The Use of 3D Printed Customized Casts in Children with Upper Extremity Fractures: A Report of Two Cases

Document Type : CASE REPORT

Authors

1 Rothman Orthopaedic Institute, Philadelphia, PA, USA

2 Rutgers-RWJMSRutgers-Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA

Abstract

3D printing is an evolving technology which has a potential application in the treatment pediatric forearm fractures. Very
little has been published with regard to 3D casting in children. We present two cases in which upper extremity fractures in
pediatric patients were treated by wearing a custom made 3D printed cast. At latest follow-up at least one year post-injury,
the clinical outcomes were excellent.
Orthopaedic surgeons may benefit from familiarizing themselves with the potential of 3D printing technology and utilizing
its current applications, as well as devising future applications, in clinical practice.
Level of evidence: IV

Keywords


1. Mulford JS, Babazadeh S, Mackay N. Three‐dimensional
printing in orthopaedic surgery: review of current
and future applications. ANZ journal of surgery. 2016;
86(9):648-53.
2. Williams KG, Smith G, Luhmann SJ, Mao J, Gunn JD,
Luhmann JD. A randomized controlled trial of cast
versus splint for distal radial buckle fracture: an
evaluation of satisfaction, convenience, and preference.
Pediatric emergency care. 2013; 29(5):555-9.
3. Witney-Lagen C, Smith C, Walsh G. Soft cast versus
rigid cast for treatment of distal radius buckle fractures
in children. Injury. 2013; 44(4):508-13.
4. DiPaola MJ, Abzug JM, Pizzutillo PD, Herman MJ.
Incidence and etiology of unplanned cast changes
for fractures in the pediatric population. Journal of
Pediatric Orthopaedics. 2014; 34(6):643-6.
5. Nguyen S, McDowell M, Schlechter J. Casting: Pearls and
pitfalls learned while caring for children’s fractures.
World journal of orthopedics. 2016; 7(9):539.
6. Samora JB, Samora WP, Dolan K, Klingele KE. A quality
improvement initiative reduces cast complications in
a pediatric hospital. Journal of pediatric orthopedics.
2018; 38(2):e43-9.
7. Boutis K, Willan A, Babyn P, Goeree R, Howard A. Cast
versus splint in children with minimally angulated
fractures of the distal radius: a randomized controlled
trial. Cmaj. 2010; 182(14):1507-12.
8. Grafstein E, Stenstrom R, Christenson J, Innes G,
MacCormack R, Jackson C, et al. A prospective
randomized controlled trial comparing circumferential
casting and splinting in displaced Colles fractures.
Canadian Journal of Emergency Medicine. 2010;
12(3):192-200.
9. Li J, Tanaka H. Rapid customization system for
3D-printed splint using programmable modeling
technique–a practical approach. 3D printing in
medicine. 2018; 4(1):1-21.
10. Lin H, Shi L, Wang D. A rapid and intelligent designing
technique for patient-specific and 3D-printed
orthopedic cast. 3D printing in medicine. 2016 Dec;
2(1):1-0.
11. Riboh JC, Leversedge FJ. The use of low-intensity
pulsed ultrasound bone stimulators for fractures of
the hand and upper extremity. Journal of Hand Surgery.
2012; 37(7):1456-61.
12. Lou S, Lv H, Li Z, Zhang L, Tang P. The effects of lowintensity
pulsed ultrasound on fresh fracture: A metaanalysis.
Medicine (Baltimore). 2017; 96(39):e8181.
13. Guida P, Casaburi A, Busiello T, Lamberti D, Sorrentino
A, Iuppariello L, et al. An alternative to plaster cast
treatment in a pediatric trauma center using the CAD/
CAM technology to manufacture customized threedimensional-
printed orthoses in a totally hospital
context: a feasibility study. Journal of Pediatric
Orthopaedics B. 2019; 28(3):248-55.
14. Graham J, Wang M, Frizzell K, Watkins C, Beredjiklian
P, Rivlin M. Conventional vs 3-dimensional printed cast
wear comfort. HAND. 2020; 15(3):388-92.
15. Chen YJ, Lin H, Zhang X, Huang W, Shi L, Wang D.
Application of 3D–printed and patient-specific cast
for the treatment of distal radius fractures: initial
experience. 3D Printing in Medicine. 2017; 3(1):1-9.