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DESIGN AND MANUFACTURE OF A TITANIUM TIBIAL REINFORCEMENT CAGE
USING ELECTRON BEAM MELTING
Associate Professor Lars-Erik Rännar1
M.D. Åke Hamberg2
1Mid Sweden University Department of Quality Technology, Mechanical Engineering and Mathematics Akademigatan 1 SE-831 25, Östersund, Sweden [email protected]
2Östersund Hospital Department of Orthopedics, Box 654 SE-831 27, Östersund, Sweden [email protected]
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• Mid Sweden University and the Additive Manufacturing Laboratory
• Case study – Tibial Cage • Other examples of R&D in the area • Questions
Agenda
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Young and dynamic University in the heart of Sweden
MID SWEDEN UNIVERSITY
Östersund
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M.Sc. Rebecca Klingvall [email protected]
Assoc. Prof. Lars-Erik Rännar [email protected]
Assoc. Prof. Andrey Koptyug [email protected]
Ass. Prof. PhD. Marie Cronskär [email protected]
Prof. Mikael Bäckström [email protected]
THE RESEARCHERS > Additive Manufacturing
Laboratory initiated 2003 (EBM A2, Stratasys, Objet, BfB, etc)
> Equipment for material characterization and reverse engineering
> Project funding as for today: > 1 regional > 3 national > 1 international
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FUNDING > National:
> “Innovative components manufacturing technology through powder technology”
> “ADDING – New generation tools using additive manufacturing”
> Regional: > “Additive manufacturing as a competitive
advantage” > International:
> “Feasibility study of electron beam melting and laser sintering of 316L of in-vessel components”
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HYPE?
INDEED! BUT LET’S USE THAT FOR MARKETING PURPOSES!
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My colleague
The king!
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Me The Queen!
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DESIGN AND MANUFACTURING OF A TIBIAL REINFORCEMENT CAGE USING EBM
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DESIGN AND MANUFACTURING OF A TIBIAL REINFORCEMENT CAGE USING EBM
> Patient suffered from septic loosening of a TKR. Due to osteolysis and bone defects, a rotating hinge prosthesis was needed.
> CT examinations were performed and were then used as reference for the design of a reinforcement cage.
> The cage was manufactured in Ti64, sterilized and then used for the revision surgery.
> The 15 and 52 week post-surgery follow-up showed satisfactory results with no signs of radiolucency or loosening.
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DESIGN AND MANUFACTURING OF A TIBIAL REINFORCEMENT CAGE USING EBM
> Patient suffered from septic loosening of a TKR. Due to osteolysis and bone defects, a rotating hinge prosthesis was needed.
> CT examinations were performed and were then used as reference for the design of a reinforcement cage.
> The cage was manufactured in Ti64, sterilized and then used for the revision surgery.
> The 15 and 52 week post-surgery follow-up showed satisfactory results with no signs of radiolucency or loosening.
![Page 13: DESIGN AND MANUFACTURE OF A TITANIUM TIBIAL …€¦ · DESIGN AND MANUFACTURE OF A TITANIUM TIBIAL REINFORCEMENT CAGE USING ELECTRON BEAM MELTING Associate Professor Lars-Erik Rännar](https://reader035.vdocument.in/reader035/viewer/2022071019/5fd33ecb69ecba248b2a8c78/html5/thumbnails/13.jpg)
DESIGN AND MANUFACTURING OF A TIBIAL REINFORCEMENT CAGE USING EBM
> Patient suffered from septic loosening of a TKR. Due to osteolysis and bone defects, a rotating hinge prosthesis was needed.
> CT examinations were performed and were then used as reference for the design of a reinforcement cage.
> The cage was manufactured in Ti64, sterilized and then used for the revision surgery.
> The 15 and 52 week post-surgery follow-up showed satisfactory results with no signs of radiolucency or loosening.
![Page 14: DESIGN AND MANUFACTURE OF A TITANIUM TIBIAL …€¦ · DESIGN AND MANUFACTURE OF A TITANIUM TIBIAL REINFORCEMENT CAGE USING ELECTRON BEAM MELTING Associate Professor Lars-Erik Rännar](https://reader035.vdocument.in/reader035/viewer/2022071019/5fd33ecb69ecba248b2a8c78/html5/thumbnails/14.jpg)
DESIGN AND MANUFACTURING OF A TIBIAL REINFORCEMENT CAGE USING EBM
> Patient suffered from septic loosening of a TKR. Due to osteolysis and bone defects, a rotating hinge prosthesis was needed.
> CT examinations were performed and were then used as reference for the design of a reinforcement cage.
> The cage was manufactured in Ti64, sterilized and then used for the revision surgery.
> The 15 and 52 week post-surgery follow-up showed satisfactory results with no signs of radiolucency or loosening.
