Medical

Custom 3D-printed joints may restore full movement to disabled fingers

Custom 3D-printed joints may restore full movement to disabled fingers
One of Fraunhofer's prototype 3D-printed titanium custom finger joints
One of Fraunhofer's prototype 3D-printed titanium custom finger joints
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One of Fraunhofer's prototype 3D-printed titanium custom finger joints
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One of Fraunhofer's prototype 3D-printed titanium custom finger joints

We hear a lot about artificial hips and knees, but finger joints? They do exist, but their fit and functionality is limited. Germany's Fraunhofer research group aims to change that, with artificial finger joints that are custom 3D-printed for each patient.

Quite often, when a finger joint is irreparably damaged due to arthritis or injury, doctors will simply fuse it together. Needless to say, doing so decreases that digit's dexterity.

Artificial finger joints are becoming more common, and typically take the form of either silicone or standard implants.

According to Fraunhofer, however, the silicone implants often come loose from the finger bones and have to be surgically reattached, while the standard implants are only made in certain sizes which don't restore a full range of movement to any one patient.

With these limitations in mind, five Fraunhofer branches are now collaborating on what is known as the FingerKIt project.

In a system developed as part of that project, patients start by having the affected finger X-rayed. Custom AI-based software subsequently analyzes the two-dimensional images, and uses the information to create a 3D computer model for an artificial joint which is specifically suited to that finger.

The model then guides a 3D printer which builds the actual titanium implant. In a printing process called metal binder jetting, the implant is initially constructed one layer at a time, by applying a liquid binder to a titanium-particle powder. The resulting object is highly detailed but rather fragile, so it's subjected to a sintering process, which transforms the bonded particles into a sturdier solid material.

It's also possible to make the implants out of ceramics, via a slip casting process.

In either case, it is estimated that patients could be fitted with the custom joints up to 60% faster than is currently the case with standard implants, as the joints could be printed on location, soon after the X-rays were taken.

Fraunhofer is now seeking commercial partners to help bring the technology to market.

Source: Fraunhofer

2 comments
2 comments
Rustgecko
What about toes? Double their market.
TomWatson
I had Bi-Lateral Knee Replacement surgery 12 years ago. So far I am better than ever, but the operation's pain was excruciating and lasted for months. The result was worth it but I am glad I had both done at the same time for the pain was extreme and I do not want to ever have to do it again. How does this processing rate in the pain threshold? Is there any difference? Most importantly what is the Bursa/Silicone pad in between the 2 pieces' longevity? I have had little deterioration in mine but was told eventually that piece will wear out and I will need to have it replaced by cutting me open again. I ski better than ever, so it was mandatory for me because I had an extreme Vargas alignment and was in dire pain until I had the operation. I hope this helps someone.