Technology of manufacturing of personalized reconstructive allogenic bone graft (in Russian only)

• Published in: Hirurgija (Moskva) no. 3; p. 65
• Main Authors: Kotelnikov, G P, Kolsanov, A V, Volova, L T, Trunin, D A, Popov, N V, Nikolaenko, A N, Stepanov, G V
• Format: Journal Article
• Language: English; Russian
• Published: Russia (Federation) 2019
• Subjects: individual reconstructive bone implant; bone defect reconstruction; digital reconstruction method
• ISSN: 0023-1207
• DOI: 10.17116/hirurgia201903165

To develop the technology of manufacturing of reconstructive allogenic bone graft with individual parameters by using of digital prototyping and modeling. Allogeneic cadaveric bone blocks were used as material. The following methods were used to develop a manufacturing technology for personalized allogenic reconstructive bone implant: harvesting and special preparation of cadaveric material, primary disinfection, viral inactivation, ultrasound management, lyophilization of bone material, CT-examination of patients with various bone defects, digital prototyping and modeling, milling on a machine with numerical program control, X-ray sterilization. The technology of manufacturing of reconstructive allogenic bone graft with individual parameters was successfully tested in the treatment of 24 patients with post-traumatic, destructive-dystrophic and degenerative defects of jaws in 2012-2015. Final reconstructive allogenic bone implant has a personalized 3D-geometry in accordance with individual maxillofacial anatomy of particular patient. One of implant surfaces is fully congruent to the jaw bone defect, the others form the width, height and volume of reconstructive bone implant considering personified maxillofacial features. All above-mentioned features of bone implant are important to restore chewing function of dental system. The problem of bone implant personification may be resolved by using of computed tomography followed by digital analysis of jaw structure, technologies for digital reconstruction of bone defects (digital prototyping and modeling) and digital manufacturing.