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3D Innovations in Personalized Surgery
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3D Innovations in Personalized Surgery

A special issue of Journal of Personalized Medicine (ISSN 2075-4426).

Deadline for manuscript submissions: closed (15 August 2022) | Viewed by 7612

Printed Edition Available!
A printed edition of this Special Issue is available here.

Special Issue Editors

Dr. Joep Kraeima

E-Mail Website1 Website2
Guest Editor
Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands
Interests: 3D VSP; oncology; oral and maxillofacial surgery; A.I.; patient-specific implants; 3D; surgical navigation
Dr. Sebastiaan de Visscher

E-Mail Website
Guest Editor
Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands
Interests: 3D VSP; oncology; oral and maxillofacial surgery
Prof. Dr. Max Johannes Hendrikus Witjes

E-Mail Website
Guest Editor
Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
Interests: 3D VSP; oncology; oral and maxillofacial surgery

Special Issue Information

Dear Colleagues,

Current practice involves the use of 3D surgical planning and patient-specific solutions in multiple surgical areas of expertise. Patient-specific solutions have been endorsed for several years in numerous publications due to their benefits around accuracy, safety, and predictability of surgical outcome. The basis of 3D surgical planning is the use of high-quality medical images (e.g., CT, MRI, or PET-scans). The translation from 3D digital planning toward surgical applications was developed hand in hand with a rise in 3D printing applications of multiple biocompatible materials. These technical aspects of medical care require engineers’ or technical physicians’ expertise for optimal safe and effective implementation in daily clinical routines.

Currently, we are working toward the next generation of personalized surgery, in which we combine the use of new materials and optimized 3D printing technology for medical devices. The use of artificial intelligence and augmented reality enable optimized 3D virtual surgical planning and its translation toward the surgical procedure. In addition, we can also incorporate, next to anatomical information, biomechanical aspects into personalized implants and devices.

The aim and scope of this Special Issue is high-tech solutions in personalized surgery, based on 3D technology and, more specifically, bone-related surgery. Full-papers or highly innovative technical notes or (systematic) reviews that relate to innovative personalized surgery are invited. This can include optimization of imaging for 3D VSP, optimization of 3D VSP workflow and its translation toward the surgical procedure, or optimization of personalized implants or devices in relation to bone surgery.

Dr. Joep Kraeima
Dr. Sebastiaan de Visscher
Prof. Dr. Max J.H. Witjes
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Personalized Medicine is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • 3D VSP
  • patient-specific
  • implants
  • oral and maxillofacial surgery
  • guided surgery
  • orthopedics
  • trauma surgery
  • neurosurgery

Published Papers (4 papers)

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Editorial

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2 pages, 166 KiB  
Editorial
Three-Dimensional Innovations in Personalized Surgery
by Joep Kraeima, Sebastiaan de Visscher and Max Witjes
J. Pers. Med. 2023, 13(1), 113; https://0-doi-org.brum.beds.ac.uk/10.3390/jpm13010113 - 04 Jan 2023
Viewed by 713
Abstract
Due to the introduction of three-dimensional (3D) technology in surgery, it has become possible to preoperatively plan complex bone resections and reconstructions, (corrections and adjustments related to bones), from head to toe [...] Full article
(This article belongs to the Special Issue 3D Innovations in Personalized Surgery)

