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A novel motorized bending apparatus for surgical plates

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Abstract

Surgical plates, which are used in various bone reconstruction surgeries, must be accurately bent intraoperatively or preoperatively. Manual bending is a time- and labor-consuming process, which sometimes results in residual stress to the plate after repeated operations. To overcome these problems, we propose a motorized bending apparatus for surgical plates that can automatically bend the plates to the target angle in a single trial, which may reduce the residual stress. Finite element analysis (FEA) was used to compensate for the springback and provide the proper inputs. To evaluate the performance of the apparatus, we performed tests with five reconstruction plates in the manual bending group and the apparatus-bending group, respectively, for angles of 15° and 30°. The apparatus-bending showed improved accuracy and precision. Also, the apparatus took much shorter times to perform the same tasks. The proposed method should reduce the surgical preparation time and provide convenience to surgeons.

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References

  1. S. J. Hollister and S. E. Feinberg, Normal and reconstructed mandibular condyle mechanics, KSME International Journal, 15(7) (2001) 974–981.

    Article  Google Scholar 

  2. B. T. Goh, S. Lee, H. Tideman and P. Stoelinga, Mandibular reconstruction in adults: a review, International Journal of Oral and Maxillofacial Surgery, 37(7) (2008) 597–605.

    Article  Google Scholar 

  3. M. Martola, C. Lindqvist, H. Hanninen and J. Al-Sukhun, Fracture of titanium plates used for mandibular reconstruction following ablative tumor surgery, Journal of Biomedical Materials Research, 80B(2) (2007) 345–352.

    Article  Google Scholar 

  4. P. Maurer, A. W. Eckert, M. S. Kriwalsky and J. Schubert, Scope and limitations of methods of mandibular reconstruction: A long-term follow-up, British Journal of Oral and Maxillofacial Surgery, 48(2) (2010) 100–104.

    Article  Google Scholar 

  5. T. Shibahara, H. Noma, Y. Furuya and R. Takaki, Fracture of mandibular reconstruction plates used after tumor resection, Journal of Oral and Maxillofacial Surgery, 60(2) (2002) 182–185.

    Article  Google Scholar 

  6. G. Seol, E. Jeon, J. Lee, S. Choi, J. Kim, T. Kwon and J. Paeng, Reconstruction plates used in the surgery for mandibular discontinuity defect, J Korean Assoc Oral Maxillofac Surg., 40(6) (2014) 266–271.

    Article  Google Scholar 

  7. R. Lopez, C. Dekeister, Z. Sleiman and J. Paoli, Mandibular reconstruction using the titanium functionally dynamic bridging plate system: a retrospective study of 34 cases, Journal of Oral and Maxillofacial Surgery, 62(4) (2004) 421–426.

    Article  Google Scholar 

  8. A. Sakakibara, K. Hashikawa, S. Yokoo, S. Sakakibara, T. Komori and S. Tahara, Risk factors and surgical refinements of postresective mandibular reconstruction: A retrospective study, Plastic Surgery International (2014).

    Google Scholar 

  9. A. Tarsitano, L. Ciocca, R. Cipriani, R. Scotti and C. Marchetti, Mandibular reconstruction using fibula free flap harvested using a customized cutting guide: How we do it, Acta Otorhinolaryngologica Italica, 35(3) (2015) 198–201.

    Google Scholar 

  10. M. Carfagni, F. Facchini, R. Furferi, M. Ghionzoli, L. Governi, A. Messineo, F. Uccheddu and Y. Volpe, Towards a CAD-based automatic procedure for patient specific cutting guides to assist sternal osteotomies in pectus arcuatum surgical correction, Journal of Computational Design and Engineering, 6(1) (2019) 118–127.

    Article  Google Scholar 

  11. H. Jeong, K. Park, K. Kil, S. Chong, H. Eun, T. Lee and J. Lee, Minimally invasive plate osteosynthesis using 3D printing for shaft fractures of clavicles: Technical note, Archives of Orthopaedic and Trauma Surgery, 134(11) (2014) 1551–1555.

    Article  Google Scholar 

  12. S. Mazzoni, A. Bianchi, G. Schiariti, G. Badiali and C. Marchetti, Computer-aided design and computer-aided manufacturing cutting guides and customized titanium plates are useful in upper maxilla waferless repositioning, Journal of Oral and Maxillofacial Surgery, 73(4) (2015) 701–707.

    Article  Google Scholar 

  13. N. Martelli, C. Serrano, H. Brink, J. Pineau, P. Prognon, I. Borget and S. E. Batti, Advantages and disadvantages of 3-dimensional printing in surgery: A systematic review, Surgery, 159(6) (2016) 1485–1500.

