Advantages of three-dimensional printing in the management of acetabular fracture fixed by the Kocher-Langenbeck approach: randomised controlled trial

Bouabdellah, Mohamed; Bensalah, Mohamed; Kamoun, Chrif; Bellil, Mehdi; Kooli, Mondher; Hadhri, Khaled

doi:10.1007/s00264-022-05319-y

Cited by 2 publications

(5 citation statements)

References 38 publications

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“…These results are consistent with many other studies using pre-bent plates in acetabular fracture surgeries [ 17 , 18 , 23 , 24 ]. However, the study by Bouabdellah et al [ 8 ] showed no significant differences in surgical time and intraoperative blood loss between the two methods. The potential reason for this disparity may be associated with the utilization of individualized custom-made metal plates in our study.…”

Section: Discussionmentioning

confidence: 96%

“…Posterior column acetabular fractures are a relatively common type of acetabular fracture and are typically treated using the Kocher-Langenbeck approach. When facing acetabular fractures, fracture reduction remains the most challenging step [ 4 , 8 ]. Traditional surgical methods often rely on the surgeon’s experience for fracture reduction and fixation, where conventional plates are manually contoured and shaped to fix the reduced fracture.…”

Section: Discussionmentioning

confidence: 99%

“…The computer-assisted virtual reduction of acetabular fractures is currently performed in two main ways. One approach involves converting the healthy side of the pelvis into the reduced model due to the symmetry of the pelvic skeleton [ 8 , 16 , 17 ]. The other approach involves virtual separation and reduction of the fracture using Mimics software to establish the model after reduction [ 7 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, based on the literature search, it was found that the current application of 3D printing technology in the treatment of complex fractures mainly involves printing models for accurate diagnosis and surgical planning. Precontoured anatomic plates designed based on the fracture model are sterilized and prepared for surgery [ 8 ]. During surgery, traditional anatomical plates are still used for fixation.…”

Section: Introductionmentioning

confidence: 99%

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Surgical treatment outcomes of acetabular posterior wall and posterior column fractures using 3D printing technology and individualized custom-made metal plates: a retrospective study

Zhang,

Guo,

et al. 2024

BMC Surg

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Background Fractures involving the posterior acetabulum with its rich vascular and neural supply present challenges in trauma orthopedics. This study evaluates the effectiveness of 3D printing technology with the use of custom-made metal plates in the treatment of posterior wall and column acetabular fractures. Methods A retrospective analysis included 31 patients undergoing surgical fixation for posterior wall and column fractures of the acetabulum (16 in the 3D printing group, utilizing 3D printing for a 1:1 pelvic model and custom-made plates based on preoperative simulation; 15 in the traditional group, using conventional methods). Surgical and instrument operation times, intraoperative fluoroscopy frequency, intraoperative blood loss, fracture reduction quality, fracture healing time, preoperative and 12-month postoperative pain scores (Numeric Rating Scale, NRS), hip joint function at 6 and 12 months (Harris scores), and complications were compared. Results The surgical and instrument operation times were significantly shorter in the 3D printing group (p < 0.001). The 3D printing group exhibited significantly lower intraoperative fluoroscopy frequency and blood loss (p = 0.001 and p < 0.001, respectively). No significant differences were observed between the two groups in terms of fracture reduction quality, fracture healing time, preoperative pain scores (NRS scores), and 6-month hip joint function (Harris scores) (p > 0.05). However, at 12 months, hip joint function and pain scores were significantly better in the 3D printing group (p < 0.05). Although the incidence of complications was lower in the 3D printing group (18.8% vs. 33.3%), the difference did not reach statistical significance (p = 0.433). Conclusion Combining 3D printing with individualized custom-made metal plates for acetabular posterior wall and column fractures reduces surgery and instrument time, minimizes intraoperative procedures and blood loss, enhancing long-term hip joint function recovery. Clinical Trial Registration 12/04/2023;Trial Registration No. ChiCTR2300070438; http://www.chictr.org.cn.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Surgical treatment outcomes of acetabular posterior wall and posterior column fractures using 3D printing technology and individualized custom-made metal plates: a retrospective study

Zhang,

Guo,

et al. 2024

BMC Surg

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“…Вместо этого альтернативой являются сторонние компании, специализирующиеся на производстве 3D-печатных объектов для медицинского использования. Потенциальные недостатки аутсорсинга включают более высокую стоимость модели, проблемы с конфиденциальностью пациентов из-за передачи файлов за пределы больницы и более длительное время выполнения заказа изза доставки [75].…”

Section: результаты и обсуждениеunclassified

Application of 3D modeling in a personalized approach to bone osteosynthesis (A literature review)

Pankratov

Lartsev

Rubtsov

et al. 2022

vmirvz

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Three-dimensional printing opens up many opportunities for use in traumatology and orthopedics, because it takes into account personal characteristics of the patients. Modern methods of high-resolution medical imaging can process data to create threedimensional images for printing physical objects. Today, three-dimensional printers are able to create a model of any complexity of shape and geometry. The article provides a review of the literature about three-dimensional digital modeling in shaping implants for osteosynthesis. Data search was carried out on the Scopus, Web of Scince, Pubmed, RSCI databases for the period 2012–2022. The effectiveness of three-dimensional printing for preoperative modeling of bone plates has been confirmed: implants perfectly corresponds with the unique anatomy of the patient, since the template for it is based on the materials of computed tomography. Individual templates can be useful when the geometry of patients' bones goes beyond the standard, and when improved results of surgery are expected due to better matching of implants to the anatomical needs of patients.

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Advantages of three-dimensional printing in the management of acetabular fracture fixed by the Kocher-Langenbeck approach: randomised controlled trial

Cited by 2 publications

References 38 publications

Surgical treatment outcomes of acetabular posterior wall and posterior column fractures using 3D printing technology and individualized custom-made metal plates: a retrospective study

Surgical treatment outcomes of acetabular posterior wall and posterior column fractures using 3D printing technology and individualized custom-made metal plates: a retrospective study

Application of 3D modeling in a personalized approach to bone osteosynthesis (A literature review)

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