CAD-Driven Design for 3D-Printed Surgical Guides and Cranial Implants

This paper presents a novel workflow for designing and fabricating patient-specific cranial implants and surgical guides using advanced CAD and 3D printing technologies. Developed at the T3Ddy Lab at Meyer Children’s Hospital, the methodology includes close collaboration between engineers and neurosurgeons, allowing for rapid prototyping and real-time adjustments. The workflow involves designing a cutting guide for precise bone resection and a custom cranial implant for anatomical reconstruction, both using titanium alloy for its biocompatibility and mechanical strength. The setup enhances efficiency, ensuring precise device fit and improving surgical outcomes. The paper presents the general framework established to design custom made medical devices for skull repairing surgery. The CAD modeling phase of the surgical guide and cranial implant are described in detail, highlighting developed solutions to improve the effectiveness of the technology. The proposed workflow was validated in multiple clinical cases, demonstrating improved surgical precision, reduced operative time, and enhanced recovery.