By Azad Najmaldin Pierre J. Guillou

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Since the titanium membrane is a personalized implant, it has 52 V. Pattijn et al. a specific shape for each individual patient. Therefore, the manufacturing process must be suited for the production of individual objects at a limited cost. The manufacturing process exists in two steps: (1) the production of a physical model of the reconstructed cortex and (2) the drawing of the titanium membrane by using the hydroforming technique. 1. Physical model The solid freeform fabrication (SFF) techniques, also called rapid prototyping (RP) techniques, are well suited for the manufacturing of individual objects with complex shapes.

Mech. 10 (1992) 73. 117. P. M. Suquet, in Homogenization Techniques for Composite Media, eds. E. Sanchez-Palencia and A. Zaoui (Springer, Berlin, 1987). 118. J. Kabel, A. Odgaard, B. van Rietbergen and R. Huiskes, Bone 24 (1999) 115. CHAPTER 2 MEDICAL IMAGE-BASED PREFORMED TITANIUM MEMBRANES FOR BONE RECONSTRUCTION V. PATTIJN, F. GELAUDE∗ , J. VANDER SLOTEN† and R. e. the reconstruction of weight-bearing bones after tumor resection surgery, is described. First, the shape of the new implant was determined using CT-scan data and strength calculations combined with material considerations.

Sterio, J. Microsc. 134 (1984) 127. 91. J. R. Nyengaard and N. Marcussen, J. Microsc. 171 (1993) 27. 92. M. Amling, M. Posl, H. Ritzel, M. Hahn, M. Vogel, V. J. Wening and G. Delling, Arch. Orthop. Trauma Surg. 115 (1996) 262. 93. B. R. Gomberg, P. K. Saha and H. K. Song, IEEE Trans. Med. Imaging 19 (2000) 166. 94. P. K. Saha and B. B. Chaudhury, Comput. Vision Image Understanding 63 (1996) 418. 95. D. Chappard, E. Legrand, B. Haettich, G. Chales, B. Auvinet, J. P. Eschard, J. P. Hamelin, M. F.

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