Microsoft PowerPoint - 발표자료(KSSiS 2016)

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1 Sang Jun Kim, MD, PhD

2 Application of 3D Printing in the Orthotic Fields Hallux Valgus, Charcot Marie Tooth, ADL Kit, Foot Insole, Wrist Pain, Foot Drop Development of Automated Program for Ankle Foot Orthosis

3 Application of 3D Printing in the Orthotic Fields Hallux Valgus, Charcot Marie Tooth, ADL Kit, Foot Insole, Wrist Pain Development of Automated Program for Ankle Foot Orthosis

4 Process of 3D Scanning and 3D Printing (FDM type printing)

5 Hallux Valgus Cause of hallux valgus Commonly thought to develop because of shoes that are not accommodative (insufficient evidence) Congenital disposition : familial predisposition Multifactorial : repetitive forces applied to the first metatarsophalangeal joint

6 Hallux Valgus Importance of first toe axis during gait Toe-off

7 Hallux Valgus Orthotics for hallux valgus

8 Hallux Valgus Application of toe spreader made by 3D Printer

9 Hallux Valgus Application of toe spreader made by 3D Printer

10 Hallux Valgus Application of toe spreader made by 3D Printer HVA IMA R= R= P=0.043 P<0.001

11 Application of 3D Printing in the Orthotic Fields Charcot Marie Tooth Disease Hereditary peripheral nervous disease Flaccid type upper and lower extremity deformities

12 Application of 3D Printing in the Orthotic Fields Charcot Marie Tooth Disease

13 Application of 3D Printing in the Orthotic Fields ADL Kit for Stroke, Spinal Cord Injury Patients

14 Foot Insole Definition of foot size according to the areas

15 Foot Insole Definition of foot size according to the areas fx fx 높이 fx fx fx

16 Orthosis for Wrist Pain Prospective randomized clinical study 선정 기준 - 성인(만 19세~65세 미만) - 중추 신경계, 말초신경계 질환이 없는 자 - 손목 통증의 제외한 상지의 근골격계 질환이 없는 자 - 상지의 수술, 외상의 병력이 없는 자 - 한 달 이상 손목을 사용 시 통증이 있으나, 30분 이상 휴식을 취하면 통증이 감소하는 자 - X-ray 상 손목 뼈에 변형이나 관절염 등 이상이 관찰되 지 아니한 자 - 통증, 가려움, 피부 발진 등을 표현할 수 있을 정도의 인 지 기능을 지닌 환자 - 다른 임상시험에 참여하고 있지 않은 자 - 본 임상시험에 참여할 것을 자발적으로 서면 동의한 자 또는 부모나 법정대리인이 서면동의서에 서명한 자

17 Orthosis for Wrist Pain 3D Printing Orthosis Cock-Up Splint 3D Modelling

18 Application of 3D Printing in the Orthotic Fields Orthosis for Wrist Pain Change of PRWE Score Application Time

19 Application of 3D Printing in the Orthotic Fields Orthosis for Wrist Pain JHFT 항목별군간평균 * Control: 대조군 * 3D: 실험군 * Pre: 보조기착용직후 * Post: 보조기착용일주일후 * SD: standard deviation Group Item Pre* Mean(SD*) Control* 3D* Post* Mean(SD) Pre Mean(SD) Post Mean(SD) 1. Writing 13.90(0.57) 13.60(0.84) 13.70(0.82) 14.10(0.57) 2. Simulated Page Turning 6.50(3.78) 6.60(4.40) 7.20(5.05)) 8.20(2.74) 3. Lifting Small Objects 11.70(1.64) 12.00(1.33) 11.50(2.22) 11.90(2.08) 4. Simulated Feeding 13.30(0.82) 12.80(1.48) 12.70(2.31) 14.30(0.82) 5. Stacking 13.30(0.68) 13.10(0.99) 13.30(1.42) 13.50(0.85) 6. Lifting Large, Lightweight Objects 11.60(1.65) 11.30(1.70) 12.20(2.10) 12.80(1.40) 7. Lifting Large, Heavy Object 10.30(1.95) 10.20(1.99) 11.40(2.22) 11.50(1.65)

20 Application of 3D Printing in the Orthotic Fields Foot Drop Peroneal Neuropathy External compression : plaster cast, braces, cross legged sitting Direct trauma : fracture of fibula Traction : ankle injury Mass : ganglion, nerve sheath tumor Vascular : vasculitis Diabetes Stroke, Spinal Cord Injury

21 Foot Drop

22 Application of 3D Printing in the Orthotic Fields Orthosis for Foot Drop

23 Preparation of Polypropylene Orthosis

24 Application of 3D Printing in the Orthotic Fields Application of ankle foot orthosis made by 3D Printer

25 Application of ankle foot orthosis made by 3D Printer

26 Application of ankle foot orthosis made by 3D Printer

27 Gait Analysis After Application of Ankle Foot Orthosis without AFO with AFO

28 Application of finger prosthesis made by 3D Printer

29 Application of below knee prosthesis made by 3D Printer ICEROSS silicone suspension and insert for irregular stump site

30 Development of Automated Program for Ankle Foot Orthosis Stratasys & Michigan University join forces in CYBER to revolutionize orthotics with 3D printing (Mar 7, 2016 By Alec)

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