Research

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8 pages, 2719 KiB  
Article
The Accuracy of 3D Surgical Design and Simulation in Prefabricated Fibula Free Flaps for Jaw Reconstruction
by Sherif Idris, Heather Logan, Paul Tabet, Martin Osswald, Suresh Nayar and Hadi Seikaly
J. Pers. Med. 2022, 12(11), 1766; https://0-doi-org.brum.beds.ac.uk/10.3390/jpm12111766 - 26 Oct 2022
Cited by 1 | Viewed by 1425
Abstract
The ideal jaw reconstruction involves the restoration and maintenance of jaw continuity, jaw relations, joint alignment, and facial contour, and, most importantly, dental occlusal reconstruction. One of the essential requirements of achieving a consistent functional outcome is to place the bony reconstruction in [...] Read more.
The ideal jaw reconstruction involves the restoration and maintenance of jaw continuity, jaw relations, joint alignment, and facial contour, and, most importantly, dental occlusal reconstruction. One of the essential requirements of achieving a consistent functional outcome is to place the bony reconstruction in the correct three-dimensional position as it relates to the other jaw segments and dentition. A protocol of occlusion-driven reconstruction of prefabricated fibular free flaps that are customized to the patient with surgical design and simulation (SDS)-planned osseointegrated implant installation was developed by our institution. This innovation introduced significant flexibility and efficiency to jaw reconstructions, but functional and cosmetic outcomes were dependent on the accuracy of the final reconstructions when compared to the SDS plan. The purpose of this study was to examine the accuracy of the SDS-planned fibular flap prefabrication in a cohort of patients undergoing jaw reconstruction. All patients that had undergone primary jaw reconstruction with prefabricated fibular free flaps were reviewed. The primary outcome of this study was the accuracy of the postoperative implant positions as compared to the SDS plan. A total of 23 implants were included in the analysis. All flaps survived, there was no implant loss postoperatively, and all the patients underwent all stages of the reconstruction. SDS planning of fibular flap prefabrication resulted in better than 2 mm accuracy of osteointegrated implant placement in a cohort of patients undergoing jaw reconstruction. This accuracy could potentially result in improved functional and cosmetic outcomes. Full article
(This article belongs to the Special Issue 3D Innovations in Personalized Surgery)
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9 pages, 2729 KiB  
Article
Does a Customized 3D Printing Plate Based on Virtual Reduction Facilitate the Restoration of Original Anatomy in Fractures?
by Seung-Han Shin, Moo-Sub Kim, Do-Kun Yoon, Jae-Jin Lee and Yang-Guk Chung
J. Pers. Med. 2022, 12(6), 927; https://0-doi-org.brum.beds.ac.uk/10.3390/jpm12060927 - 02 Jun 2022
Cited by 4 | Viewed by 2378
Abstract
The purpose of this study was to evaluate the restoration of original anatomy after fixation of sawbone fractures using case-specific 3D printing plates based on virtual reduction (VR). Three-dimensional models of 28 tibia sawbones with cortical marking holes were obtained. The sawbones were [...] Read more.
The purpose of this study was to evaluate the restoration of original anatomy after fixation of sawbone fractures using case-specific 3D printing plates based on virtual reduction (VR). Three-dimensional models of 28 tibia sawbones with cortical marking holes were obtained. The sawbones were fractured at various locations of the shaft and 3D models were obtained. The fractured models were reduced virtually and customized non-locking metal plates that fit the reduced model were produced via 3D printing. The fractured sawbones were actually fixed to the customized plate with nonlocking screws and 3D models were generated. With the proximal fragments of the 3D models overlapped, the changes in length, 3D angulation, and rotation of the distal fragment were evaluated. Compared to the intact model (IN), the virtual reduction model (VR) and the actual fixation model (AF) showed no significant differences in length. Compared to the IN, the VR and the AF had mean 3D angulations of 0.39° and 0.64°, respectively. Compared to the IN model, the VR and the AF showed mean rotations of 0.89° and 1.51°, respectively. A customized plate based on VR facilitates the restoration of near-original anatomy in fractures of tibial sawbone shaft. Full article
(This article belongs to the Special Issue 3D Innovations in Personalized Surgery)
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Review

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16 pages, 5311 KiB  
Review
Personalized Medicine Workflow in Post-Traumatic Orbital Reconstruction
by Juliana F. Sabelis, Ruud Schreurs, Harald Essig, Alfred G. Becking and Leander Dubois
J. Pers. Med. 2022, 12(9), 1366; https://0-doi-org.brum.beds.ac.uk/10.3390/jpm12091366 - 24 Aug 2022
Viewed by 1847
Abstract
Restoration of the orbit is the first and most predictable step in the surgical treatment of orbital fractures. Orbital reconstruction is keyhole surgery performed in a confined space. A technology-supported workflow called computer-assisted surgery (CAS) has become the standard for complex orbital traumatology [...] Read more.
Restoration of the orbit is the first and most predictable step in the surgical treatment of orbital fractures. Orbital reconstruction is keyhole surgery performed in a confined space. A technology-supported workflow called computer-assisted surgery (CAS) has become the standard for complex orbital traumatology in many hospitals. CAS technology has catalyzed the incorporation of personalized medicine in orbital reconstruction. The complete workflow consists of diagnostics, planning, surgery and evaluation. Advanced diagnostics and virtual surgical planning are techniques utilized in the preoperative phase to optimally prepare for surgery and adapt the treatment to the patient. Further personalization of the treatment is possible if reconstruction is performed with a patient-specific implant and several design options are available to tailor the implant to individual needs. Intraoperatively, visual appraisal is used to assess the obtained implant position. Surgical navigation, intraoperative imaging, and specific PSI design options are able to enhance feedback in the CAS workflow. Evaluation of the surgical result can be performed both qualitatively and quantitatively. Throughout the entire workflow, the concepts of CAS and personalized medicine are intertwined. A combination of the techniques may be applied in order to achieve the most optimal clinical outcome. The goal of this article is to provide a complete overview of the workflow for post-traumatic orbital reconstruction, with an in-depth description of the available personalization and CAS options. Full article
(This article belongs to the Special Issue 3D Innovations in Personalized Surgery)
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