    Article  Google Scholar 

  14. C. Colton, S. Krikler, J. Schatzker, P. Trafton and R. Buckley, AO Surgery Reference, AO Foundation (2008).

    Google Scholar 

  15. A. Nayebi and M. Shahabi, Effect of continuum damage mechanics on springback prediction in metal forming processes, Journal of Mechanical Science and Technology, 31(5) (2017) 2229–2234.

    Article  Google Scholar 

  16. R. H. Wagoner, J. F. Wang and M. Li, Springback, ASM Handbook, Volume 14B, Metalworking: Sheet Forming, ASM International (2006) 733–750.

    Google Scholar 

  17. R. Sixto, Jr., J. Francese and J. Kortenbach, Bone Plate Bender System, US 8,419,745 B2, April 16 (2013) (issued).

    Google Scholar 

Download references

Acknowledgments

This work was supported by the Korea Institute of Science and Technology Institutional program (2E29330); this research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (HI18C1224).

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Authors and Affiliations

  1. Center for Bionics, Korea Institute of Science and Technology, Seoul, 02792, Korea

    Seungbin Park, Jeonghwan Lee, Si-Myung Park & Youngjun Kim

  2. School of Mechanical Engineering, Kyungpook National University, Daegu, 41566, Korea

    Gunwoo Noh

  3. Department of Oral & Maxillofacial Surgery, School of Dentistry, Kyung Hee University, Seoul, 02447, Korea

    Jung-Woo Lee

  4. Department of Mechanical System Design Engineering, Seoul National University of Sci. and Tech., Seoul, 01811, Korea

    Min Soo Park

Authors
  1. Seungbin Park
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  2. Jeonghwan Lee
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  3. Si-Myung Park
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  4. Gunwoo Noh
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  5. Jung-Woo Lee
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  6. Min Soo Park
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  7. Youngjun Kim
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Corresponding author

Correspondence to Youngjun Kim.

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Recommended by Guest Editor Maenghyo Cho.

Seungbin Park is a M.S. student in the Department of Computer Science and Engineering, Korea University and a research assistant in the Center for Bionics at Korea Institute of Science Technology. She received the B.S. degree in the Department of Biomedical Engineering, Yonsei University (2018). Her research interests include deep learning in medical field and medical image processing.

Jeonghwan Lee is a Ph.D. student in the Walker Department of Mechanical Engineering, the University of Texas at Austin. He received the B.S. degree in the mechanical engineering from Hanyang University in 2013, and M.S. degree in the mechanical and aerospace engineering from Seoul National University in 2017. He was a research assistant in the Center for Bionics at Korea Institute of Science Technology in 2017. His research interests include robotics and rehabilitation engineering.

Si-Myung Park is a research assistant in the Center for Bionics at Korea Institute of Science Technology. She received the B.S. degree in IT engineering from Sookmyung Women’s University (2016), and M.S. degree in mechanical engineering from Yonsei University (2019). Her research interests include computational mechanics, biomechanics and design optimization of structures.

Gunwoo Noh is an Assistant Professor in the School of Mechanical Engineering, Kyungpook National University. He received the B.S. degree in mechanical engineering from Korea Advanced Institute of Science and Technology, Daejeon, Korea, in 2009, and M.S. and Ph.D. degrees in mechanical engineering from Massachusetts Institute of Technology, Cambridge, MA, USA, in 2011 and 2013, respectively. His research interests include computational mechanics, structural dynamics, numerical integrations, biomechanics and design optimization of structures.

Jung-Woo Lee is an Associate Professor in the Department of Oral and Maxillofacial Surgery at School of Dentistry, Kyung Hee University Dental Hospital. He received his DMD (2003), MSD (2006), and Ph.D. (2011) in the School of Dentistry at Kyung Hee University. His research interests include virtual surgical simulation and 3D bioprinted tissue regeneration.

Min Soo Park is an Associate Professor in the Department of Mechanical System Design Engineering, Seoul National University of Science and Technology. He received his B.S. (2001) and Ph.D. (2007) in the School of Mechanical and Aerospace Engineering at Seoul National University. His research interests are metal & ceramic 3D printing, laser processing and micro machining.

Youngjun Kim is a Principal Researcher in the Center for Bionics at Korea Institute of Science Technology. He received his B.S. (2001), M.S. (2003), and Ph.D. (2009) in the School of Mechanical and Aerospace Engineering at Seoul National University. He researched in the Department of Radiation Oncology at Stanford University as a postdoctoral scholar (2013). His research interests include 3D medical software, computer aided design, and deep learning for medicine.

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Park, S., Lee, J., Park, SM. et al. A novel motorized bending apparatus for surgical plates. J Mech Sci Technol 33, 3743–3748 (2019). https://doi.org/10.1007/s12206-019-0716-0

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  • DOI: https://doi.org/10.1007/s12206-019-0716-0

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