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Evaluation of a 3D-Printed Reduction Guide for Minimally Invasive Plate Osteosynthesis of Short Oblique Radial Diaphyseal Fracture in Dogs: A Cadaveric Study. | LitMetric

AI Article Synopsis

  • This study evaluates the use of 3D-printed custom reduction guides (3DRG) for minimally invasive treatment of radial fractures in dogs.
  • 24 canine forelimb specimens were subjected to different surgical stabilization techniques: MIPO with 3DRG (Group A), open reduction (Group B), and closed reduction with external fixation (Group C).
  • Results showed that while certain measurements (like angle and translation) were similar across groups, MIPO using 3DRG notably reduced surgical time, making it a reliable option for aligning fractures.

Article Abstract

This study aims to evaluate the clinical application of three-dimensional (3D)-printed custom reduction guides (3DRG) for minimally invasive plate osteosynthesis (MIPO) of short oblique radial diaphyseal fractures. Canine forelimb specimens ( = 24) were prepared and a diaphyseal short oblique fracture was simulated in the distal radius and ulna. Bone fragments were stabilized with the MIPO technique using a 3DRG (Group A), open reduction (Group B), or closed reduction with circular external skeletal fixation (ESF) (Group C). The diaphyseal short oblique fractures were created in each radius at one-third of the radial length from the distal radial articular surface. Surgical stabilization of the fractures was performed in each group. Pre and postoperative radiographic images were obtained to measure frontal angulation (FA), sagittal angulation (SA), frontal joint reference line angulation (fJRLA), sagittal joint reference line angulation (sJRLA), translational malalignment and fracture gap width. Surgical time was also measured. In the homogeneity test, differences in SA, sJRLA, craniocaudal translation and fracture gap before and after surgery had no significant difference among the three groups. On the other hand, differences in FA, fJRLA, mediolateral translation and surgical time before and after surgery had significant differences among the three groups. In the post hoc test, only surgical time showed a significant difference between the three groups, and group A showed the shortest surgical time. The use of 3DRG for MIPO of short oblique radial diaphyseal fractures in dogs is reliable for the alignment and apposition of fractures and reduces surgical time.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11053707PMC
http://dx.doi.org/10.3390/vetsci11040145DOI Listing

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