“Bento’s poor leg looked like a flipper,” said Andy Law, a staff surgeon at VCA Great Lakes Veterinary Specialists in Warrensville Heights. “We needed to get creative to help him.”
Being so young, Bento’s bones were still growing fast, aiding the case for letting the dog develop more before an operation. Yet, the leg was worsening, becoming increasingly misaligned and leaving Bento at risk for a permanent disability. Law’s search for a surgical solution led him to the Larry Sears and Sally Zlotnick Sears think[box], Case Western Reserve University’s innovation space.
Having just re-located to Northeast Ohio, Law learned of the seven-story, 50,000-square-foot building—and its open access to the public—with a simple internet search. “I’d never had a veterinarian come in and ask about 3-D printing,” said Malcolm Cooke, executive director of Sears think[box] and an associate professor of mechanical and aerospace engineering at Case Western Reserve. “I thought, ‘Let’s try help this poor little puppy.’”
Planning the puppy’s procedure
Using specialty software available at Sears think[box], Cooke and Law extracted data from Bento’s CT and MR scans and exported the images to 3-D printers, which created plastic models of Bento’s front legs. Unlike most medical scans—which are presented flat on screens—the 3-D-printed models allowed Law and his team to more thoroughly examine Bento’s injuries and brainstorm about their next steps. “Being able to flip the model around in our hands and see all angles of the leg was truly helpful—especially comparing Bento’s injuries to a model from a healthy puppy,” Law said.
To avoid the risk of further damaging Bento’s already-brittle bones, surgeons decided against placing screws, plates or other hardware inside his leg. Instead, they built a sturdy and flexible frame for the leg’s exterior, setting the custom device into place with tiny pins. “The 3-D model made it clear we should pursue less invasive path,” Law said, “even if it meant Bento might have to wear the ‘cone of shame’ for longer.” Not only was Bento’s procedure shorter than alternatives, surgeons were able to use less anesthesia and make fewer incisions, lessening the puppy’s chances for an infection.
“Within a matter of days, he was putting weight on the leg, and soon all he wanted to do was run around and be a normal, happy puppy,” said Emily Conway, a veterinary ophthalmologist, also at VCA Great Lakes Veterinary Specialists, who adopted Bento. “All signs point to him maintaining regular leg function throughout his life.”