3D printing-assisted osteotomy treatment for the malunion of lateral tibial plateau fracture

Yang, Peng; Du, Daolin; Zhou, Zhengming; Li, Nan; Fu, Qiang; Ma, Jun; Zhao, Liujun; Chen, Aimin

doi:10.1016/j.injury.2016.09.025

Cited by 49 publications

(30 citation statements)

References 11 publications

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“…Eventually, 22 articles were included for full-text screening of which two articles were excluded [14,15]. Twenty studies met the inclusion criteria of this systematic review [8,[16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34]. The review process is summarized in Fig.…”

Section: Searchmentioning

confidence: 99%

Does 3D-assisted surgery of tibial plateau fractures improve surgical and patient outcome? A systematic review of 1074 patients

Assink

Reininga

Duis

et al. 2021

Eur J Trauma Emerg Surg

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Purpose The aim of this systematic review was to provide an overview of current applications of 3D technologies in surgical management of tibial plateau fractures and to assess whether 3D-assisted surgery results in improved clinical outcome as compared to surgery based on conventional imaging modalities. Methods A literature search was performed in Pubmed and Embase for articles reporting on the use of 3D techniques in operative management of tibial plateau fractures. This systematic review was performed in concordance with the PRISMA-guidelines. Methodological quality and risk of bias was assessed according to the guidelines of the McMaster Critical Appraisal. Differences in terms of operation time, blood loss, fluoroscopy frequency, intra-operative revision rates and patient-reported outcomes between 3D-assisted and conventional surgery were assessed. Data were pooled using the inverse variance weighting method in RevMan. Results Twenty articles evaluating 948 patients treated with 3D-assisted surgery and 126 patients with conventional surgery were included. Five different concepts of 3D-assisted surgery were identified: ‘3D virtual visualization’, ‘3D printed hand-held fracture models’, ‘Pre-contouring of osteosynthesis plates’, ‘3D printed surgical guides’, and ‘Intra-operative 3D imaging’. 3D-assisted surgery resulted in reduced operation time (104.7 vs. 126.4 min; P < 0.01), less blood loss (241 ml vs. 306 ml; P < 0.01), decreased frequency of fluoroscopy (5.8 vs. 9.1 times; P < 0.01). No differences in functional outcome was found (Hospital for Special Surgery Knee-Rating Scale: 88.6 vs. 82.8; P = 0.23). Conclusions Five concepts of 3D-assisted surgical management of tibial plateau fractures emerged over the last decade. These include 3D virtual fracture visualization, 3D-printed hand-held fracture models for surgical planning, 3D-printed models for pre-contouring of osteosynthesis plates, 3D-printed surgical guides, and intra-operative 3D imaging. 3D-assisted surgery may have a positive effect on operation time, blood loss, and fluoroscopy frequency.

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Section: Searchmentioning

confidence: 99%

Does 3D-assisted surgery of tibial plateau fractures improve surgical and patient outcome? A systematic review of 1074 patients

Assink

Reininga

Duis

et al. 2021

Eur J Trauma Emerg Surg

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“…Як наведено у дослідженні P. Yang і співавт. [5], технологія 3D-візуалізації допомагає точніше зробити коригувальну остеотомію, знизити ризик післяопераційної деформації й інтраопераційної крововтрати, скоротити час втручання та поліпшити результати лікування.…”

Section: вступunclassified

3D-print in the planning of surgical treatment in the case of extraarticular deformity of lower limbs

Romanenko¹,

Prozorovskiy²,

Doluda³

2021

OTP

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An adequate planning of the curative measures is an important factor providing good functional results in the treatment of consequences of long bones injuries, in particular, malunions (post traumatic deformities). 3D-modeling in the preoperative planing gives an opportunity to assess both deformity itself and joint status. Visualization of injured segment with three-dimensional model manufactured using 3D-print in actual size (1:1 scale) provides additional capacities. Objective. To analyze the capacity provided by the usage of three-dimensional models of damaged segments in scale 1:1 while the planning of corrective surgery. Methods. Practicability of the usage of 3D-models, that was worked out on the base of CT-scanning, was studied in the treatment of 52 patients with different post traumatic extraarticular deformities of femur and tibia, after the fractures with intraarticular extension. Clinical results were evaluated using SF-36 and AOFAS scales. Results. Calculation for 3D-modeling was performed mostly virtually using standard computer programs with 3D-reconstruction, but 3D-print technology was used for 5 patients with the most severe and sophisticated deformities of the lower extremities. Changes in functional outcomes, according to SF-36 and AOFAS, for the patients undergone opera- tive treatment, were positive at 12 month of follow-up. Foreign colleagues expose analogous results of the investigations and suggest that the modeling with 3D-print provides mostly more safe, reliable and standardized clinical decisions for every particular patient. Conclusions. Preoperative usage of 3D-print on the stage of preoperative planing allows the surgeons to simulate different stages of operative intervention on the physical model, thus, help him to realize possible technical problems, choose adequate fixation device and proper instrumentation. It facilitates the shortening of surgery time, elimination of possible complications rate and achievement, in sum, good functional results in the treatment of this kind of patients.

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“…3D printing technology was helpful in accurately planning and performing the osteotomy, reduced the risk of postoperative deformity, decreased intraoperative blood loss, shortened the surgical time. 45…”

Section: Proximal Tibiamentioning

confidence: 99%

3D printing and its applications in orthopaedic trauma: A technological marvel

Lal

Patralekh

2018

Journal of Clinical Orthopaedics and Trauma

180

107

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3D printing-assisted osteotomy treatment for the malunion of lateral tibial plateau fracture

Cited by 49 publications

References 11 publications

Does 3D-assisted surgery of tibial plateau fractures improve surgical and patient outcome? A systematic review of 1074 patients

Does 3D-assisted surgery of tibial plateau fractures improve surgical and patient outcome? A systematic review of 1074 patients

3D-print in the planning of surgical treatment in the case of extraarticular deformity of lower limbs

3D printing and its applications in orthopaedic trauma: A technological marvel

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