Cargando…

Virtual preoperative planning and 3D printing are valuable for the management of complex orthopaedic trauma

PURPOSE: The technology of 3D printing (3DP) exists for quite some time, but it is still not utilized to its full potential in the field of orthopaedics and traumatology, such as underestimating its worth in virtual preoperative planning (VPP) and designing various models, templates, and jigs. It ca...

Descripción completa

Detalles Bibliográficos
Autores principales: Mishra, Abhishek, Verma, Tarun, Vaish, Abhishek, Vaish, Riya, Vaishya, Raju, Maini, Lalit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6921216/
https://www.ncbi.nlm.nih.gov/pubmed/31668700
http://dx.doi.org/10.1016/j.cjtee.2019.07.006
_version_ 1783481112120524800
author Mishra, Abhishek
Verma, Tarun
Vaish, Abhishek
Vaish, Riya
Vaishya, Raju
Maini, Lalit
author_facet Mishra, Abhishek
Verma, Tarun
Vaish, Abhishek
Vaish, Riya
Vaishya, Raju
Maini, Lalit
author_sort Mishra, Abhishek
collection PubMed
description PURPOSE: The technology of 3D printing (3DP) exists for quite some time, but it is still not utilized to its full potential in the field of orthopaedics and traumatology, such as underestimating its worth in virtual preoperative planning (VPP) and designing various models, templates, and jigs. It can be a significant tool in the reduction of surgical morbidity and better surgical outcome avoiding various associated complications. METHODS: An observational study was done including 91 cases of complex trauma presented in our institution requiring operative fixation. Virtual preoperative planning and 3DP were used in the management of these fractures. Surgeons managing these cases were given a set of questionnaire and responses were recorded and assessed as a quantitative data. RESULTS: In all the 91 cases, where VPP and 3DP were used, the surgeons were satisfied with the outcome which they got intraoperatively and postoperatively. Surgical time was reduced, with a better outcome. Three dimensional models of complex fracture were helpful in understanding the anatomy and sketching out the plans for optimum reduction and fixation. The average score of the questionnaire was 4.5, out of a maximum of 6, suggesting a positive role of 3DP in orthopaedics. CONCLUSION: 3DP is useful in complex trauma management by accurate reduction and placement of implants, reduction of surgical time and with a better outcome. Although there is an initial learning curve to understand and execute the VPP and 3DP, these become easier with practice and experience.
format Online
Article
Text
id pubmed-6921216
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-69212162019-12-27 Virtual preoperative planning and 3D printing are valuable for the management of complex orthopaedic trauma Mishra, Abhishek Verma, Tarun Vaish, Abhishek Vaish, Riya Vaishya, Raju Maini, Lalit Chin J Traumatol Original Article PURPOSE: The technology of 3D printing (3DP) exists for quite some time, but it is still not utilized to its full potential in the field of orthopaedics and traumatology, such as underestimating its worth in virtual preoperative planning (VPP) and designing various models, templates, and jigs. It can be a significant tool in the reduction of surgical morbidity and better surgical outcome avoiding various associated complications. METHODS: An observational study was done including 91 cases of complex trauma presented in our institution requiring operative fixation. Virtual preoperative planning and 3DP were used in the management of these fractures. Surgeons managing these cases were given a set of questionnaire and responses were recorded and assessed as a quantitative data. RESULTS: In all the 91 cases, where VPP and 3DP were used, the surgeons were satisfied with the outcome which they got intraoperatively and postoperatively. Surgical time was reduced, with a better outcome. Three dimensional models of complex fracture were helpful in understanding the anatomy and sketching out the plans for optimum reduction and fixation. The average score of the questionnaire was 4.5, out of a maximum of 6, suggesting a positive role of 3DP in orthopaedics. CONCLUSION: 3DP is useful in complex trauma management by accurate reduction and placement of implants, reduction of surgical time and with a better outcome. Although there is an initial learning curve to understand and execute the VPP and 3DP, these become easier with practice and experience. Elsevier 2019-12 2019-09-07 /pmc/articles/PMC6921216/ /pubmed/31668700 http://dx.doi.org/10.1016/j.cjtee.2019.07.006 Text en © 2019 Chinese Medical Association. Production and hosting by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Mishra, Abhishek
Verma, Tarun
Vaish, Abhishek
Vaish, Riya
Vaishya, Raju
Maini, Lalit
Virtual preoperative planning and 3D printing are valuable for the management of complex orthopaedic trauma
title Virtual preoperative planning and 3D printing are valuable for the management of complex orthopaedic trauma
title_full Virtual preoperative planning and 3D printing are valuable for the management of complex orthopaedic trauma
title_fullStr Virtual preoperative planning and 3D printing are valuable for the management of complex orthopaedic trauma
title_full_unstemmed Virtual preoperative planning and 3D printing are valuable for the management of complex orthopaedic trauma
title_short Virtual preoperative planning and 3D printing are valuable for the management of complex orthopaedic trauma
title_sort virtual preoperative planning and 3d printing are valuable for the management of complex orthopaedic trauma
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6921216/
https://www.ncbi.nlm.nih.gov/pubmed/31668700
http://dx.doi.org/10.1016/j.cjtee.2019.07.006
work_keys_str_mv AT mishraabhishek virtualpreoperativeplanningand3dprintingarevaluableforthemanagementofcomplexorthopaedictrauma
AT vermatarun virtualpreoperativeplanningand3dprintingarevaluableforthemanagementofcomplexorthopaedictrauma
AT vaishabhishek virtualpreoperativeplanningand3dprintingarevaluableforthemanagementofcomplexorthopaedictrauma
AT vaishriya virtualpreoperativeplanningand3dprintingarevaluableforthemanagementofcomplexorthopaedictrauma
AT vaishyaraju virtualpreoperativeplanningand3dprintingarevaluableforthemanagementofcomplexorthopaedictrauma
AT mainilalit virtualpreoperativeplanningand3dprintingarevaluableforthemanagementofcomplexorthopaedictrauma