Three-dimensional printing for preoperative planning of total hip arthroplasty revision: case report

Zerr, Joseph; Chatzinoff, Yonatan; Chopra, Rajiv; Estrera, Kenneth; Chhabra, Avneesh

doi:10.1007/s00256-016-2444-1

Cited by 30 publications

(18 citation statements)

References 15 publications

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“…Case reports described similar results . The cases chosen were all complex, with the 3D printed model used to gain a more detailed appreciation of the relevant anatomy, planning the surgical approach and selecting instruments in advance.…”

Section: Resultsmentioning

confidence: 92%

Three‐dimensional printing in orthopaedic preoperative planning improves intraoperative metrics: a systematic review

Jiang

Chen

Coles‐Black

et al. 2019

ANZ Journal of Surgery

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Background Three‐dimensional (3D) printing has seen increasing interest in surgery, where it improves the visualization of difficult anatomy in complex cases. This literature review investigates the benefits and limitations of 3D printed models in preoperative planning in the field of orthopaedic surgery. Methods A literature search was performed using the Ovid platform on the Embase and MEDLINE databases using the terms ‘3D printing’, ‘Orthopaedics’ and ‘Surgical Planning’. Studies using 3D printed models as a part of preoperative planning were included. All others were excluded. Data regarding the metrics used to assess the benefit of the use of 3D models, surgical outcome, and surgeon or patient opinion on the technology were extracted. Results A total of 41 studies resulted. Eight (19.5%) were case–control studies, the remainder were case reports or case series. Assessment of benefit was mostly subjective, although the case–control studies included objective metrics such as operation time, intraoperative blood loss and intraoperative fluoroscopy time. The use of 3D printing technology showed subjective benefit for both patient and surgeon as well as indicating clinically significant improvements in intraoperative metrics. Conclusion Despite the current absence of large scale trials, 3D printing has clear benefits in preoperative planning, particularly when utilized in complex cases. A streamlined workflow for case selection, in‐house model creation and preoperative rehearsals is still required to be developed before the process is ready for routine use. Evidence supports an improvement in intraoperative metrics and patient engagement but data to support improved clinical outcome is lacking.

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Section: Resultsmentioning

confidence: 92%

Three‐dimensional printing in orthopaedic preoperative planning improves intraoperative metrics: a systematic review

Jiang

Chen

Coles‐Black

et al. 2019

ANZ Journal of Surgery

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“…Between 2015 and 2017, there were four published case reports and five prospective studies (three uncontrolled, two controlled but not randomized). 3,[12][13][14][15][16][17][18][19] A cadaveric study in 2015 examined the feasibility of using 3D-printed models for preoperative planning, patient-specific guide design/use intra-operatively, and surgical practice for THA. 3 In this study, postprocedural CT data were used to compare measured implant positioning with the preprocedural template.…”

Section: Use Of 3d-printed Models In Surgeries For Dysplastic and Totmentioning

confidence: 99%

“…3 Among the three remaining case reports, two did not document any measurable benefits intra-or postoperatively. 14,17 In 2017, it was reported that preoperative planning and practice reduced operation time and blood loss in THA. 18 The first published prospective uncontrolled study identified in this search included patients undergoing THA secondary to developmental dysplasia of the hip.…”

Section: Use Of 3d-printed Models In Surgeries For Dysplastic and Totmentioning

confidence: 99%

Is Preoperative Planning for Hip Surgery Using Three-Dimensional Printed Models Associated with Improved Intra- and Postoperative Outcomes? A Systematic Review

