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Three-dimensional printing-assisted surgical technique with limited operative exposure for both-column acetabular fractures. | LitMetric

AI Article Synopsis

  • - The study focuses on the challenges of treating complex both-column acetabular fractures due to pelvic anatomy and fracture types, highlighting the use of a 3D-printed pelvis model for better preoperative planning and simulation.
  • - A custom 3D model was created from CT images, and the effectiveness of this approach was assessed through outcomes of 5 patients, using specific evaluation criteria for fracture reduction and functional performance.
  • - Results showed excellent to good fracture reduction in most patients, with all achieving good functional outcomes, along with an average incision length of 6.9 cm and a surgical time of about 124 minutes, demonstrating the benefits of 3D printing in surgical management.

Article Abstract

Background: It is often difficult to achieve satisfactory reduction and fixation of both-column acetabular fractures owing to the complexity of the regional anatomy of the pelvis and the fracture configuration, which is commonly associated with a high degree of comminution. Herein, we describe the use of a three-dimensional (3D) patient-specific printed model of the pelvis to facilitate preoperative planning, simulate the fracture reduction procedure, and pre-contour the fixation plates for treating both-column acetabular fractures.

Methods: The 3D-printed model was constructed using a fused deposition modeling method with computed tomography images as inputs. Operative and clinical outcomes were evaluated for 5 patients with both-column acetabular fractures (mean age: 41.4 years). The status of fracture reduction was classified using the Matta criteria, and the functional outcome was assessed using the modified Merle d'Aubigne score.

Results: Reduction was classified as excellent in 4 patients and good in 1 patient, and good functional outcomes were achieved in all patients at the final follow-up. The average incision length was 6.9 cm with an average operative time of 124 min.

Conclusion: We successfully applied 3D printing for the surgical management of both-column acetabular fractures, thereby improving surgical outcomes while achieving good-to-excellent reduction and good medium-term functional outcomes.

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Source
http://dx.doi.org/10.5505/tjtes.2018.47690DOI Listing

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