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Home/Trauma/Printing 3D Bio-Implants During Surgery, IN SITU!
Trauma

Printing 3D Bio-Implants During Surgery, IN SITU!

March 9, 2020 1 min read Premium comments

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Printing 3D Bio-Implants During Surgery, IN SITU!
Source: Wikimedia Commons and US Embassy South Africa
Secondary#3dprinter#musculoskeletalinjuries

Ali Tamayol, Ph.D., associate professor at the University of Connecticut’s School of Dental Medicine, has developed a 3D bioprinter that allows surgeons to drop scaffolds directly into the patient during surgery.

Tamayol and his team’s study, “In Situ Printing of Adhesive Hydrogel Scaffolds for the Treatment of Skeletal Muscle” was published in the January 30, 2020 issue of the American Chemical Society journal.

With this handheld 3D printer, surgeons can directly fill a defect site in weakened skeletal muscle with scaffolds that help promote cellular and tissue growth.

“The printer is robust and allows proper filing of the cavity with fibrillary scaffolds in which fibers resemble the architecture of the native tissue,” Tamayol said.

One of the challenges of reconstructive surgery has always been treating volumetric muscle loss. By adhering directly to the surrounding tissue of the injury and imitating their natural properties, the 3D printing scaffolds offer better results. No suturing is needed either.

Indranil Sinha, M.D., a plastic surgeon at Brigham and Women’s Hospital at Harvard who contributed to the study, said that a “good solution currently does not exist for patients who suffer volumetric muscle loss. A customizable, printed gel establishes the foundation for a new treatment paradigm that can improve the care of our trauma patients.”

According to Tamayol, this is the first 3D bioprinted scaffold that has successfully treated volumetric muscle loss injury in mice. The mice in the study showed a significant increase in muscle hypertrophy.

“This is a new generation of 3D printers that enables clinicians to directly print the scaffold within the patient’s body.” Tamayol said.

“Best of all, this system does not require the presence of sophisticated imaging and printing systems.”

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Discussion

14
DS
Dr. Sarah MitchellOrthopedic Surgeon · Mayo Clinic

This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?

8
JT
James Thornton, MDSpine Fellow · HSS

Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.

5
RP
R. PatelSports Medicine · Stanford

We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.

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