3D printing-assisted surgery for proximal humerus fractures: a systematic review and meta-analysis

Li, Kai; Liu, Zhendong; Li, Xiaolei; Wang, Jingcheng

doi:10.1007/s00068-021-01851-5

Cited by 12 publications

(15 citation statements)

References 27 publications

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“…4 Other studies have looked at using 3D-printed models as a planning tool and provide surgeons the ability to prebend plates for use on the clavicle, acromion, scapula, and proximal humerus. [5][6][7][8][9][10] Surgeons report benefit from being able to prebend a plate templated against a 3D model without the steric limitations of the surrounding soft tissues. This potentially decreases operating room time and improves precision.…”

Section: D-printed Modelsmentioning

confidence: 99%

The Role of 3D Custom Implants in Upper Extremity Surgery

Choo,

Richard

2024

Journal of Orthopaedic Trauma

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Summary: As the technology of three-dimensional (3D) printing becomes more refined and accessible, multiple applications of its use are becoming more commonplace in upper extremity surgery. 3D-printed models have been beneficial in preoperative planning of complex cases of acute trauma or malunions, contributing to spatial understanding or even contouring of implants. Custom guides can also be created to assist intraoperatively with precise placement of osteotomies or arthroplasty implants. Finally, custom 3D implants have been described for cases of bone loss in the upper extremity. This can be for relatively small gaps after malunion correction or extensive defects, typically for trauma or tumor. Articular defects can also be addressed with this technology, although special considerations should be given to the implant design and longevity in these situations. Because of the relatively recent nature of 3D implants, long-term data are lacking. However, they show great promise in an expanding range of challenging clinical indications.

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Section: D-printed Modelsmentioning

confidence: 99%

The Role of 3D Custom Implants in Upper Extremity Surgery

Choo,

Richard

2024

Journal of Orthopaedic Trauma

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“…The second group includes cereberovascular diseases [35, 37, 39, 104], such as aneurysm, stroke and cranial defects. Further pathologies are musculoskeletal diseases [25, 36, 43, 47, 48, 50, 53–55,57–65, 67–77, 90–92, 95–97] which include different fracture types, such as pelvic fractures and tibial plateau fractures but also complex spinal deformities. Finally, diseases of the urogenital tract were found [29, 41, 46, 98–100, 102] such as renal disease.…”

Section: Reviews In Medical 3d Printingmentioning

confidence: 99%

“…Procedures include orthopedic surgery [25, 57–77, 95–97]. More precisely foot and ankle fracture fixation [76], tibial plateau fracture surgery [73, 74], open reduction and internal fixation surgery [75, 97], fracture surgery [57, 60–65, 69, 71, 72, 74, 95, 96], treatment of pelvic ring injuries [70], osteotomy [58, 66], total hip and knee arthroplasty [67]. Quinones and colleagues mention [77] complex enbloc resections of primary vertebral tumors, complex cran-iocervical junction surgeries, spinal deformity correction surgeries, fracture-dislocations of the thoracic and lumbar spine, minimally invasive surgery, disc replacement surgery.…”

Section: Reviews In Medical 3d Printingmentioning

confidence: 99%

“…It was mostly used for pre-operative planning [2, 5, 10, 13, 15, 18, 19, 21, 22, 36, 39, 41, 43, 44, 46–48, 52–54, 56, 57, 60, 61, 63, 64, 67, 69–76, 78, 90, 92, 96, 97, 102, 103]. Other combinations found were pre-operative planning and teaching [3, 4, 7–9, 12, 14, 20, 24, 25, 28, 34, 35, 37, 38, 51, 55, 58, 62, 77, 79, 84, 86, 88, 104], pre-operative planning, teaching and patient counseling [6, 11, 42, 59, 83, 85, 89, 91, 93–95, 98, 99, 101, 105, 106], teaching[1, 29–33, 80–82], pre-opertive planning and patient counseling [40, 50, 65, 66, 87, 100] and patient counseling [68].…”

Section: Reviews In Medical 3d Printingmentioning

confidence: 99%

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A Meta-Review about Medical 3D Printing

Meister,

Luijten,

Gsaxner

et al. 2024

Preprint

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In recent years, 3D printing (3DP) has gained importance in various fields. This technology has numerous applications, particularly in medicine. This contribution provides an overview on the state of the art of 3DP in medicine and showcases its current use in different medical disciplines and for medical education. In this meta-review, we provide a detailed listing of systematic reviews on this topic as this technology has become increasingly applied in modern medicine. We identified 134 relevant systematic reviews on medical 3DP in the medical search engine PubMed until 2023. 3DP has applications in various medical specialties, but is mainly used in orthopedics, oral and maxillofacial surgery, dentistry, cardiology and neurosurgery. In surgical contexts, the adoption of 3DP contributes to a reduction in operation time, reduced blood loss, minimized fluoroscopy time and an overall improved surgical outcome. Nevertheless, the primary use of 3DP is observed in non-invasive applications, particularly in the creation of patient-specific models (PSM). These PSMs enhance the visualization of patients’ anatomy and pathology, thereby facilitating surgical planning and execution, medical education and patient counseling. The current significance of 3DP in medicine offers a compelling perspective on the potential for more individualized and personalized medical treatments in the future.

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“…It can accurately reproduce the 3D physical model of the fracture site through radiographic projections using CT data to assist clinicians in making detailed preoperative surgical plans, such as predesigning reduction means, selecting appropriate internal xation plate and performing the necessary individualized shaping of the plate, which greatly improves the precision of internal xation, shortens the operation time and reduces the surgical di culty. Thus, it has become a clinically common adjunctive method for surgical treatment [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

3D printing assisted MIPO for treatment of complex middle-proximal humeral shaft fractures

Cao

Cen

et al. 2023

Preprint

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Background To explore the clinical efficacy of 3D printing assisted MIPO technique for treating complex middle-proximal humerus fractures(AO 12C fracture type). Methods The data of 42 participants who received a complicate middle-proximal humerus fracture from the beginning of 2018 to the end of 2021 were retrospectively analyzed. All patients were assigned to two groups: minimally invasive percutaneous plate osteosynthesis (MIPO) technique with detailed preoperative planning assisted by 3D printing (group A), and traditional MIPO (group B). Results All patients were followed-up for 8-24 months (mean: 16.12±4.13 months). There were obvious differences found in the operation time, c-arm usage time and intraoperative blood loss between the two groups. However, no significant differences were observed in the range of shoulder joint motion (ROM), the occurrence of complications (surgical incision site infection, flexible internal fixation, bone nonunion and radial nerve palsy), QuickDASH score and Constant score between the two groups. Conclusion Preoperative 3D printing assisted MIPO technique can reduce the operation time, and exhibits obvious advantages in terms of operational efficiency, which can be applied to treat complex middle-proximal humeral fractures.

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3D printing-assisted surgery for proximal humerus fractures: a systematic review and meta-analysis

Cited by 12 publications

References 27 publications

The Role of 3D Custom Implants in Upper Extremity Surgery

The Role of 3D Custom Implants in Upper Extremity Surgery

A Meta-Review about Medical 3D Printing

3D printing assisted MIPO for treatment of complex middle-proximal humeral shaft fractures

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