
      satisfied with the prosthesis and the UNB test showed the significantly improved 
      function of the prosthesis. LESSONS: This novel 3D-printed upper limb prosthesis 
      in a child with the traumatic wrist amputation might serve as a practical and
      affordable alternative for children in developing countries and those lacking
      access to health care providers. A personalized prosthetic rehabilitation needs
      to be undertaken and more clinical studies are warranted to validate the
      potential superiority of similar 3D-printed prostheses.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Xu, Guisheng
AU  - Xu G
AD  - Department of Orthopaedics, Zhaoqing First People's Hospital, Guangdong, China.
FAU - Gao, Liang
AU  - Gao L
AD  - Center of Experimental Orthopaedics, Saarland University, Homburg/Saar, Germany.
FAU - Tao, Ke
AU  - Tao K
AD  - Department of Orthopaedics, Peking University People's Hospital, Peking.
FAU - Wan, Shengxiang
AU  - Wan S
AD  - Department of Orthopaedics, Peking University Shenzhen Hospital, Shenzhen, China.
FAU - Lin, Yuning
AU  - Lin Y
AD  - Department of Orthopaedics, Zhaoqing First People's Hospital, Guangdong, China.
FAU - Xiong, Ao
AU  - Xiong A
AD  - Department of Orthopaedics, Peking University Shenzhen Hospital, Shenzhen, China.
FAU - Kang, Bin
AU  - Kang B
AD  - Department of Orthopaedics, Peking University Shenzhen Hospital, Shenzhen, China.
FAU - Zeng, Hui
AU  - Zeng H
AD  - Department of Orthopaedics, Peking University Shenzhen Hospital, Shenzhen, China.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Amputation, Traumatic/*therapy
MH  - *Artificial Limbs
MH  - Child
MH  - Hand
MH  - Humans
MH  - Male
MH  - *Printing, Three-Dimensional
MH  - *Prosthesis Design
EDAT- 2018/02/01 06:00
MHDA- 2018/02/10 06:00
CRDT- 2018/02/01 06:00
PHST- 2018/02/01 06:00 [entrez]
PHST- 2018/02/01 06:00 [pubmed]
PHST- 2018/02/10 06:00 [medline]
AID - 10.1097/MD.0000000000009426 [doi]
AID - 00005792-201712290-00029 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Dec;96(52):e9426. doi: 10.1097/MD.0000000000009426.