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International

                                                                         Journal of Bioprinting



                                        RESEARCH ARTICLE
                                        Comparison of 3D-printed poly-ether-ether-

                                        ketone and traditional implant materials in
                                        cranioplasty



                                        Kuangyang Yu 1,2† , Yanwen Su 3,4† , Xiao Rao , Hui Zhu , Liang Liu ,
                                                                                               1,5
                                                                                     3,4
                                                                           1,2
                                        Huanhao Pang , Changquan Shi , Dichen Li , Yingchao Liu , Jianhua Peng *,
                                                                                                          1,7
                                                                               3,4
                                                                                            6
                                                     3,4
                                                                    3,4
                                        Jiankang He *, and Yong Jiang 1,2,8 *
                                                  3,4
                                        1 Department  of  Neurosurgery,  The  Affiliated  Hospital,  Southwest  Medical  University,  Luzhou,
                                        Sichuan, China
                                        2 Laboratory  of  Neurological  Diseases  and  Brain  Function,  The  Affiliated  Hospital,  Southwest
                                        Medical University, Luzhou, Sichuan, China
                                        3
                                        State Key Laboratory for Manufacturing Systems Engineering, Xi’an Jiaotong University, Xi’an,
                                        Shaanxi, China
                                        4 National Medical Products Administration (NMPA) Key Laboratory for Research and Evaluation of
                                        Additive Manufacturing Medical Devices, Xi’an Jiaotong University, Xi’an, Shaanxi, China
                                        5 Sichuan Clinical Research Center for Neurosurgery, The Affiliated Hospital, Southwest Medical
                                        University, Luzhou, Sichuan, China
                                        6 Department of Neurosurgery, Shandong Provincial Hospital Affiliated to Shandong First Medical
                                        University, Jinan, Shandong, China
            † These authors contributed equally   7 Academician (Expert) Workstation of Sichuan Province, The Affiliated Hospital, Southwest Medical
            to this work.               University, Luzhou, Sichuan, China
            *Corresponding authors:     8 Institute of Epigenetics and Brain Science, Southwest Medical University, Luzhou, Sichuan, China
            Yong Jiang
            (jiangyong@swmu.edu.cn)     (This article belongs to the Special Issue: Special Issue of International Journal of Bioprinting in the BDMC
                                        2023 Conference)
            Jianhua Peng
            (pengjianhua@swmu.edu.cn)
            Jiankang He                 Abstract
            (jiankanghe@mail.xjtu.edu.cn)
            Citation: Yu K, Su Y, Rao X,    The advancement in material science and processing methods has led to the continuous
            et al. Comparison of 3D-printed   development of novel biomaterial implants and bone flap manufacturing methods
            poly-ether-ether-ketone     in cranioplasty.  This retrospective study aimed to investigate the outcomes and
            and traditional implant
            materials in cranioplasty.    clinical prognosis of patients undergoing skull repair using fused filament fabrication
            Int J Bioprint. 2024;10(4):2583.   (FFF)-printed poly-ether-ether-ketone (PEEK) implants versus traditional implants
            doi: 10.36922/ijb.2583      (i.e., autologous bone and titanium mesh).  We recruited patients who underwent
            Received: December 29, 2023  cranioplasty (performed by senior surgeons) between January 2021 and March 2023.
            Accepted: March 5, 2024     A total of 66 patients who underwent cranioplasty were included in this study and
            Published Online: April 5, 2024  divided into three groups according to the material used for their respective implants:
            Copyright: © 2024 Author(s).   (i) three-dimensional (3D)-printed PEEK, (ii) autologous bone, and (iii) titanium mesh.
            This is an Open Access article   Infection, epilepsy, and transplant failure did not occur in any of the three groups.
            distributed under the terms of the
            Creative Commons Attribution   Additionally, there were no statistically significant differences in terms of implant-
            License, permitting distribution,   related complications and patient neurological function among the three groups
            and reproduction in any medium,   6 months after discharge (P > 0.05). This study demonstrated the feasibility, safety,
            provided the original work is
            properly cited.             and aesthetics of 3D-printed PEEK implants for clinical application. Nonetheless, 3D
                                        printing may be a promising translational technology for the future of neurosurgery.
            Publisher’s Note: AccScience
            Publishing remains neutral with
            regard to jurisdictional claims in
            published maps and institutional   Keywords: Cranioplasty; Additive manufacturing; Three-dimensional printing; Fused
            affiliations.               filament fabrication; Poly-ether-ether-ketone; Autologous bone; Titanium mesh



            Volume 10 Issue 4 (2024)                       354                                doi: 10.36922/ijb.2583
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