Manufacturing Technology 2026, 26(3):356-363 | DOI: 10.21062/mft.2026.027
Marker-Based Photogrammetric Modelling of the Lower Leg Using Agisoft Metashape for 3D-Printed Splints
- 1 Faculty of Mechanical Engineering, Ho Chi Minh City University of Technology and Engineering. 01 Vo Van Ngan, Thu Duc Ward, Ho Chi Minh City, Viet Nam
- 2 Faculty of Mechanical Engineering, University of Jan Evangelista in Ústí nad Labem. Pasteurova 3334/7, 400 01 Usti nad Labem, Czech Republic
- 3 Faculty of Mechanical Engineering, Nha Trang University. 02 Nguyen Dinh Chieu, Nha Trang, Viet Nam
Designing patient-specific 3D-printed splints requires accurate limb geometry acquisition. Professional 3D scanners are commonly used for acquiring the 3D geometry of limbs but they are high cost and less accessible in routine clinical practice. Photogrammetry, which reconstructs 3D models from 2D images captured by digital or smartphone cameras, provides a low-cost and flexible alternative. This study proposes a practical workflow for lower leg modelling using Agisoft Metashape and AutoCAD, employing two printed markers as scaling references. The two markers with a precisely defined inter-marker distance of 150 mm were printed on an A4 sheet and used as reference objects to scale the photogrammetric model to real-world size. The accuracy of the photogrammetric model was evaluated in GOM Inspect by comparing it with a reference scanned model. The results showed that the photogrammetric model has an average deviation of −0.59 mm. Besides, a physical fit evaluation using a 3D-printed splint further confirmed that good conformity between the splint and the lower leg is existed. The findings show that the accuracy of inter-marker distance plays a critical role in photogrammetric scaling.
Keywords: Photogrammetry, 3D-printed splint, Marker-based scaling, Lower leg
Grants and funding:
The work of this paper is supported by Ho Chi Minh City University of Technology and Engineering and Nha Trang University, Viet Nam
Received: January 9, 2026; Revised: April 8, 2026; Accepted: April 20, 2026; Prepublished online: April 29, 2026; Published: June 29, 2026 Show citation
References
- VAN, T. N. & NAPRSTKOVA, N. (2024). Accuracy of Photogrammetric Models for 3D Printed Wrist-hand Orthoses. In: Manufacturing Technology, Vol. 24, No. 3, p. 458-464. J. E. Purkynì University in Usti nad Labem, Czech Republic. ISSN 1213-2489
Go to original source... - VAN, T. N., LE THANH, T., VAN, T. N., NAPRSTKOVA, N. (2023). Smartphone-based Data Acquisition Method for Modelling 3D Printed Arm Casts. In: Manufacturing Technology, Vol. 23, No. 2, pp. 260-267. J. E. Purkynì University in Usti nad Labem, Czech Republic. ISSN 1213-2489
Go to original source... - VAN LIESHOUT, E. M. M., VERHOFSTAD, M. H. J., BEENS, L. M., VAN BEKKUM, J. J. J., WILLEMSEN, F., JANZING, H. M. J., & VAN VLEDDER, M. G. (2022). Personalized 3D-printed Forearm Braces as an Alternative for a Traditional Plaster Cast or Splint; A Systematic Review. In: Inju-ry, Vol. 53 Suppl. 3, pp. S47-S52. Elsevier, Amsterdam, Netherlands. ISSN 0020-1383
Go to original source... - SCHWARTZ, D.A., SCHOFIELD, K.A. (2025). Utilization of 3D Printed Orthoses for Musculoskeletal Conditions of the Upper Extremity: A Systematic Review. In: Journal of Hand Therapy, Vol. 36, No. 1, pp. 166-178. Elsevier, Amsterdam, Netherlands. ISSN 0894-1130
