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ORIGINAL ARTICLE

           Patient-specific 3D-printed Splint for Mallet Finger

           Injury



           Ali Zolfagharian *, Timothy M. Gregory , Mahdi Bodaghi , Saleh Gharaie , Pearse Fay      3
                            1
                                                    1
                                                                                       1
                                                                      2
           1 School of Engineering, Deakin University, Geelong 3216, Australia
           2 Department of Engineering, School of Science and Technology, Nottingham Trent University, Nottingham NG11 8NS, UK
           3 School of Health and Social Development, Deakin University, Geelong 3220, Australia
           Abstract: Despite the frequency of mallet finger injuries, treatment options can often be costly, time-consuming, and ill-fitted.
           Three-dimensional (3D) printing allows for the production of highly customized and inexpensive splints, which suggests
           potential efficacy in the prescription of casts for musculoskeletal injuries. This study explores how the use of engineering
           concepts such as 3D printing and topology optimization (TO) can improve outcomes for patients. 3D printing enables the
           direct fabrication of the patient-specific complex shapes while utilizing finite element analysis and TO in the design of the
           splint allowed for the most efficient distribution of material to achieve mechanical requirements while reducing the amount
           of material used. The reduction in used material leads to significant improvements in weight reduction and heat dissipation,
           which would improve breathability and less sweating for the patient, greatly increasing comfort for the duration of their
           recovery.

           Keywords: Patient-specific, Three-dimensional printing, Splint, Topology optimization

           *Corresponding Author: Ali Zolfagharian, School of Engineering, Deakin University, Geelong 3216, Australia; a.zolfagharian@deakin.edu.au
           Received: January 28, 2020; Accepted: February 28, 2020; Published Online: March 27, 2020

           Citation: Zolfagharian A, Gregory TM, Bodaghi M, et al., 2020, Patient-specific 3D-printed Splint for Mallet Finger Injury.
           Int J Bioprint, 6(2):259. DOI: 10.18063/ijb.v6i2.259

           1 Introduction                                      many  factors  that  impact  on  the  wearing  of
                                                               splints resulting in non-adherence and decreased
           Mallet  finger  is  one  the  most  common  upper   outcomes .  In  addition,  it  is  a  lengthy  and
                                                                        [3]
           limb athletic injury that may occur due to bony     labor-intensive process requiring the fabrication of
           avulsion or tendentious lesion . This injury could
                                       [1]
           significantly  affect  individuals  overall  function,   multiple casts leading to excessive use of materials
                                                               and  efforts.  Yet,  additive  manufacturing  (AM)
           impairing  their  work-related  skills  and  social
           capability  to  perform  daily  living  activities .   technology  recently  allows  for  the  fabrication
                                                        [2]
           The current treatment involves immobilizing the     of  individualized  prosthetics  based  on  patient
                                                                              [4]
           affected joint using a splint made of thermoplastic   anthropometrics .
           or plaster in a neutral position. The splint could    Additively manufactured orthosis orthopedics
           be  prefabricated;  however,  in  most  cases,  a   for  injuries  treatments  or  rehabilitation  are  not
           trained  health  professional  cast  a  splint  for  the   currently  in  widespread  use,  though,  it  could
           patient. Intrinsically, the outcome will be highly   potentially  offer  a  way  to  reduce  the  cost  of
           dependent  on  the  skills  and  knowledge  of  the   production  and  enable  easy  customization  to  an
           medical  practitioner.  Even  with  highly  trained   individual in biomedical treatments that addresses
           health  professionals  completing  this,  there  are   many of the current barrier to adherence [5,6] .

           © 2020 Zolfagharian, et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International
           License (http://creativecommons.org/licenses/by-nc/4.0/), permitting all non-commercial use, distribution, and reproduction in any medium, provided the
           original work is properly cited.
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