![Page 15: DESIGN AND MANUFACTURE OF A TITANIUM TIBIAL …€¦ · DESIGN AND MANUFACTURE OF A TITANIUM TIBIAL REINFORCEMENT CAGE USING ELECTRON BEAM MELTING Associate Professor Lars-Erik Rännar](https://reader035.vdocument.in/reader035/viewer/2022071019/5fd33ecb69ecba248b2a8c78/html5/thumbnails/15.jpg)
DESIGN AND MANUFACTURING OF A TIBIAL REINFORCEMENT CAGE USING EBM
> Patient suffered from septic loosening of a TKR. Due to osteolysis and bone defects, a rotating hinge prosthesis was needed.
> CT examinations were performed and were then used as reference for the design of a reinforcement cage.
> The cage was manufactured in Ti64, sterilized and then used for the revision surgery.
> The 15 and 52 week post-surgery follow-up showed satisfactory results with no signs of radiolucency or loosening.
![Page 16: DESIGN AND MANUFACTURE OF A TITANIUM TIBIAL …€¦ · DESIGN AND MANUFACTURE OF A TITANIUM TIBIAL REINFORCEMENT CAGE USING ELECTRON BEAM MELTING Associate Professor Lars-Erik Rännar](https://reader035.vdocument.in/reader035/viewer/2022071019/5fd33ecb69ecba248b2a8c78/html5/thumbnails/16.jpg)
DESIGN AND MANUFACTURING OF A TIBIAL REINFORCEMENT CAGE USING EBM
> Patient suffered from septic loosening of a TKR. Due to osteolysis and bone defects, a rotating hinge prosthesis was needed.
> CT examinations were performed and were then used as reference for the design of a reinforcement cage.
> The cage was manufactured in Ti64, sterilized and then used for the revision surgery.
> The 15 and 52 week post-surgery follow-up showed satisfactory results with no signs of radiolucency or loosening.
![Page 17: DESIGN AND MANUFACTURE OF A TITANIUM TIBIAL …€¦ · DESIGN AND MANUFACTURE OF A TITANIUM TIBIAL REINFORCEMENT CAGE USING ELECTRON BEAM MELTING Associate Professor Lars-Erik Rännar](https://reader035.vdocument.in/reader035/viewer/2022071019/5fd33ecb69ecba248b2a8c78/html5/thumbnails/17.jpg)
DESIGN AND MANUFACTURING OF A TIBIAL REINFORCEMENT CAGE USING EBM
> Patient suffered from septic loosening of a TKR. Due to osteolysis and bone defects, a rotating hinge prosthesis was needed.
> CT examinations were performed and were then used as reference for the design of a reinforcement cage.
> The cage was manufactured in Ti64, sterilized and then used for the revision surgery.
> The 15 and 52 week post-surgery follow-up showed satisfactory results with no signs of radiolucency or loosening.
![Page 18: DESIGN AND MANUFACTURE OF A TITANIUM TIBIAL …€¦ · DESIGN AND MANUFACTURE OF A TITANIUM TIBIAL REINFORCEMENT CAGE USING ELECTRON BEAM MELTING Associate Professor Lars-Erik Rännar](https://reader035.vdocument.in/reader035/viewer/2022071019/5fd33ecb69ecba248b2a8c78/html5/thumbnails/18.jpg)
DESIGN AND MANUFACTURING OF A TIBIAL REINFORCEMENT CAGE USING EBM
> Patient suffered from septic loosening of a TKR. Due to osteolysis and bone defects, a rotating hinge prosthesis was needed.
> CT examinations were performed and were then used as reference for the design of a reinforcement cage.
> The cage was manufactured in Ti64, sterilized and then used for the revision surgery.
> The 15 and 52 week post-surgery follow-up showed satisfactory results with no signs of radiolucency or loosening.
![Page 19: DESIGN AND MANUFACTURE OF A TITANIUM TIBIAL …€¦ · DESIGN AND MANUFACTURE OF A TITANIUM TIBIAL REINFORCEMENT CAGE USING ELECTRON BEAM MELTING Associate Professor Lars-Erik Rännar](https://reader035.vdocument.in/reader035/viewer/2022071019/5fd33ecb69ecba248b2a8c78/html5/thumbnails/19.jpg)
OTHER MEDICAL APPLICATIONS
> Patient-specific hip prosthesis > Customized maxillofacial implants > Customized orthopedic plates > Optimization of surfaces for bone ingrowth
Jan Hirsch, Uppsala university hospital Per Dérand, Skåne university hospital
Börje Samuelsson, Östersund hospital
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DESIGN AND MANUFACTURE OF A TITANIUM TIBIAL REINFORCEMENT CAGE
USING ELECTRON BEAM MELTING
Associate Professor Lars-Erik Rännar1
M.D. Åke Hamberg2
1Mid Sweden University Department of Quality Technology, Mechanical Engineering and Mathematics Akademigatan 1 SE-831 25, Östersund, Sweden [email protected]
2Östersund Hospital Department of Orthopedics, Box 654 SE-831 27, Östersund, Sweden [email protected]