Fracture-Related Infection in Bicolumnar Acetabular Fracture: A Case Report

Franco, Cristiano De; Colò, Gabriele; Melato, Marco; Battini, Alberto; Cambursano, Simone; Logrieco, Giuseppe Pietro; Balato, Giovani; Zoccola, Kristijan

doi:10.3390/diagnostics12102476

Cited by 2 publications

(1 citation statement)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Last but not least, acetabular surgery is timeconsuming, may take hours, and plate precontouring reduces the surgeon's fatigue and preserves concentration during the procedure. De Franco et al used a 3D printed technique in a case of fracture-related infection after a bicolumnar acetabular fracture with femoral head necrosis [43]. The authors performed a dry surgery on the 3D printed model in order to decide how to reduce the fracture components, obtain a new functional acetabulum, select the appropriate type and size of implants, and the direction of the screws.…”

Section: Discussionmentioning

confidence: 99%

Management of Complex Acetabular Fractures by Using 3D Printed Models

et al. 2022

View full text Add to dashboard Cite

Background and Objectives: Using 3D printed models in orthopaedics and traumatology contributes to a better understanding of injury patterns regarding surgical approaches, reduction techniques, and fracture fixation methods. The aim of this study is to evaluate the effectiveness of a novel technique implementing 3D printed models to facilitate the optimal preoperative planning of the surgical treatment of complex acetabular fractures. Materials and Methods: Patients with complex acetabular fractures were assigned to two groups: (1) conventional group (n = 12) and (2) 3D printed group (n = 10). Both groups included participants with either a posterior column plus posterior wall fracture, a transverse plus posterior wall fracture, or a both-column acetabular fracture. Datasets from CT scanning were segmented and converted to STL format, with separated bones and fragments for 3D printing in different colors. Comparison between the two groups was performed in terms of quality of fracture reduction (good: equal to, or less than 2 mm displacement, and fair: larger than 2 mm displacement), functional assessment, operative time, blood loss, and number of intraoperative x-rays. Results: A significant decrease in operative time, blood loss, and number of intraoperative x-rays was registered in the 3D printed group versus the conventional one (p < 0.01), with 80% of the patients in the former having good fracture reduction and 20% having fair reduction. In contrast, 50% of the patients in the conventional group had good reduction and 50% had fair reduction. The functional score at 18-month follow-up was better for patients in the 3D printed group. Conclusions: The 3D printing technique can be considered a highly efficient and patient-specific approach for management of complex acetabular fractures, helping to restore patient′s individual anatomy after surgery.

show abstract

Section: Discussionmentioning

confidence: 99%