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Integration of Three-dimensional Technologies in Orthopedics: A Tool for Preoperative Planning of Tibial Plateau Fractures

BACKGROUND: There is a growing scientific interest in the use of three-dimensional (3D) technologies in orthopedic surgery. Digitalization makes research in orthopedics more accurate and quantitative. Scientific literature describes an overview of current 3D technologies applications in orthopedics,...

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Autores principales: Moldovan, Flaviu, Gligor, Adrian, Bataga, Tiberiu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Academy of Medical sciences 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7879455/
https://www.ncbi.nlm.nih.gov/pubmed/33627930
http://dx.doi.org/10.5455/aim.2020.28.278-282
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author Moldovan, Flaviu
Gligor, Adrian
Bataga, Tiberiu
author_facet Moldovan, Flaviu
Gligor, Adrian
Bataga, Tiberiu
author_sort Moldovan, Flaviu
collection PubMed
description BACKGROUND: There is a growing scientific interest in the use of three-dimensional (3D) technologies in orthopedic surgery. Digitalization makes research in orthopedics more accurate and quantitative. Scientific literature describes an overview of current 3D technologies applications in orthopedics, without any emphasis on integrating available technologies as a clinical workflow. OBJECTIVE: To develop a clinical workflow integrating 3D technologies for patient-specific applications in orthopedics validated in practice by employment of a free 3D software solution with the aim of minimizing the intervention. METHOD: By exploring the applications of 3D technologies in orthopedic surgery, we have created a clinical workflow integrating 3D technologies for patient-specific applications in orthopedics. It is validated in practice for preoperative planning of a 49-year-old male patient who had a tibial plateau fracture of Schatzker type VI in his right leg. The software solution we have used is Democratiz3D, from Embodi3d platform, which allows patient-specific modeling and surgical planning. RESULTS: By using the proposed methodology we obtained the model of the tibial plateau fracture Schatzker type VI, as a “solid” representation in stl type files, which represents a numerically defined geometry of the bones fragments. It helps surgeons in planning the surgical approach. The time from the beginning to the end of the analysis was 193 min, which is 15% lower than times reported in similar studies. CONCLUSION: The planning potential of the 3D solution is a valuable instrument for surgeons in exploring the nature of tibial plateau fractures and the formulation of a suitable surgical plan for surface alignment, design and screw fixation guides, strength calculations of bone fragments, and printing surgical objects.
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spelling pubmed-78794552021-02-23 Integration of Three-dimensional Technologies in Orthopedics: A Tool for Preoperative Planning of Tibial Plateau Fractures Moldovan, Flaviu Gligor, Adrian Bataga, Tiberiu Acta Inform Med Original Paper BACKGROUND: There is a growing scientific interest in the use of three-dimensional (3D) technologies in orthopedic surgery. Digitalization makes research in orthopedics more accurate and quantitative. Scientific literature describes an overview of current 3D technologies applications in orthopedics, without any emphasis on integrating available technologies as a clinical workflow. OBJECTIVE: To develop a clinical workflow integrating 3D technologies for patient-specific applications in orthopedics validated in practice by employment of a free 3D software solution with the aim of minimizing the intervention. METHOD: By exploring the applications of 3D technologies in orthopedic surgery, we have created a clinical workflow integrating 3D technologies for patient-specific applications in orthopedics. It is validated in practice for preoperative planning of a 49-year-old male patient who had a tibial plateau fracture of Schatzker type VI in his right leg. The software solution we have used is Democratiz3D, from Embodi3d platform, which allows patient-specific modeling and surgical planning. RESULTS: By using the proposed methodology we obtained the model of the tibial plateau fracture Schatzker type VI, as a “solid” representation in stl type files, which represents a numerically defined geometry of the bones fragments. It helps surgeons in planning the surgical approach. The time from the beginning to the end of the analysis was 193 min, which is 15% lower than times reported in similar studies. CONCLUSION: The planning potential of the 3D solution is a valuable instrument for surgeons in exploring the nature of tibial plateau fractures and the formulation of a suitable surgical plan for surface alignment, design and screw fixation guides, strength calculations of bone fragments, and printing surgical objects. Academy of Medical sciences 2020-12 /pmc/articles/PMC7879455/ /pubmed/33627930 http://dx.doi.org/10.5455/aim.2020.28.278-282 Text en © 2020 Flaviu Moldovan, Adrian Gligor, Tiberiu Bataga http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Paper
Moldovan, Flaviu
Gligor, Adrian
Bataga, Tiberiu
Integration of Three-dimensional Technologies in Orthopedics: A Tool for Preoperative Planning of Tibial Plateau Fractures
title Integration of Three-dimensional Technologies in Orthopedics: A Tool for Preoperative Planning of Tibial Plateau Fractures
title_full Integration of Three-dimensional Technologies in Orthopedics: A Tool for Preoperative Planning of Tibial Plateau Fractures
title_fullStr Integration of Three-dimensional Technologies in Orthopedics: A Tool for Preoperative Planning of Tibial Plateau Fractures
title_full_unstemmed Integration of Three-dimensional Technologies in Orthopedics: A Tool for Preoperative Planning of Tibial Plateau Fractures
title_short Integration of Three-dimensional Technologies in Orthopedics: A Tool for Preoperative Planning of Tibial Plateau Fractures
title_sort integration of three-dimensional technologies in orthopedics: a tool for preoperative planning of tibial plateau fractures
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7879455/
https://www.ncbi.nlm.nih.gov/pubmed/33627930
http://dx.doi.org/10.5455/aim.2020.28.278-282
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