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Three‐Dimensional Printed Plate Template Versus Hemipelvis Model in Patient‐Specific Plate Preparation for Posterior Wall Acetabular Fractures

OBJECTIVE: The application of three‐dimensional (3D) printing technology in the management of posterior wall acetabular fractures can greatly reduce surgical invasiveness and operative time and simplify the procedure of reconstruction plate contouring, but the cost and time of patient‐specific plate...

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Autores principales: Chen, Jianan, Zheng, Yifan, Zhou, Wei, Qian, Shenglong, Chen, Yu, Cheng, Yipeng, Wang, Guodong, Cai, Xianhua, Liu, Ximing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons Australia, Ltd 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10475674/
https://www.ncbi.nlm.nih.gov/pubmed/37525356
http://dx.doi.org/10.1111/os.13838
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author Chen, Jianan
Zheng, Yifan
Zhou, Wei
Qian, Shenglong
Chen, Yu
Cheng, Yipeng
Wang, Guodong
Cai, Xianhua
Liu, Ximing
author_facet Chen, Jianan
Zheng, Yifan
Zhou, Wei
Qian, Shenglong
Chen, Yu
Cheng, Yipeng
Wang, Guodong
Cai, Xianhua
Liu, Ximing
author_sort Chen, Jianan
collection PubMed
description OBJECTIVE: The application of three‐dimensional (3D) printing technology in the management of posterior wall acetabular fractures can greatly reduce surgical invasiveness and operative time and simplify the procedure of reconstruction plate contouring, but the cost and time of patient‐specific plate preparation on the basis of traditional 3D‐printed pelvis model should not be neglected. We described a new method for patient‐specific plate preparation by using 3D‐printed plate template. The study aimed to assess the effectiveness and feasibility of the 3D‐printed plate template in patient‐specific plate preparation for posterior wall acetabular fractures. METHODS: A total of 65 cases of posterior wall acetabular fractures with surgical treatment from December 2012 to December 2020 were chosen. According to the different plate contouring methods, the 65 cases were divided into three groups, which were group A (21 cases), group B (20 cases), and group C (24 cases). In group A, the 3D‐printed plate template was used to contour the patient‐specific reconstruction plate before surgery, whereas the 3D‐printed hemipelvis model was adopted for group B. In group C, the reconstruction plate was contoured intraoperatively. Among the three groups, the instrumentation time, surgical time, blood loss, patient‐specific plate preparation time, complications, reduction quality, and hip function were compared. The Kruskal–Wallis test was used to analyze the reduction quality and hip function among three groups. RESULTS: In comparison with group C, patients in groups A and B were featured by obviously shorter instrumentation time (−22, −23 min), shorter surgical time (−46, −44 min), and less intraoperative blood loss (−110, −122 mL). Compared to the hemipelvis model in group B (2.29 ± 0.56 vs. 12.70 ± 3.79 days), the 3D printing time for plate templates in group A was significantly shorter. The reduction quality and hip function had no obvious statistical difference among the three groups. The complication rate within group A (3/21) and group B (3/20) were both slightly lower than group C (5/24), with no obvious difference. CONCLUSIONS: Both the patient‐specific pre‐contoured plate fixation methods based on the 3D‐printed hemipelvis model and plate template can achieve satisfactory clinical efficacy, with the advantage of shorter instrumentation and surgical time, and less intraoperative blood loss. However, 3D printing of plate template is easier and less time‐consuming, considering the shorter time and less cost for 3D printing of physical model.