Mosca

Castañeda

2019

J Hip Surg

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Use of three-dimensional (3D) printed models for preoperative planning, patient-specific surgical guides, and implants in orthopaedic surgery is a burgeoning technology. It has not been established if 3D-printed models for preoperative planning are associated with improved clinical outcomes or if they are cost-effective for hip surgeries including total hip arthroplasty (THA), periacetabular osteotomy (PAO), proximal femoral osteotomy (PFO), and/or hip fractures. The purpose of this study was to conduct a systematic search and literature review to determine if preoperative planning for hip surgery using 3D-printed models was associated with improved intra- and postoperative outcomes. Specific aims were to determine the (1) types of applications and studies conducted, (2) types of 3D printing/materials used, (3) specific outcomes evaluated, (4) efficacy of 3D printing in planning for hip surgery, and (5) limitations of current research. The authors searched Medline, Embase, Cochrane Database of Systematic Reviews, CINAHL, and PubMed from inception through July 2017. Original research publications were included if the primary purpose was to evaluate 3D-printed models' ability to assist with the planning of hip surgeries. Papers were excluded if they were reviews, abstracts, and not available in English, their models were not patient-specific, or their research did not evaluate surgery of the acetabulofemoral joint or pelvis. Of the 3,369 unique papers identified, 21 met inclusion criteria after full-text review. Among the included studies, six evaluated 3D printing in THA, seven in PAO/PFO, and eight in fracture repairs/reconstruction. The research included nine case reports, three case series, one retrospective uncontrolled study, six prospective uncontrolled studies, and two prospective controlled studies. 3D printed models resulted in: reduced intraoperative improvisation, operating room time, blood loss/transfusions, improved positioning of plates/screws/implants, clinical scores, measures of realignment, and functional status. Recent innovations in 3D printing are promising but unproven to improve clinical outcomes in hip surgeries due to limitations of published research. This may impact utilization and reimbursement of 3D-printed models in hip surgery. Studies of resource utilization, cost-effectiveness, and controlled trials with standardized methods and clinical outcomes of relevance are needed.

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“…Three-dimensional printing has become widely adopted in the medical field because 3D-printed materials can be used for practicing different procedures and thus to train students. 5 – 9 We applied 3D printing to the development of a biopsy simulator and thereby created a new simulator of the real stomach using a silicone reproduction. We investigated the efficacy and realism of this simulator for endoscopic biopsy trainees who have never performed an EGD.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of a Three-Dimensional-Printed Training Simulator for Endoscopic Biopsy in the Stomach

et al. 2018

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Background/AimsWe used three-dimensional (3D) printing technology to create a new biopsy simulator for the stomach and investigated its efficacy and realism in endoscopic biopsy training.MethodsA novel stomach biopsy simulator, with 10 biopsy sites, was produced using a 3D printer. We enrolled 26 participants, including 10 residents, six first-year fellows, five second-year fellows, and five faculty members. We recorded and reviewed five training sessions and evaluated the simulator with questionnaires using a 7-point Likert scale.ResultsThe mean completion time (seconds) was 244.8±11.5 for the residents, 107.9±33.4 for the first-year fellows, 106.8±20.1 for the second-year fellows, and 103.8±19.2 for the faculty members. The completion time became shorter with repetition and was significantly lower for residents by the fifth trial (first trial, 347.0±159.5; fifth trial, 169.6±57.7; p=0.007). The faculty members strongly agreed that the simulator realistically reflected endoscopic handling and was reasonable for endoscopic training (scores of 6.2±0.8 and 6.4±0.9, respectively). Importantly, experienced endoscopists reported that the difficulty levels of the 10 biopsy sites in the simulator were a realistic match for the actual stomach.ConclusionsThis endoscopic biopsy simulator created using a 3D printer is a realistic and useful method to improve the biopsy skills of trainee endoscopists.

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Three-dimensional printing for preoperative planning of total hip arthroplasty revision: case report

Cited by 30 publications

References 15 publications

Three‐dimensional printing in orthopaedic preoperative planning improves intraoperative metrics: a systematic review

Three‐dimensional printing in orthopaedic preoperative planning improves intraoperative metrics: a systematic review

Is Preoperative Planning for Hip Surgery Using Three-Dimensional Printed Models Associated with Improved Intra- and Postoperative Outcomes? A Systematic Review

Efficacy of a Three-Dimensional-Printed Training Simulator for Endoscopic Biopsy in the Stomach

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