Go to original source... - XU, C., WANG, L., ZHANG, M., LI, X., & LI, K. (2025). A Clinical Study on the Application of Three-Dimensionally Printed Splints Combined with Finite Element Analysis in Paediatric Distal Radius Fractures. In: Frontiers Pediatrics, Vol. 13, 1559762. Frontiers, Lausanne, Switzerland. ISSN 2296-2360
Go to original source... - GLAZER, C., ORAVITAN, M., PANTEA, C., STANILA, A. M., JURJIU, N. A., TOTOK, A., MARGHITAS, M. P., AVRAM, C. (2025). 3D-printed Orthoses vs. Traditional Plaster Cast: A Comparative Clinical Study. In: Balneo and PRM Research Journal, Vol. 16, No. 1, p. 785. Romanian Association of Balneology, Bucharest, Romania. ISSN 2734-8458
Go to original source... - KELLER, M., GUEBELI, A., THIERINGER, F., HONIGMANN, P. (2021). In-hospital Professional Production of Patient-specific 3D-printed Devices for Hand and Wrist Rehabilitation. In: Hand Surgery Re-habilitation, Vol. 40, No. 2, pp. 126-133. Elsevier, Amsterdam, The Netherlands. ISSN 2468-1210
Go to original source... - LAZZERI, S., TALANTI, E., BASCIANO, S., BARBATO, R., FONTANELLI, F., UCCHEDDU, F., SERVI, M., VOLPE, Y., VAGNOLI, L., AMORE, E., MARZOLA, A., MCGREEVY, K. S., CARFAGNI, M. (2022). 3D-Printed Patient-Specific Casts for the Distal Radius in Children: Outcome and Pre-Market Survey. In: Materials, Vol. 15, No. 8, 2863. MDPI, Basel, Switzerland. ISSN 1996-1944
Go to original source... - POPESCU, D., BACIU, F., VLÃSCEANU, D., MARINESCU, R., LÃPTOIU, D. (2023). Investigations on the Fatigue Behaviour of 3D-Printed and Thermoformed Polylactic Acid Wrist-Hand Orthoses. In: Polymers, Vol. 15, NO. 12, 2737. MDPI, Basel, Switzerland. ISSN 2073-4360
Go to original source... - JAN, Z., ABAS, M., KHAN, I., QAZI, M. I., USMAN JAN, Q. M. (2023). Design and Analysis of Wrist Hand Orthosis for Carpal Tunnel Syndrome using Additive Manufacturing, In: Journal of Engineering Research, Vol. 12, 001. Elsevier, Amsterdam, The Netherlands. ISSN 2307-1877
- SALVADOR, T., SLAGLE, J., CHAPRNKA, G., AGRONIN, M, OETGEN, M., TABAIE, S., CLEARY, K, DAYAL, A., Development of a Novel Photogrammetry Method for Acquiring 3D Surface Models of Infant Clubfoot Anatomy. In: Medical Imaging 2022: Image-Guided Procedures, Robotic Interventions, and Modelling, Vol. 12034, 120342E-3. SPIE, Washington USA. ISBN 9781510649446
Go to original source... - HERNANDEZ, A., LEMAIRE, E. (2017). A Smartphone Photogrammetry Method for Digitising Prosthetic Socket Interiors. In: Prosthetics and Orthotics International, Vol. 41, No. 2, pp. 210-214. SAGE Publications, California, United States. ISSN 1746-1553
Go to original source... - TURSI, A., KURILLO, G., BAJCSY, R. (2017). Automatic Detection of Body Landmarks in Human Body Scans - Lower Limb Analysis for Biomedical and Footwear Applications. In: The 8th International Conference and Exhibition on 3D Body Scanning and Processing Technologies, pp. 179-191. Montreal QC, Canada. ISBN 978-3-033-06436-2
Go to original source... - OLIVIER, M. (2019). A Low-Cost Custom Knee Brace via Smartphone Photogrammetry. Master thesis, University of Ottawa. Ottawa, Canada
- WALTERS, S., METCALFE, B., TWISTE, M., SEMINATI, E., BAILEY, N. Y. (2024). Smartphone Scanning is a Reliable and Accurate Alternative to Contemporary Residual Limb Measurement Techniques. In: PLOS ONE, Vol. 19, No. 12, e0313542, ISSN 1932-6203
Go to original source... - AGISOFT LLC. (2025). Agisoft Metashape User Manual Professional Edition, version 2.3. Agisoft LLC.