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spelling pubmed-104756742023-09-05 Three‐Dimensional Printed Plate Template Versus Hemipelvis Model in Patient‐Specific Plate Preparation for Posterior Wall Acetabular Fractures Chen, Jianan Zheng, Yifan Zhou, Wei Qian, Shenglong Chen, Yu Cheng, Yipeng Wang, Guodong Cai, Xianhua Liu, Ximing Orthop Surg Clinical Articles OBJECTIVE: The application of three‐dimensional (3D) printing technology in the management of posterior wall acetabular fractures can greatly reduce surgical invasiveness and operative time and simplify the procedure of reconstruction plate contouring, but the cost and time of patient‐specific plate preparation on the basis of traditional 3D‐printed pelvis model should not be neglected. We described a new method for patient‐specific plate preparation by using 3D‐printed plate template. The study aimed to assess the effectiveness and feasibility of the 3D‐printed plate template in patient‐specific plate preparation for posterior wall acetabular fractures. METHODS: A total of 65 cases of posterior wall acetabular fractures with surgical treatment from December 2012 to December 2020 were chosen. According to the different plate contouring methods, the 65 cases were divided into three groups, which were group A (21 cases), group B (20 cases), and group C (24 cases). In group A, the 3D‐printed plate template was used to contour the patient‐specific reconstruction plate before surgery, whereas the 3D‐printed hemipelvis model was adopted for group B. In group C, the reconstruction plate was contoured intraoperatively. Among the three groups, the instrumentation time, surgical time, blood loss, patient‐specific plate preparation time, complications, reduction quality, and hip function were compared. The Kruskal–Wallis test was used to analyze the reduction quality and hip function among three groups. RESULTS: In comparison with group C, patients in groups A and B were featured by obviously shorter instrumentation time (−22, −23 min), shorter surgical time (−46, −44 min), and less intraoperative blood loss (−110, −122 mL). Compared to the hemipelvis model in group B (2.29 ± 0.56 vs. 12.70 ± 3.79 days), the 3D printing time for plate templates in group A was significantly shorter. The reduction quality and hip function had no obvious statistical difference among the three groups. The complication rate within group A (3/21) and group B (3/20) were both slightly lower than group C (5/24), with no obvious difference. CONCLUSIONS: Both the patient‐specific pre‐contoured plate fixation methods based on the 3D‐printed hemipelvis model and plate template can achieve satisfactory clinical efficacy, with the advantage of shorter instrumentation and surgical time, and less intraoperative blood loss. However, 3D printing of plate template is easier and less time‐consuming, considering the shorter time and less cost for 3D printing of physical model. John Wiley & Sons Australia, Ltd 2023-07-31 /pmc/articles/PMC10475674/ /pubmed/37525356 http://dx.doi.org/10.1111/os.13838 Text en © 2023 The Authors. Orthopaedic Surgery published by Tianjin Hospital and John Wiley & Sons Australia, Ltd. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Clinical Articles
Chen, Jianan
Zheng, Yifan
Zhou, Wei
Qian, Shenglong
Chen, Yu
Cheng, Yipeng
Wang, Guodong
Cai, Xianhua
Liu, Ximing
Three‐Dimensional Printed Plate Template Versus Hemipelvis Model in Patient‐Specific Plate Preparation for Posterior Wall Acetabular Fractures
title Three‐Dimensional Printed Plate Template Versus Hemipelvis Model in Patient‐Specific Plate Preparation for Posterior Wall Acetabular Fractures
title_full Three‐Dimensional Printed Plate Template Versus Hemipelvis Model in Patient‐Specific Plate Preparation for Posterior Wall Acetabular Fractures
title_fullStr Three‐Dimensional Printed Plate Template Versus Hemipelvis Model in Patient‐Specific Plate Preparation for Posterior Wall Acetabular Fractures
title_full_unstemmed Three‐Dimensional Printed Plate Template Versus Hemipelvis Model in Patient‐Specific Plate Preparation for Posterior Wall Acetabular Fractures
title_short Three‐Dimensional Printed Plate Template Versus Hemipelvis Model in Patient‐Specific Plate Preparation for Posterior Wall Acetabular Fractures
title_sort three‐dimensional printed plate template versus hemipelvis model in patient‐specific plate preparation for posterior wall acetabular fractures
topic Clinical Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10475674/
https://www.ncbi.nlm.nih.gov/pubmed/37525356
http://dx.doi.org/10.1111/os.13838
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