Tibial Fracture Fixation Team Logo.jpg

Buckle (Torus) Fracture of Pediatric Female Left Distal Radius

This module allows traditional bone setters, pre-hospital providers, clinical officers, nurses, nurse practitioners, and medical officers to become confident and competent in performing point-of-care ultrasound diagnostic imaging to rule out the presence of a pediatric distal forearm fracture and distinguish between buckle (torus) fractures and cortical break fractures to make appropriate referrals as part of the management of closed pediatric (< 16 years of age) distal forearm fractures in regions without access to X-ray imaging and orthopedic specialist coverage.[1][2][3][4][5][6]

Find Local 3D Print On Demand Services[edit | edit source]

On-site access to a 3D printer is not required. The open-source 3D files can be downloaded by any 3D printing organization anywhere. There are many networks you can use to find and contact 3D print on demand services in your region.

Prusa World Map[edit | edit source]

Prusa offers a map of Prusa 3D printer users worldwide with a "Print on Demand" option (in the left-side menu), which allows you to filter all users who accept print on demand requests and send a message to each user.

Register a New Prusa Account[edit | edit source]

  1. Go to https://account.prusa3d.com/registration/?next=/o/authorize/%3Fclient_id%3DM8LpfPFdUlFWcOpLmEdEm7IXmDQfNqhkMqRUYOnv%26response_type%3Dcode%26scope%3Dbasic_info%26redirect_uri%3Dhttps%3A//www.prusa3d.com/login/
  2. Fill in the requested information to register a new, free Prusa account
  3. Login to your free Prusa account

Look up 3D Print on Demand Services Near You[edit | edit source]

  1. Go to https://www.prusaprinters.org/world
  2. Click on the white square icon in the bottom left corner of the map to reveal the filter feature
  3. Click on "Print on Demand" in the left-side menu
  4. Review the map to identify the 3D print on demand services in your country
  5. Click on the orange pin(s) for local 3D printing on demand services

Contact the 3D Print on Demand Services Near You[edit | edit source]

  1. Click on "Send a message" to contact each 3D print on demand service

Table 1. Contact Information for Prusa World 3D Print on Demand Services in 6 Countries[edit | edit source]

Contact Info for Prusa World 3D Print on Demand Services in 6 Countries # Country City Prusa World Map User URL Contact URL Special Notes
1.1 Ethiopia Addis Ababa https://world.prusa3d.com/user/tedy-53081 https://www.printables.com/cs/messenger/new/53081 Has a Prusa MK3/S/S+ Printer so can print Pediatric Female Forearm Bone Models at 100% scale.
1.2 Ethiopia Addis Ababa https://world.prusa3d.com/user/shem-13188 https://www.printables.com/cs/messenger/new/13188 Has a Prusa MK3/S/S+ Printer so can print Pediatric Female Forearm Bone Models at 100% scale.
1.3 Ethiopia Gersa Halila https://world.prusa3d.com/user/pushadam-27131 https://www.printables.com/cs/messenger/new/27131 Has Prusa MK2/S with a maximum build volume Z height of 200 mm so can print Pediatric Female Forearm Bone Models at 100% scale.[7]
1.4 Ethiopia https://world.prusa3d.com/user/ygeorgewilliamsgmailcom-59182 https://www.printables.com/cs/messenger/new/59182

Email: ygeorgewilliams@gmail.com Phone/WhatsApp: +256758366278

Now has Creality CR10s, Creality CR 10S Pro V2.0, GMax 2, Creality Ender 3 and Anet ET5  Pro 3D printers and can print Pediatric Female Forearm Bone Models at 100% scale. May 1, 2022 email response states, "since I am in an e-commerce business, I Do ship across the country, Africa, Europe and the rest of the World between 24Hours to 7Days without Weekends."
2.1 Guatemala Please contact each user individually. There are an estimated 15 users who provide print on demand services in Guatemala.
3.1 India Please contact each user individually. There are an estimated 292 users who provide print on demand services in India.[8]
3.2 India Chandigarh https://world.prusa3d.com/user/kad-enterprises-65516 https://www.printables.com/social/350914-anmol/about

