Pregled 3D-tiskanih protez za zgornje ude : diplomsko delo

Zahirović, Mirela (avtor), Ficzko, Jelena (mentor), Pavlović, Monika (komentor), Fošnarič, Miha (recenzent)

Uvod: Zgornji ud je eden izmed pomembnejših delov telesa, saj z njim opravljamo večino vsakdanjih opravil. Prav tako nam pomaga pri neverbalni komunikaciji in gibanju. Glavni cilj protetične oskrbe zgornjega uda je predvsem, da s protezo osebi pomagamo povrniti čim več izgubljenih funkcij. Približno 80 % ljudi iz manj razvitih držav si protetične oskrbe ne more privoščiti, zato se v zadnjih časih vse intenzivneje razvijajo cenovno dostopnejši sistemi za izdelavo protez. Dodajalna tehnologija, kamor prištevamo tudi tridimenzionalni tisk, je tehnika proizvodnje z nalaganjem materiala po plasteh, dokler ne nastane fizični predmet. Namen: Namen diplomskega dela je opraviti pregled strokovne in znanstvene literature na temo tridimenzionalno tiskanih protez za zgornje ude ter predstaviti njihove prednosti in slabosti v ročni protetiki. Metode dela: Opravljen je bil sistematičen pregled strokovne in znanstvene literature. Obravnavana je bila literatura, objavljena med letoma 2011 in 2021, ki se navezuje na uporabo tridimenzionalno tiskanih protez za zgornji ud. Rezultati: Po pregledu literature smo za nadaljnje delo izbrali 11 študij. Glavna tema študij je ocena funkcionalnosti tridimenzionalno tiskane proteze in vpliv protez na mišice zgornjega uda. Razprava in zaključek: Iz izsledkov rezultatov smo razbrali, da sta prednosti tridimenzionalnega tiska predvsem nizka cena in krajši čas izdelave protez, glavni pomanjkljivosti pa sta šibek prijem in robotski videz protez. Za odprtokodne tridimenzionalne modele protez trenutno ni predpisov in kliničnih smernic glede izbire in izdelav. Brez ustreznega znanja o dodajalni tehnologiji in protezah lahko pride do poškodb krna, zato moramo biti previdni pri izdelavi in pomerjanju protez. Menimo, da imajo takšne proteze potencial predvsem v državah, kjer si mnogi ne morejo privoščiti dražje protetične oskrbe. Ne glede na različne že dostopne raziskave vidimo potrebo po dodatnih kliničnih študijah za celostno razumevanje funkcionalnosti in kakovosti tridimenzionalno tiskanih protez v primerjavi s konvencionalno izdelanimi protezami.

• Jezik: Slovenski jezik
• Ključne besede: diplomska dela, ortotika in protetika, amputacija, dodajalna tehnologija, protetična oskrba, ročna protetika
• Vrsta gradiva: Diplomsko delo/naloga
• Tipologija: 2.11 - Diplomsko delo
• Organizacija: ZF - Zdravstvena fakulteta
• Kraj izida: Ljubljana
• Založnik: [M. Zahirović]
• Leto izida: 2021
• Št. strani: 24 str.
• PID: 20.500.12556/RUL-127877
• UDK: 617.3
• COBISS.SI-ID: 68549379
• Datum objave v RUL: 26.06.2021

Sekundarni jezik

• Jezik: Angleški jezik
• Naslov: A review of 3D-printed upper limb prosthees : diploma work

Izvleček

Introduction: The upper limb is one of the most important parts of the body, as we do most of our daily tasks with it. It also helps us in non-verbal communication and movement. The main goal of upper extremity prosthetic care is to help the person regain as much lost function as possible with the prosthesis. About 80 % of people from less developed countries cannot afford prosthetic care, which is why more and more affordable prosthetic manufacturing systems are being developed recently. Additive technology, which also includes three-dimensional printing, is a production technique in which material is layered until a physical object is created. Purpose: The purpose of this thesis is to review the professional and scientific literature on the topic of three-dimensional printed upper limb prostheses and to present the advantages and disadvantages of these prostheses in upper limb prosthetics. Methods: A systematic review of the professional and scientific literature was performed. Literature published between 2011 and 2021 related to the use of three-dimensional printed prostheses for the upper limb was discussed. Results: After reviewing the literature, 11 studies were selected for further work. The main theme of the studies is to evaluate the functionality of three-dimensionally printed prostheses and their impact on upper extremity muscles. Discussion and conclusion: From the results, we learned that the advantage of three-dimensional printing is the low cost and shorter production time, and the main disadvantage is the poor grip and robotic appearance of the prosthesis. There are no regulations and clinical guidelines for open source models of three-dimensionally prostheses for selection and fabrication. Without proper knowledge of additive technology and prostheses, residual limb damage may occur, so we need to be careful when fabricating and fitting prostheses. We believe that such prostheses have potential, especially in countries where many cannot afford more expensive prosthetic care. Regardless of the various studies available, we see the need for further clinical studies to fully understand the functionality and quality of three-dimensionally printed prostheses compared to conventionally manufactured prostheses.

• Ključne besede: diploma theses, orthotics and prosthetics, amputation, additive technology, prosthetic care, upper limb prosthetics