ivmМеждународный вестник ветеринарииInternational Journal of Veterinary Medicine2072-2419SpbGUVM Publishing House10.52419/issn2072-2419.2022.4.232ivm-992Research ArticleБИОХИМИЯ, МОРФОЛОГИЯ, ФИЗИОЛОГИЯBIOCHEMISTRY, ANATOMY, PHYSIOLOGYМировой опыт применения трехмерных титановых имплантатов в ветеринарной практикеWorld experience in use of three-dimensional titanium implants in veterinary practiceКондратенкоА. А.KondratenkoA. A.

 м.н.с. 

 junior researcher 

ПелешокС. А.PeleshokS. A.

 д.м.н., вед. науч. сотр., профессор 

 Doctor of Medicine Sciences, lead. scientist, professor 

ШевелеваВ. С.ShevelevaV. S.

 м.н.с. 

 junior researcher 

ПавловА. А.PavlovA. A.

 опер. науч. Роты 

Военно-медицинская академия имени С.М. КироваРоссияMilitary Medical Academy named after S.M. KirovRussian Federation20223101202304232240Copyright © Кондратенко А.А., Пелешок С.А., Шевелева В.С., Павлов А.А., 20232023Кондратенко А.А., Пелешок С.А., Шевелева В.С., Павлов А.А.Kondratenko A.A., Peleshok S.A., Sheveleva V.S., Pavlov A.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vetjournal.spbguvm.ru/jour/article/view/992

Развитие аддитивных технологий и внедрение их в медицину предоставило новые возможности для реконструктивного лечения в том числе и пациентов-животных. Титан и титановые сплавы благодаря свойствам механической биосовместимости используются в качестве материала для изготовления имплантатов методами 3D-печати.Целью данного обзора являлось обобщение данных о применении титановых имплантатов, полученных методами трехмерной печати, для лечения животных с костными дефектами. Поиск информации осуществлялся в базах научных данных отечественной и зарубежной литературы и медицинским ресурсам (PubMed, Scopus, eLIBRARY.RU, КиберЛенинка и др.).В результате проведенного исследования показано, что применение технологии трехмерной печати позволяет проектировать и создавать индивидуальные имплантаты и эндопротезы на основе снимков каждого пациента, точно соответствующие участку дефекта. Кроме того, применение технологии трехмерной печати дает возможность хирургам визуализировать позиционирование имплантата, оптимизируя предоперационное планирование. Такой подход сокращает время оперативного вмешательства, уменьшает сроки послеоперационного восстановления. Индивидуальное проектирование имплантатов для ветеринарии отличается от хирургического лечения людей значительным многообразием анатомических форм костей животных. Нередко единственно возможным вариантом восстановительного лечения животного является установка индивидуально спроектированного имплантата. Преимуществами 3D-печатных имплантатов из титана и его сплавов является возможность получения необходимой заданной пористости и шероховатости поверхности, которые приводят к снижению микроподвижности конструкции костьимплантат и способствуют хорошей остеоинтеграции.Таким образом, примеры использования индивидуальных трехмерных титановых имплантатов для лечения животных показывают возможности применения аддитивной технологии для ветеринарии.

Additive technologies have been actively developing in recent decades. Their introduction into medicine provides new opportunities for reconstructive treatment, including animal patients.One of the most popular materials for 3D printing is titanium and titanium alloys. Their demand is explained by the properties of mechanical biocompatibility, strength and elasticity comparable to bone.The purpose of this review was to summarize data on the use of 3D printed titanium implants for the treatment of animals with bone defects. The search for information was carried out in the databases of scientific data of domestic and foreign literature and medical resources.The conducted studies have shown that the use of 3D printing technology makes it possible to design and create individual implants and endoprostheses based on images of each patient, exactly corresponding to the area of the defect. This approach reduces the time of surgical intervention, reduces the time of postoperative recovery.Possibility of obtaining the necessary specified porosity and surface roughness, which leads to a decrease in the micromovement of the boneimplant structure and promotes good osseointegration. These properties are the advantages of 3D printing implants made of titanium and titanium alloys.The given practical examples of the use of individual three-dimensional titanium implants show the possibilities of using additive technology for veterinary medicine.

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The authors declare that there are no conflicts of interest present.