KAD Enterprises Email: anmol.khurana555@gmail.com Phone: +919815176484

Has a Prusa MK3/S/S+ Printer so can print Pediatric Female Forearm Bone Models at 100% scale. August 28, 2022 email states, "We are also providing 3D printing services to a leading hospital locally, in Chandigarh, where we provide 3D prosthetic models."
3.3 India Maharashtra https://world.prusa3d.com/user/sharad-41361 https://www.printables.com/social/41361-sharad/about

You Imagine We Make Email: sharaddjadhavv@gmail.com Phone: 8888123821

Has a Prusa MK3/S/S+ Printer and two Creality Ender 3 Printers so can print Pediatric Female Forearm Bone Models at 100% scale. September 1, 2022 email states, "Right now i own only 1 prusa machine and 2 creality ender 3."
4.1 Nigeria Abjua https://world.prusa3d.com/user/juergen-154372 https://www.printables.com/cs/messenger/new/154372 Has a Prusa MK3/S/S+ Printer so can print Pediatric Female Forearm Bone Models at 100% scale.
4.2 Nigeria Abuja https://world.prusa3d.com/user/hideville-29808 https://www.printables.com/cs/messenger/new/29808 Has a Prusa 2.5/S. Will need to inquire if 3D printer has a build volume Z height of at least 180 mm. Profile states, "I am an Architect, love to print and create things with 3d printers."
4.3 Nigeria Lagos https://world.prusa3d.com/user/iquest3dmaker-79501 https://www.printables.com/cs/messenger/new/79501 Has a Prusa MK3/S/S+ Printer so can print Pediatric Female Forearm Bone Models at 100% scale. Profile states, "3d Printing."
4.4 Nigeria Lagos https://world.prusa3d.com/user/skaggia_svensk-10482 https://www.printables.com/cs/messenger/new/10482 Has a Prusa MK3/S/S+ Printer so can print Pediatric Female Forearm Bone Models at 100% scale. Profile states, "Just a guy who likes to make and print things."
5.1 Rwanda Kigali https://world.prusa3d.com/user/eric-rutayisire-177575 https://www.printables.com/cs/messenger/new/177575 Has a Prusa MK3/S/S+ Printer so can print Pediatric Female Forearm Bone Models at 100% scale.
5.2 Rwanda https://world.prusa3d.com/user/ygeorgewilliamsgmailcom-59182 https://www.printables.com/cs/messenger/new/59182

Email: ygeorgewilliams@gmail.com Phone/WhatsApp: +256758366278

Now has Creality CR10s, Creality CR 10S Pro V2.0, GMax 2, Creality Ender 3 and Anet ET5  Pro 3D printers and can print Pediatric Female Forearm Bone Models at 100% scale. May 1, 2022 email response states, "since I am in an e-commerce business, I Do ship across the country, Africa, Europe and the rest of the World between 24Hours to 7Days without Weekends."
6.1 Sudan Khartoum https://world.prusa3d.com/user/mohammed-elmustafa-50946 https://www.printables.com/cs/messenger/new/50946 Has a Prusa MK3/S/S+ Printer so can print Pediatric Female Forearm Bone Models at 100% scale.
6.2 Sudan https://world.prusa3d.com/user/ygeorgewilliamsgmailcom-59182 https://www.printables.com/cs/messenger/new/59182

Email: ygeorgewilliams@gmail.com Phone/WhatsApp: +256758366278

Now has Creality CR10s, Creality CR 10S Pro V2.0, GMax 2, Creality Ender 3 and Anet ET5  Pro 3D printers and can print Pediatric Female Forearm Bone Models at 100% scale. May 1, 2022 email response states, "since I am in an e-commerce business, I Do ship across the country, Africa, Europe and the rest of the World between 24Hours to 7Days without Weekends."

Ultimaker Re-sellers[edit | edit source]

Ultimaker 3D Printers are available in 85 countries and territories through Ultimaker re-sellers.

You can search for and reach out to an Ultimaker re-seller in your region to inquire if they or a customer have a fused filament fabrication 3D printer with a build volume Z height of at least 180 mm and if they or a customer can provide 3D print on demand services.

