<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1887-8571</journal-id>
<journal-title><![CDATA[Sanidad Militar]]></journal-title>
<abbrev-journal-title><![CDATA[Sanid. Mil.]]></abbrev-journal-title>
<issn>1887-8571</issn>
<publisher>
<publisher-name><![CDATA[Ministerio de Defensa]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1887-85712021000400186</article-id>
<article-id pub-id-type="doi">10.4321/s1887-85712021000400003</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Nuevas tecnologías para la Sanidad Militar (segunda parte)]]></article-title>
<article-title xml:lang="en"><![CDATA[New Technologies for Military Health (part two)]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Crego-Vita]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Cañas]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Huecas-Martínez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Areta-Jiménez]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Central de la Defensa Gómez Ulla Servicio de Cirugía Ortopédica y Traumatología ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>77</volume>
<numero>4</numero>
<fpage>186</fpage>
<lpage>190</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1887-85712021000400186&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1887-85712021000400186&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1887-85712021000400186&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: Desde el año 2017 hemos desarrollado un programa de impresión 3D en el Servicio de Cirugía Ortopédica y Traumatología del Hospital Central de la Defensa «Gómez Ulla». El objetivo de este trabajo es presentar los resultados preliminares obtenidos y las dificultades encontradas en el uso de la tecnología de impresión 3D aplicada a la cirugía militar.  Material y métodos: Se realizaron impresiones de instrumental quirúrgico habitualmente utilizado en cirugía ortopédica registrando el modelo de impresora utilizada, el tiempo necesario para su impresión, el material requerido, así como la calidad del producto obtenida. Posteriormente, el instrumental fue testado y se registró su resistencia.  Resultados: Veintisiete dispositivos de instrumental quirúrgico fueron creados mediante manufactura por adición utilizando Ácido Poliláctico (PLA) y Acrilonitrilo Butadieno Estireno (ABS) con dos modelos de impresoras 3D. El precio unitario de los dispositivos impresos en PLA no superó los 2 euros, mientras que el de los impresos en ABS fue de 3 euros. Los tiempos medios de impresión fueron similares en ambos modelos de impresora 3D. Se registraron fallos en cuatro dispositivos impresos en PLA mientras que los instrumentales impresos en ABS no presentaron fallos y obtuvieron mejores puntuaciones en los aspectos encuestados.  Conclusiones: Mediante la impresión 3D se obtuvieron modelos de instrumental similares a los que usamos en acero quirúrgico. La producción de estos modelos es relativamente rápida, siendo éstos más resistentes y fiables al usar ABS como material de impresión. Se necesitan más trabajos en esta línea para definir los límites de la impresión 3D aplicada a la cirugía militar.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[SUMMARY  Introduction: since 2017 we have developed a 3D printing program in the Orthopedic Surgery and Traumatology Unit of the Central Hospital of Defense «Gómez Ulla». The objective of this work is to present the preliminary results obtained and the difficulties encountered in the use of 3D printing technology applied to military surgery.  Material and methods: impressions of surgical instruments usually used in orthopedic surgery were made, recording the model of the printer used, the time required for printing it, the material used, as well as the quality of the product obtained. Subsequently, the instruments were tested and their resistance was recorded.  Results: twenty-seven surgical instrument devices were created by additive manufacture using Polylactic Acid (PLA) and Acrylonitrile Butadiene Styrene (ABS) with two 3D printer models. The unit price of the devices printed in PLA did not exceed 2 euros, while that of those printed in ABS was 3 euros. Average print times were similar on both 3D printer models. Failures were recorded in four devices printed in PLA, while the models printed in ABS did not present failures and obtained better scores in the aspects surveyed.  Conclusions: using 3D printing, models of surgical instruments similar to those we use in surgical steel were obtained. The production of these models is relatively fast, being these more resistant and reliable when using ABS as a printing material. More studies are necessary in this research line to define the limits of 3D printing applied to military surgery.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Impresión 3D]]></kwd>
<kwd lng="es"><![CDATA[Cirugía de guerra]]></kwd>
<kwd lng="es"><![CDATA[Logística sanitaria]]></kwd>
<kwd lng="es"><![CDATA[Acido poliláctico]]></kwd>
<kwd lng="es"><![CDATA[Acrilonitrilo butadieno estireno]]></kwd>
<kwd lng="en"><![CDATA[3D printing]]></kwd>
<kwd lng="en"><![CDATA[war surgery]]></kwd>
<kwd lng="en"><![CDATA[medical logistics]]></kwd>
<kwd lng="en"><![CDATA[Polylactic Acid]]></kwd>
<kwd lng="en"><![CDATA[Acrylonitrile Butadiene Styrene]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Crego Vita]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[García Cañas]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Areta Jiménez]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Nuevas tecnologías para la Sanidad Militar]]></article-title>
<source><![CDATA[Sanidad Mil]]></source>
<year>2017</year>
<volume>73</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>28-30</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kondor]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Grant]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Liacouras]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Schmid]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
<name>
<surname><![CDATA[Parsons]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[On Demand Additive Manufacturing of a Basic Surgical Kit]]></article-title>
<source><![CDATA[J Med Devices]]></source>
<year>2013</year>
<volume>7</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Betz]]></surname>
<given-names><![CDATA[JF]]></given-names>
</name>
<name>
<surname><![CDATA[Ho]]></surname>
<given-names><![CDATA[VB]]></given-names>
</name>
<name>
<surname><![CDATA[Gaston]]></surname>
<given-names><![CDATA[JD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[3D Bioprinting and Its Application to Military Medicine]]></article-title>
