Page 146 - IJB-8-1
P. 146

3D Printed Hand Splints
           Table 2. Patient characteristics
            Characteristic                                         3D group                       Control group
           Sample size (n)                                            10                               10
           Male/female ratio                                          7/3                             8/2
           Age at inclusion in years, mean (range)               41.2 (23 – 64)                   34.1 (19 – 62)
           Etiology of pathology
             Traumatic                                                9                                9
             Degenerative                                             1                                1
           Leading pathological condition
             Fracture                                                 8                                6
             Ligament injury                                          1                                2
             Tendinous injury                                          -                               1
             Osteoarthritis                                           1                                1
           Treatment strategy
             Conservative                                             6                                7
             Surgical                                                 4                                3
           Splint type
             MC brace                                                 7                                2
             MC brace including the wrist                             1                                1
             Thumb MCPJ splint                                        1                                1
             Thumb MCPJ splint including the wrist                    1                                1
             MCPJ extension block splint                               -                               1
             Controlled active motion splint                           -                               1
             Wrist immobilizing radius splint                          -                               1
             PIPJ extension block splint                               -                               1
             Mallet finger splint (stack)                              -                               1
           MC, metacarpophalangeal; MCPJ, metacarpophalangeal joint; PIPJ, proximal interphalangeal joint.

           Table 3. Patient satisfaction
            Assessment item        3D group  Control group
           Splint fit (Questionnaire 1)  9.15 (1.11)  9.2 (0.79)
           Adjustment process      9.5 (0.97)   9.6 (0.7)
           (Questionnaire 1)
           Satisfaction with weight of   9.6 (0.7)  9.2 (1.03)
           splint (Questionnaire 1)
           Overall satisfaction    8.4 (1.65)   9.2 (1.32)
           (Questionnaire 3)
           Numbers represent mean (standard deviation).

           Table 4. Production time
                                3D group     Control group
           Scan + wound check   22 (10–40)        N/A
           Design              99.5 (35–240)      N/A          Figure 5. Partial breakage of a 3D wrist immobilizing splint.
           Printing           337.7 (175–842)     N/A
           Post-processing     27.5 (15–60)       N/A          Several limitations need to be addressed, however, before
           First consultation  30.5 (15–60)   39.5 (30–60)     3D-printed hand splints can be used regularly instead of
           Total (printing    179.5 (85–390)  39.5 (30–60)     the current thermoplastic splints.
           excluded)                                               First, our setting for the interventional 3D group
           Total (printing   517.2 (274–1097)  39.5 (30–60)    was  not  optimized  compared  with  that  for  the  well-
           included)                                           established in-house control group with conventional
           All times are given in minutes as mean (range). N/A, not applicable.   splints.  Additional visits that included the patient,


           132                         International Journal of Bioprinting (2022)–Volume 8, Issue 1
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