  1. Go to: https://ultimaker.com/resellers/gb?utm_campaign=2022_Alwayson_srengineer_traffic_do_CA&utm_source=google&utm_medium=cpc&gclid=EAIaIQobChMIyrGU1JGx9wIVxm5vBB2aAAFJEAAYASABEgIiIfD_BwE.
  2. Select your country.
  3. Scroll down to see preferred re-sellers on the bottom left side of the webpage.
  4. Click on each re-seller's name to visit their website.
  5. Look up the contact information on the re-seller's website.

or

  1. Go to: Ultimaker S5 3D Printer#Global Availability of Ultimaker 3D Printers.
  2. Review the map to identify the Ultimaker re-sellers in your region.
  3. Click on the blue pin(s) for local Ultimaker re-sellers.
  4. Click on the Ultimaker re-seller website link displayed for each blue pin.

Fab Labs[edit | edit source]

"The Fab Lab Network is an open, creative community of fabricators, artists, scientists, engineers, educators, students, amateurs, professionals, of all ages located in more than 149 countries in approximately 2,000 Fab Labs. From community based labs to advanced research centers, Fab Labs share the goal of democratizing access to the tools for technical invention. This community network is an extension of fablabs.io and is simultaneously a manufacturing network, a distributed technical education campus, and a distributed research laboratory working to digitize fabrication, promoting the next generation of manufacturing and personal fabrication."[9]

You can search for and reach out to a local Fab Lab to inquire if they have a fused filament fabrication 3D printer with a build volume Z height of at least 180 mm and if they can provide 3D print on demand services.

  1. Go to: https://www.fablabs.io/labs/map to view a global map of Fab Labs.
  2. Go to https://www.fablabs.io/labs search for active Fab Labs by country.
  3. In the "Filter by Country" dropdown menu, select your country's name.
  4. In the "Filter by activity status" dropdown menu, select "ACTIVE."
  5. In the "Show" dropdown menu, select "100."
  6. Click on "Filter."
  7. In the left side of the screen, you will see a list of all the active Fab Labs in your country.
  8. Click on the green arrow for each Fab Lab listed on the left.
  9. Find the website link and contact information for each Fab Lab.
  10. Each Fab Lab page will also list any nearby Fab Labs on the righthand side of the page.
  11. If there are more than 100 Fab Labs in your country, click on the "Next" green button to view the next 100 Fab Labs.
  12. Repeat Step #11 until you have viewed all the pages listing Fab Labs in your country.

Impact Hubs[edit | edit source]

Impact Hubs is "a global network of 24,250 people driving change – made up of 100+ communities in 60+ countries across 5 continents."[10]

You can search for and reach out to a local Impact Hub to inquire if they or a partner have a fused filament fabrication 3D printer with a build volume Z height of at least 180 mm and if an Impact Hub member or partner can provide 3D print on demand services.

  1. Go to https://impacthub.net/about-us-regions-locations/. to view a global map of Impact Hubs.
  2. Click on each pin in your region to see the website link for that Impact Hub.
  3. Click on the website link for each Impact Hub.
  4. Click on the Contact Us link on each website.

Hackerspaces[edit | edit source]

"Hackerspaces are community-operated physical places, where people can meet and work on their projects."[11] "There are currently 2,447 hackerspaces listed in this wiki, 876 of them are marked as active and 360 as planned."[12]

You can search for and reach out to a local Hackerspace to inquire if they have a fused filament fabrication 3D printer with a build volume Z height of at least 180 mm and if they can provide 3D print on demand services.

  1. Go to: https://wiki.hackerspaces.org/List_of_Hacker_Spaces to view "a comprehensive, user-maintained list of all active hackerspaces throughout the world."
  2. Go to: https://wiki.hackerspaces.org/Category:Country to search for Hackerspaces in your country.
  3. Click on each hackerspace link to look up the contact information on the right side of each individual Hackerspace page.

Makerspaces[edit | edit source]

You can search for and reach out to a local Makerspace to inquire if they or a member have a fused filament fabrication 3D printer with a build volume Z height of at least 180 mm and if they or a member can provide 3D print on demand services.

  1. Go to to https://makerspaces.make.co/ view a global map of Makerspaces.
  2. Click on each pin in your region to see the website link for that Makerspace.
  3. Click on the website link for each Makerspace.
  4. Click on the Contact Us link on each website.