<source><![CDATA[Mil Med]]></source>
<year>2020</year>
<volume>185</volume>
<numero>9-10</numero>
<issue>9-10</issue>
<page-range>e1510-9</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rankin]]></surname>
<given-names><![CDATA[TM]]></given-names>
</name>
<name>
<surname><![CDATA[Giovinco]]></surname>
<given-names><![CDATA[NA]]></given-names>
</name>
<name>
<surname><![CDATA[Cucher]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
<name>
<surname><![CDATA[Watts]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Hurwitz]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Armstrong]]></surname>
<given-names><![CDATA[DG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Three-dimensional printing surgical instruments: are we there yet?]]></article-title>
<source><![CDATA[J Surg Res]]></source>
<year>2014</year>
<volume>189</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>193-7</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pérez-Mañanes]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Calvo-Haro]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Arnal-Burró]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Chana-Rodríguez]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Sanz-Ruiz]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Vaquero Martín]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Nuestra experiencia con impresión 3D doméstica en cirugía ortopédica y Traumatología. Hazlo tú mismo]]></article-title>
<source><![CDATA[Rev Latinoam Cir Ortop]]></source>
<year>2016</year>
<volume>1</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>47-53</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wong]]></surname>
<given-names><![CDATA[JY]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Applications of 3D Printing in Austere Environments]]></article-title>
<source><![CDATA[Aerosp Med Hum Perform]]></source>
<year>2016</year>
<volume>87</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>423-5</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Yu]]></surname>
<given-names><![CDATA[AW]]></given-names>
</name>
<name>
<surname><![CDATA[Khan]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[On-demand three-dimensional printing of surgical supplies in conflict zones]]></article-title>
<source><![CDATA[J Trauma Acute Care Surg]]></source>
<year>2015</year>
<volume>78</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>201-3</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chambers]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Seastedt]]></surname>
<given-names><![CDATA[KP]]></given-names>
</name>
<name>
<surname><![CDATA[Raymundo-Grinstead]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[An Example of 3-D Printing for Expeditionary Medicine: The Air Force Retractor]]></article-title>
<source><![CDATA[Mil Med]]></source>
<year>2020</year>
<volume>185</volume>
<numero>5-6</numero>
<issue>5-6</issue>
<page-range>e565-7</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Culmone]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Smit]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Breedveld]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Additive Manufacturing of Medical Instruments: A State-of-the-Art Review]]></article-title>
<source><![CDATA[Additive Manufacturing]]></source>
<year>2019</year>
<volume>27</volume>
<page-range>461-73</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Andrzejewski]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Skórczewska]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Klozinski]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Improving the Toughness and Thermal Resistance of Polyoxymethylene/Poly(lactic acid) Blends: Evaluation of Structure-Properties Correlation for Reactive Processing]]></article-title>
<source><![CDATA[Polymers (Basel)]]></source>
<year>2020</year>
<volume>12</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="confpro">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rahman]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Schott]]></surname>
<given-names><![CDATA[NR]]></given-names>
</name>
<name>
<surname><![CDATA[Sadhu]]></surname>
<given-names><![CDATA[LK]]></given-names>
</name>
</person-group>
<source><![CDATA[Glass transition of ABS in 3D printing]]></source>
<year></year>
<conf-name><![CDATA[ COMSOL Conference]]></conf-name>
<conf-date>2016</conf-date>
<conf-loc>Boston, MA </conf-loc>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Huotilainen]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Paloheimo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Salmi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Imaging requirements for medical applications of additive manufacturing]]></article-title>
<source><![CDATA[Acta Radiol]]></source>
<year>2014</year>
<volume>55</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>78-85</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wong]]></surname>
<given-names><![CDATA[JY]]></given-names>
</name>
<name>
<surname><![CDATA[Pfahnl]]></surname>
<given-names><![CDATA[AC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[3D printing of surgical instruments for long-duration space missions]]></article-title>
<source><![CDATA[Aviat Space Environ Med]]></source>
<year>2014</year>
<volume>85</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>758-63</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hoang]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Perrault]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Stevanovic]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ghiassi]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Surgical applications of three-dimensional printing: a review of the current literature &amp; how to get started]]></article-title>
<source><![CDATA[Ann Transl Med]]></source>
<year>2016</year>
<volume>4</volume>
<numero>23</numero>
<issue>23</issue>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ngo]]></surname>
<given-names><![CDATA[TD]]></given-names>
</name>
<name>
<surname><![CDATA[Kashani]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Imbalzano]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Nguyen]]></surname>
<given-names><![CDATA[KT]]></given-names>
</name>
<name>
<surname><![CDATA[Hui]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Additive manufacturing (3D printing): A review of materials, methods, applications and challenges]]></article-title>
<source><![CDATA[Composites Part B: Engineering]]></source>
<year>2018</year>
<volume>143</volume>
<page-range>172-96</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
