There is a huge unmet global need for affordable prostheses. Amputations often happen in Sierra Leone due to serious infections, complex wounds, traffic accidents and delayed patient presentation the hospital. However, purchasing prosthesis still beyond reach most Leonean amputees.

Introduction Trauma is a major public health problem worldwide that leads to high medical and societal costs. Overall, improved understanding of the full spectrum impact burden injury needed. The main purpose Brabant Injury Outcome Surveillance (BIOS) study provide insight into prevalence, predictors recovery patterns short-term long-term health-related quality life (HRQoL) costs after injury. Materials methods This prospective, observational, follow-up cohort in which HRQoL, psychological,...

3D printing contributes to a better understanding of the surgical approach, reduction and fixation complex fractures. It is unclear how 3D-printed model relates human bone. The accuracy models important pre-bend plates fit guides. We conduct validation study in which we compare cadavers with test printing.Nine specimens were scanned, volume rendered into reconstructions saved as STL data. All ratio 1:1 printed on Ultimaker 3 Makerbot Replicator Z18. Two independent observers measured all...

Measurement and production of traditional prosthetic sockets are time-consuming, labor-intensive, highly dependent on the personnel involved. An alternative way to make prostheses is using computer-aided design (CAD) manufacturing (CAM). Fused Filament Fabrication (FFF) may be an low-cost sockets. This study investigates tensile properties potential printing materials suitable for FFF according ISO527 (Standard Test Method Tensile Properties Plastics). To ensure that FFF-printed safe patient...

Acetabular fractures are complex and difficult to classify. Although the Judet–Letournel classification is designed increase understanding of acetabular fractures, it remains prone error when using conventional medical imaging. We hypothesize that three-dimensional (3D) printing, as a new diagnostic imaging tool, will lead an increased knowledge optimal surgical approach. Digital data (DICOM) 20 were converted into 3D files [standard tessellation language (STL) data]. These STL used prepare...

The aim of this feasibility study was to investigate how a 3D printer could be put its best use in resource-limited healthcare setting. We have examined whether can contribute making prostheses, braces, or splints for patients who underwent major limb amputation because complex wounds, example, due burns and subsequent scarring, accidents, conflicts, congenital abnormalities. During 3-month period, we investigated the benefits customized, 3D-printed arm splints, braces Sierra Leone. Using...

Abstract Background Tibial plateau fractures are often complex, and they can be challenging to treat. Classifying is part of the treatment process, but intra- interobserver reliability fracture classification systems inadequate task, classifications that lack mislead providers result in harm patients. Three-dimensionally (3D)-printed models might help this regard, whether case for tibial fractures, utility such vary by experience individual classifying unknown. Questions/purposes (1) Does...

Abstract Background Two-dimensional (2D) medical visualization techniques are often insufficient for displaying complex, three-dimensional (3D) anatomical structures. Moreover, the of data on a 2D screen during surgery is undesirable, because it requires surgeon to continuously switch focus. This switching focus problem also results in extensive use intraoperative radiation gain additional insights 3D configuration. The augmented reality (AR) has potential overcome these problems, instance...

Introduction Pelvic fractures can have long-term consequences for health-related quality of life (HRQoL). The main purpose this study is to provide insight into short-term HRQoL in the first year after pelvic injury and identify prognostic factors decreased outcome. Methods This a prospective, observational, multicenter, follow-up cohort which functional outcomes were assessed during 12-month injured adult patients admitted 1 10 hospitals county Noord-Brabant, Netherlands. data collected by...

Purpose: In-hospital three-dimensional (3D) printing of patient-specific pathologies is increasingly being used in daily care. However, the efficiency current conversion from image to print often obstructed due limitations associated with segmentation software. Therefore, there a need for comparison several clinically available tools. A comparative study has been conducted compare performance Philips IntelliSpace Portal® (PISP), Mimics Innovation Suite (MIS), and DICOM PRINT® (D2P)....

Currently, assessment of acetabular fracture reduction is mainly performed by evaluating 2D slices 3D CT scans. This subjective method can potentially be improved using models and objective analysis tools. In order to evaluate the potential value digital reconstructed in reduction, reconstructions fractured acetabulum were compared mirrored healthy contralateral side for both pre-, post-surgical setting.Thirteen patients with one-sided fractures included study. All received a postoperative...

After a severe trauma, 16-year-old female patient sustained multiple injuries, including distal radius fracture of the left arm. This eventually developed into malunion. In this case, we demonstrate our preoperative low-cost workup for three-dimensional (3D) planned and assisted corrective osteotomy malunited using an in-hospital 3D printer.

In Sierra Leone, access to prostheses is limited due absence of practical knowledge, materials, trained staff, and high cost. This paper investigates the impact a 3D printed prosthesis on health-related quality life (HRQoL) in recipients.Patients with upper extremity amputations were included this case study from December 2018 until July 2019. Data HRQoL was gathered April 2020 Masanga Hospital, central rural Leone. At two follow-up moments assessed by applying standard EQ-5D-5L...

Necrotising fasciitis (NF) is a destructive bacterial infection and has often been described in media reports as ‘flesh-eating disease’, which if diagnosed late associated with worse outcome. Unfortunately, diagnosing NF difficult due to the similar presentation of compared other types skin soft tissue infections. The early only shows tenderness, swelling, erythema warm skin. Moreover, normally accompanied aberrant laboratory findings, mainly elevated C reactive protein (CRP) levels. In this...

To investigate the differences in Majeed Pelvic Score (MPS) between injured and uninjured patients. Discriminative power applicability of MPS elderly are also investigated, a norm score for Netherlands is provided.Cross-sectional cohort study.Urban level 1 trauma center.One hundred ninety-five patients with pelvic ring disruptions; 101 61A, 67 61B, 27 61C (OTA/AO classification; 6%, 27%, 82% surgically treated, respectively); mean follow-up 29 months (range 6-61); 554 adults from...

Abstract Background In patients with acetabular fractures, the reconstructed three-dimensional (3D) model of contralateral acetabulum could be used as a mirrored template for anatomical configuration affected joint. This has not been validated. Objective To investigate whether right and left acetabula, 3D models, are valid duplicates that can reference side. Methods CT scans twenty unaffected acetabula were used. The symmetry generated models was evaluated through: (1) mirroring acetabulum;...