Table 2. Contact Info for 3D Print on Demand Services in 6 Countries[edit | edit source]

Reach out to an Ultimaker re-seller, FabLab, Impact Hub, Hackerspaces, or Makerspace in your region to find local 3D print on demand services.

Contact Info for Ultimaker Re-sellers, FabLabs, Impact Hubs, Hackerspaces, or Makerspaces in 6 Countries
# Country Website Contact Email Special Notes
1.1 Ethiopia AIGE Limited Contact Us

Email: training@aige.info Phone: +234 806 630 6719

As of August 29, 2022, AIGE has four 3D printers, monthly production currently stands at 150 units on normal production, and can go up to 250 units if they are to print round the clock. AIGE can deliver high-fidelity bone models via Fedex to: Burundi, Ethiopia, Rwanda, South Africa, Uganda, Ivory Coast, Ghana, and Malawi for an estimated $350 USD for 4 kg worth of models. AIGE can deliver Ultimaker PLA filaments (Shore Hardness 84D) to: Burundi, Ethiopia, Rwanda, South Africa, Uganda, Ivory Coast, Ghana, and Malawi for $40 USD per roll (tax-free) to an international airport in the recipient country, including Addis Ababa Bole International Airport (IATA: ADD, ICAO: HAAB) and Dire Dawa International Airport (IATA: DIR, ICAO: HADR).
2.1 Guatemala RICOH Contact
2.2 Guatemala Fablabs.io Contact each active Fab Lab individually There are 3 active Fab Labs in Guatemala.
2.3 Guatemala Impact Hub Antigua Let's Talk

E-mail: antigua@impacthub.net Phone: (502) 7758-9544

2.4 Guatemala FabLab Colegio Interamericano Phone: +502 2200 2990
2.5 Guatemala TecLab Contact

Email: info@tec.gt   Phone: +502 2218-3100

3.1 India Imaginarium Contact Us

Email: hello@imaginarium.io Phone: +91 22 6738 0100

Official Ultimaker Reseller for India
3.2 India Fablabs.io Contact each active Fab Lab individually There are 45 active Fab Labs in India.
3.3 India Hackerspaces in India Contact each active Hackerspace individually There are 18 active Hackerspaces in India.
3.4 India Makerspaces Contact each Makerspace directly There are 18 Makerspaces in India listed in the Makerspace directory.
3.5 India Maker's Asylum Contact

Email: info@makersasylum.com Phone: +91 90046 86828

The image AMP_6688 shows a fused filament fabrication 3D printer on the far right that appears to have an adequate minimum build volume Z height to print the Pediatric Female Forearm Bone Models at 100% scale.
4.1 Nigeria AIGE Limited Contact Us

Email: training@aige.info Phone: +234 806 630 6719

Official Ultimaker Reseller for Nigeria and as of August 29, 2022, AIGE has four 3D printers, monthly production currently stands at 150 units on normal production, and can go up to 250 units if they are to print round the clock. AIGE can deliver high-fidelity bone models via Fedex to: Burundi, Ethiopia, Rwanda, South Africa, Uganda, Ivory Coast, Ghana, and Malawi for an estimated $350 USD for 4 kg worth of models. AIGE can deliver Ultimaker PLA filaments (Shore Hardness 84D) to: Burundi, Ethiopia, Rwanda, South Africa, Uganda, Ivory Coast, Ghana, and Malawi for $40 USD per roll (tax-free) to an international airport in the recipient country.
4.2 Nigeria Fablabs.io Contact each active Fab Lab individually There are 5 active Fab Labs in Nigeria.
4.3 Nigeria Developer Fab Lab Contact Us

Email: info@odysseyedufoundation.org Phone: +2348133226669

Has a Creality Ender 3 3D printer so can print Pediatric Female Forearm Bone Models at 100% scale.
4.4 Nigeria Impact Hub Lagos Facebook
4.5 Nigeria Co-Creation Hub Nigeria Email: info@cchubnigeria.com CcHUB Design Lab collaborates "with scientists, researchers, health professionals and developers to use technology in accelerating the adoption of locally-created solutions for better detection and surveillance of diseases and adherence to treatment."[13]
4.6 Nigeria Innov8 Hub Contact Us Has an Ultimaker S5 3D printers which has a minimum build volume Z height of 200 mm so can print Pediatric Female Forearm Bone Models at 100% scale.
5.1 Rwanda FabLab Rwanda Request Quotation

