Fixation of Iliac Avulsion Fracture Using Additive Manufacturing Titanium Mesh after DCIA Flap Harvesting: Case Report
Jaw defects can have a variety of causes, including tumors, trauma, and osteomyelitis. The reconstruction of jaw defects has been improved with the free flap technique and sophisticated microvascular techniques. A deep circumflex iliac artery (DCIA) flap provides a large amount of bone for the recon...
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MDPI AG
2023-02-01
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| Series: | Applied Sciences |
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| Online Access: | https://www.mdpi.com/2076-3417/13/5/2855 |
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| author | Ye-Joon Jo Yong-Jin Cho Jun-Seong Kim Jin Kim Jae-Seak You Ji-Su Oh Seong-Yong Moon |
| author_facet | Ye-Joon Jo Yong-Jin Cho Jun-Seong Kim Jin Kim Jae-Seak You Ji-Su Oh Seong-Yong Moon |
| author_sort | Ye-Joon Jo |
| collection | DOAJ |
| description | Jaw defects can have a variety of causes, including tumors, trauma, and osteomyelitis. The reconstruction of jaw defects has been improved with the free flap technique and sophisticated microvascular techniques. A deep circumflex iliac artery (DCIA) flap provides a large amount of bone for the reconstruction of the mandible. However, various complications and side effects, such as abnormal hip contour, hernia, severe bleeding tendency, gait disturbance, and hypoesthesia, can occur. Iliac bone fracture is not a common complication after DCIA flap harvesting, because the anterior superior iliac spine (ASIS) can include the harvested flap. If an iliac avulsion fracture occurs, various treatment options exist. If severe dislocation of the bone fragment exists, open reduction and internal fixation are required. At this time, orthopedic implants composed of various materials can be used. Among these, when using a 3D-fabricated implant using a Ti<sub>6</sub>Al<sub>4</sub>V alloy, the accuracy of the size and shape is excellent, and it can have mechanical–biocompatible advantages. In this study, we report cases of iliac bone fracture after reconstruction of the jaw with a DCIA flap and the treatment modality using a 3D-printed, patient-specific titanium implant. |
| first_indexed | 2024-03-11T07:31:53Z |
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| institution | Directory Open Access Journal |
| issn | 2076-3417 |
| language | English |
| last_indexed | 2024-03-11T07:31:53Z |
| publishDate | 2023-02-01 |
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| spelling | doaj.art-766096469fb54558bd8126c62c6c18252023-11-17T07:15:59ZengMDPI AGApplied Sciences2076-34172023-02-01135285510.3390/app13052855Fixation of Iliac Avulsion Fracture Using Additive Manufacturing Titanium Mesh after DCIA Flap Harvesting: Case ReportYe-Joon Jo0Yong-Jin Cho1Jun-Seong Kim2Jin Kim3Jae-Seak You4Ji-Su Oh5Seong-Yong Moon6Department of Oral and Maxillofacial Surgery, Chosun University Dental Hospital, Gwangju 61452, Republic of KoreaDepartment of Orthopedic Surgery, College of Medicine, Chosun University, Gwangju 61452, Republic of KoreaDepartment of Oral and Maxillofacial Surgery, College of Dentistry, Chosun University, Gwangju 61452, Republic of KoreaDepartment of Oral and Maxillofacial Surgery, College of Dentistry, Chosun University, Gwangju 61452, Republic of KoreaDepartment of Oral and Maxillofacial Surgery, College of Dentistry, Chosun University, Gwangju 61452, Republic of KoreaDepartment of Oral and Maxillofacial Surgery, College of Dentistry, Chosun University, Gwangju 61452, Republic of KoreaDepartment of Oral and Maxillofacial Surgery, College of Dentistry, Chosun University, Gwangju 61452, Republic of KoreaJaw defects can have a variety of causes, including tumors, trauma, and osteomyelitis. The reconstruction of jaw defects has been improved with the free flap technique and sophisticated microvascular techniques. A deep circumflex iliac artery (DCIA) flap provides a large amount of bone for the reconstruction of the mandible. However, various complications and side effects, such as abnormal hip contour, hernia, severe bleeding tendency, gait disturbance, and hypoesthesia, can occur. Iliac bone fracture is not a common complication after DCIA flap harvesting, because the anterior superior iliac spine (ASIS) can include the harvested flap. If an iliac avulsion fracture occurs, various treatment options exist. If severe dislocation of the bone fragment exists, open reduction and internal fixation are required. At this time, orthopedic implants composed of various materials can be used. Among these, when using a 3D-fabricated implant using a Ti<sub>6</sub>Al<sub>4</sub>V alloy, the accuracy of the size and shape is excellent, and it can have mechanical–biocompatible advantages. In this study, we report cases of iliac bone fracture after reconstruction of the jaw with a DCIA flap and the treatment modality using a 3D-printed, patient-specific titanium implant.https://www.mdpi.com/2076-3417/13/5/28553D printingcomputer-assisted surgeryiliac bone fracturetitanium implantiliac crest bone flap |
| spellingShingle | Ye-Joon Jo Yong-Jin Cho Jun-Seong Kim Jin Kim Jae-Seak You Ji-Su Oh Seong-Yong Moon Fixation of Iliac Avulsion Fracture Using Additive Manufacturing Titanium Mesh after DCIA Flap Harvesting: Case Report Applied Sciences 3D printing computer-assisted surgery iliac bone fracture titanium implant iliac crest bone flap |
| title | Fixation of Iliac Avulsion Fracture Using Additive Manufacturing Titanium Mesh after DCIA Flap Harvesting: Case Report |
| title_full | Fixation of Iliac Avulsion Fracture Using Additive Manufacturing Titanium Mesh after DCIA Flap Harvesting: Case Report |
| title_fullStr | Fixation of Iliac Avulsion Fracture Using Additive Manufacturing Titanium Mesh after DCIA Flap Harvesting: Case Report |
| title_full_unstemmed | Fixation of Iliac Avulsion Fracture Using Additive Manufacturing Titanium Mesh after DCIA Flap Harvesting: Case Report |
| title_short | Fixation of Iliac Avulsion Fracture Using Additive Manufacturing Titanium Mesh after DCIA Flap Harvesting: Case Report |
| title_sort | fixation of iliac avulsion fracture using additive manufacturing titanium mesh after dcia flap harvesting case report |
| topic | 3D printing computer-assisted surgery iliac bone fracture titanium implant iliac crest bone flap |
| url | https://www.mdpi.com/2076-3417/13/5/2855 |
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