- PAVELKA, K., GRE©LA, O. (2025). The Use of Close-range Photogrammetry and 3D Scanning for Di-agnostic Purposes in Mechanical Engineering, In: The International Archives of the Photogrammetry, Remote Sensing and Spatial Information Sciences, Vol. XLVIII-5/W3, pp. 77-82, Tashkent, Uzbekistan. ISSN-L: 2194-9034
Go to original source... - FARZAD, M., MACDERMID, J., FERREIRA, L., TUTUNEA-FATAN, O. R., SAEEDI, M., GORSKI, A., BALAJI, A., CUYPERS, S. (2025). Development of a Web-based Application for Initial Hand Evaluation and 3D Scanning: A Pilot Feasibility and Validity Study. In: Journal of Hand Therapy, Vol. 38, No. 2, pp. 318-327. Elsevier, Amsterdam, The Netherlands. ISSN 0894-1130,
Go to original source... - TEIXEIRA COELHO, L. C., PINHO, M. F. C., MARTINEZ DE CARVALHO, F., MENEGUCI MOREIRA FRANCO, A. L., QUISPE-ENRIQUEZ, O. C., ALTÓNAGA, F. A., & LERMA, J. L. (2025). Evaluating the Accuracy of Smartphone-Based Photogrammetry and Videogrammetry in Facial Asymmetry Measurement. In: Symmetry, Vol. 17, No. 3, 376. MDPI, Basel, Switzerland. ISSN 2073-8994
Go to original source... - TUONG, N.V. (2018), Manufacturing Method of Spiral Bevel Gears Based on CAD/CAM and 3-Axis Machining Centre. In: MM Science Journal, Vol. June 2018, pp. 2401-2405. MM Publishing, Czech Republic. ISSN 1803-1269
Go to original source... - VAN, T.N., LE THANH, T., NAPRSTKOVA, N. (2021). Measuring propeller pitch based on photogrammetry and CAD. In: Manufacturing Technology, Vol. 21, No. 5, pp.706-713. J. E. Purkynì University in Usti nad Labem, Czech Republic. ISSN 1213-2489
Go to original source... - SEDLAK, J., HRUSECKA, D., CHROMJAKOVA, F., MAJERIK, J. & BARENYI, I. (2021). Analysis of the Wear on Machined Groove Profiles Using Reverse Engineering Technology. In: Manufacturing Technology, Vol. 21, No. 4, pp. 529-38. J. E. Purkynì University in Usti nad Labem, Czech Republic. ISSN 1213-2489
Go to original source... - FABIAN, M., HUÒADY, R. & KUPEC, F. (2022). Reverse Engineering and Rapid Prototyping in the Process of Developing Prototypes of Automotive Parts. In: Manufacturing Technology, Vol. 22, No. 6, pp. 669-78. J. E. Purkynì University in Usti nad Labem, Czech Republic. ISSN 1213-2489
Go to original source... - TUONG N. V. (2023). Design and Manufacture 3D Printed Arm Cast from Data Taken by Smartphone. Research report, Nha Trang University, Viet Nam
- QUISPE-ENRIQUEZ, O. C., VALERO-LANZUELA, J. J., LERMA, J. L. (2024). Craniofacial 3D Mor-phometric Analysis with Smartphone-Based Photogrammetry. In: Sensors 2024, Vol. 24, No. 1, 230. MDPI, Basel, Switzerland. ISSN 1424-8220
Go to original source...
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