Email: info@fablab.rw Phone: +250 789 276 080

Website shows an Ultimaker 2+ which has a minimum build volume Z height of 200 mm so can print Pediatric Female Forearm Bone Models at 100% scale.
5.2 Rwanda Impact Hub Kigali Email: connect.kigali@impacthub.net

Phone: +250 788 544 203

5.3 Rwanda AIGE Limited Contact Us

Email: training@aige.info Phone: +234 806 630 6719

As of August 29, 2022, AIGE has four 3D printers, monthly production currently stands at 150 units on normal production, and can go up to 250 units if they are to print round the clock. AIGE can deliver high-fidelity bone models via Fedex to: Burundi, Ethiopia, Rwanda, South Africa, Uganda, Ivory Coast, Ghana, and Malawi for an estimated $350 USD for 4 kg worth of models. AIGE can deliver Ultimaker PLA filaments (Shore Hardness 84D) to: Burundi, Ethiopia, Rwanda, South Africa, Uganda, Ivory Coast, Ghana, and Malawi for $40 USD per roll (tax-free) to an international airport in the recipient country, including Kamembe International Airport, (IATA: KME, ICAO: HRZA) and Kigali International Airport (IATA: KGL, ICAO: HRYR) to receive the package.
6.1 Sudan Impact Hub Khartoum Let's Talk
6.2 Sudan Sumakers Lab Email: info@sumakerslab.com

Phone: +249-905866883

Website states, "The first makerspace in Sudan."
6.3 Sudan AIGE Limited Contact Us

Email: training@aige.info Phone: +234 806 630 6719

Able to produce and ship 3D printed bone models to Khartoum International Airport (IATA: KRT, ICAO: HSSK) and Port Sudan New International Airport (IATA: PZU, ICAO: HSPN) to receive the package.

Global Simulation Societies[edit | edit source]

Click on this link to find and reach out to simulation societies in your region to inquire if any of their member institutions and/or partners accept 3D print on demand requests.

African Biomedical Engineering Consortium[edit | edit source]

"The African Biomedical Engineering Consortium (ABEC) is a regional platform for promoting innovation and entrepreneurship in healthcare infrastructure and technologies for improved healthcare outcomes in Africa."[14]

The African Biomedical Engineering Consortium is composed of 16 members from North, East, West and Southern Africa:[15]

  1. Addis Ababa Institute of Technology (Ethiopia)
  2. Cairo University (Egypt)
  3. Dar Es Salaam Institute of Technology (Tanzania)
  4. Jimma University (Ethiopia)
  5. Kenyatta University (Kenya)
  6. Kyambogo University (Uganda)
  7. Makerere University (Uganda)
  8. Malawi University of Science and Technology (Malawi)
  9. Mbarara University of Science and Technology (Uganda)
  10. Muhimbili University of Health and Allied Sciences (Tanzania)
  11. Stellenbosch University
  12. Technical University of Mombasa (Kenya)
  13. Uganda Industrial Research Institute (Uganda)
  14. University of Cape Town (South Africa)
  15. University of Ibadan (Nigeria)
  16. University of Eldoret (Kenya)
  17. University of Lagos (Nigeria)
  18. University of Pisa (Italy)

Reach out to ABEC at secretariat@abec-africa.org or info@abec-africa.org to ask if any of their member institutions and/partners are able and willing to manufacture the 3D Printed Pediatric Female Forearm Bone Models.

Contact 3D Print on Demand Services[edit | edit source]

Once you have collected contact information for local 3D print on demand services, prepare to request sample printed models and a price quote.

Advance Notice for Large Volume Orders[edit | edit source]

Polylactic acid (PLA) filament is usually imported in low to middle income countries. If you want to order a large number of 3D printed bone models, please notify your local 3D printing organization well in advance to ensure adequate stock of fresh PLA filament will be available.

Send a Message[edit | edit source]

Feel free to use and adapt this introductory email template provided in italics below:

    • Use your address for shipping the 3D printed bone models;
      • Include the total number of each bone model and moulds you wish to order; and
        • Sign off with your standard email signature.

Greetings,

We are looking to purchase 3D printed open-source bone simulation models for training local healthcare practitioners at the National Hospital Abuja, Plot 132 Central Business District (Phase II), PMB 425, Garki, Abuja, F.C.T. Nigeria.*

If your 3D printer has a minimum build volume Z height of 190 mm and width of 230 mm, please go to these links: https://www.appropedia.org/Pediatric_Distal_Forearm_Fractures/3D_Printed_Pediatric_Female_Forearm_Bone_Models and https://www.appropedia.org/Pediatric_Distal_Forearm_Fractures/3D_Printed_Pediatric_Female_Forearm_Simulator_Mould and submit a price quote for one set of Bone Models #1-6 in white PLA and one set of Bone Models #5-10 in black PLA and one mould.** Please pay attention to and follow all the instructions closely to ensure the bone models and mould are printed properly.

If your 3D printers are not suitable or available for this potential contract, can you please recommend another local 3D printing organization who might be interested?

Thank you very much for taking the time to review our message. We look forward to receiving a price quote from you by no later than 2 weeks from today.

Sincerely,

Habila Umaru, MBBS, FWACS, MDM, MHPM***

Pediatric Female Forearm Simulator[edit | edit source]

Once you've received your 3D Printed Pediatric Female Forearm Bone Models and 3D Printed Pediatric Female Forearm Simulator Mould, proceed to the next step by clicking on this link.

Acknowledgements[edit | edit source]

This work is funded by a grant from the Intuitive Foundation. Any research, findings, conclusions, or recommendations expressed in this work are those of the author(s), and not of the Intuitive Foundation.

References[edit | edit source]

  1. Onyemaechi NO, Itanyi IU, Ossai PO, Ezeanolue EE. Can traditional bonesetters become trained technicians? Feasibility study among a cohort of Nigerian traditional bonesetters. Hum Resour Health. 2020 Mar 20;18(1):24. doi: 10.1186/s12960-020-00468-w. PMID: 32197617; PMCID: PMC7085192.
  2. Heiner JD, McArthur TJ. The ultrasound identification of simulated long bone fractures by prehospital providers. Wilderness Environ Med. 2010 Jun;21(2):137-40. doi: 10.1016/j.wem.2009.12.028. Epub 2009 Dec 22. PMID: 20591377.
  3. Heiner JD, Baker BL, McArthur TJ. The ultrasound detection of simulated long bone fractures by U.S. Army Special Forces Medics. J Spec Oper Med. 2010 Spring;10(2):7-10. PMID: 20936597.
  4. Heiner JD, Proffitt AM, McArthur TJ. The ability of emergency nurses to detect simulated long bone fractures with portable ultrasound. Int Emerg Nurs. 2011 Jul;19(3):120-4. doi: 10.1016/j.ienj.2010.08.004. Epub 2010 Sep 25. PMID: 21665155.
  5. Snelling PJ, Jones P, Keijzers G, Bade D, Herd DW, Ware RS. Nurse practitioner administered point-of-care ultrasound compared with X-ray for children with clinically non-angulated distal forearm fractures in the ED: a diagnostic study. Emerg Med J. 2021 Feb;38(2):139-145. doi: 10.1136/emermed-2020-209689. Epub 2020 Sep 8. PMID: 32900856.
  6. Snelling PJ, Keijzers G, Byrnes J, Bade D, George S, Moore M, Jones P, Davison M, Roan R, Ware RS. Bedside Ultrasound Conducted in Kids with distal upper Limb fractures in the Emergency Department (BUCKLED): a protocol for an open-label non-inferiority diagnostic randomised controlled trial. Trials. 2021 Apr 14;22(1):282. doi: 10.1186/s13063-021-05239-z. PMID: 33853650; PMCID: PMC8048294.
  7. https://help.prusa3d.com/article/faq-frequently-asked-questions_1932
  8. https://world.prusa3d.com/
  9. https://live.fablabs.io/
  10. https://impacthub.net/about-us/
  11. https://wiki.hackerspaces.org/Hackerspaces
  12. https://wiki.hackerspaces.org/List_of_Hacker_Spaces
  13. https://cchubnigeria.com/designlab/health/
  14. http://abec-africa.org/about-us/
  15. http://abec-africa.org/universities/
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