Clinical feasibility and application value of computer virtual reduction combined with 3D printing technique in complex acetabular fractures

Wan,Lei; Zhang,Xiaoguang; Zhang,Shaoan; Li,Kui; Cao,Pengke; Li,Junming; Wu,Guangliang

doi:10.3892/etm.2019.7344

May-2019 Volume 17 Issue 5

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May-2019 Volume 17 Issue 5

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Clinical feasibility and application value of computer virtual reduction combined with 3D printing technique in complex acetabular fractures

Authors:
- Lei Wan
- Xiaoguang Zhang
- Shaoan Zhang
- Kui Li
- Pengke Cao
- Junming Li
- Guangliang Wu
View Affiliations / Copyright

Affiliations: Department of Orthopedics, The Second Affiliated Hospital of Luohe Medical College, Luohe, Henan 462300, P.R. China
Pages: 3630-3636
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Published online on: March 5, 2019

https://doi.org/10.3892/etm.2019.7344
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Abstract

This study investigated the clinical feasibility and application value of computer virtual reduction combined with three‑dimensional (3D) printing technique in patients with complex acetabular fracture. Ninety-six patients diagnosed with complex acetabular fracture in the Orthopedics Department in The Second Affiliated Hospital of Luohe Medical College from January 2016 to June 2017 were selected and randomly divided into the routine operation group (n=48) and the 3D model group (n=48) according to the admission number of the patients. In the 3D model group, computed tomography (CT) scan was performed preoperatively, and the model was made using the virtual technique and 3D printing technique. The surgical scheme was designed according to the model. Patients in the routine operation group were diagnosed with the conventional CT scan without using the computer virtual technique and 3D printing technique. During operation, the operation time, amount of intraoperative bleeding and times of intraoperative fluoroscopy were recorded in both groups. After operation, the incidence rate of such complications as inflammatory response, iatrogenic neurological symptoms and loss of reduction were recorded in both groups. Moreover, the reduction quality of acetabular fracture was evaluated according to the Matta imaging score at 3 days after operation, and the hip joint function was evaluated based on the Hariss score at 6 months after operation. In the 3D model group, the operation time was significantly shorter than that in the control group, the amount of intraoperative bleeding and times of intraoperative fluoroscopy were significantly less than those in the routine operation group, and the incidence rate of postoperative complications was obviously lower than that in the routine operation group (P<0.05). In conclusion, computer virtual reduction combined with the 3D printing technique can significantly reduce the operation time, amount of intraoperative bleeding, times of intraoperative fluoroscopy and incidence rate of postoperative complications without adverse effects on the reduction quality of acetabular fracture and hip joint function of patients, which has a higher clinical application value and greater social significance.

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1	Keil H, Beisemann N, Schnetzke M, Vetter SY, Swartman B, Grützner PA and Franke J: Intraoperative assessment of reduction and implant placement in acetabular fractures-limitations of 3D-imaging compared to computed tomography. J Orthop Surg Res. 13:782018. View Article : Google Scholar : PubMed/NCBI
2	Ma L, Zhou Y, Zhu Y, Lin Z, Chen L, Zhang Y, Xia H and Mao C: 3D printed personalized titanium plates improve clinical outcome in microwave ablation of bone tumors around the knee. Sci Rep. 7:76262017. View Article : Google Scholar : PubMed/NCBI
3	Liu X, Zeng CJ, Lu JS, Lin XC, Huang HJ, Tan XY, Cai DZ and Orthopedics DO: Application of 3D printing and computer-assisted surgical simulation in preoperative planning for acetabular fracture. Nan Fang Yi Ke Da Xue Xue Bao. 37:378–382. 2017.(In Chinese). PubMed/NCBI
4	Judet R, Judet J and Letournel E: Fractures of the acetabulum: classification and surgical approaches for open reduction. Preliminary report. J Bone Joint Surg Am. 46:1615–1646. 1964. View Article : Google Scholar : PubMed/NCBI
5	Uei H, Tokuhashi Y, Maseda M, Nakahashi M, Sawada H, Matsumoto K and Miyakata H: Exploratory analysis of predictors of revision surgery for proximal junctional kyphosis or additional postoperative vertebral fracture following adult spinal deformity surgery in elderly patients: A retrospective cohort study. J Orthop Surg Res. 13:2522018. View Article : Google Scholar : PubMed/NCBI
6	Deng C, Ni WD, Guo SQ, Luo G, Shui W and Qiao B: Operative treatment of delayed acetabular fractures through combined anterior and Kocher-Langenbeck approaches. Zhonghua Wai Ke Za Zhi. 56:196–200. 2018.(In Chinese). PubMed/NCBI
7	Clough TM, Alvi F and Majeed H: Total ankle arthroplasty: What are the risks? Bone Joint J 100-B. 1352–1358. 2018. View Article : Google Scholar
8	Cao D, Zhang S, Yang F, Shen K and Tan Z: Hidden blood loss and its influencing factors after percutaneous kyphoplasty surgery: A retrospective study. Medicine (Baltimore). 97:e04352018. View Article : Google Scholar : PubMed/NCBI
9	de Vries LM, Neve WC and Steens J: Prosthesis retention after an infected hip prosthesis: Hip fractures versus primary total hip prosthesis, data from 1998–2015. J Bone Jt Infect. 3:118–122. 2018. View Article : Google Scholar : PubMed/NCBI
10	Bücking TM, Hill ER, Robertson JL, Maneas E, Plumb AA and Nikitichev DI: From medical imaging data to 3D printed anatomical models. PLoS One. 12:e01785402017. View Article : Google Scholar : PubMed/NCBI
11	Ho D, Squelch A and Sun Z: Modelling of aortic aneurysm and aortic dissection through 3D printing. J Med Radiat Sci. 64:10–17. 2017. View Article : Google Scholar : PubMed/NCBI
12	Porter SE, Russell GV, Dews RC, Qin Z, Woodall J Jr and Graves ML: Complications of acetabular fracture surgery in morbidly obese patients. J Orthop Trauma. 22:589–594. 2008. View Article : Google Scholar : PubMed/NCBI
13	Schreiner AJ, Schmidutz F, Ateschrang A, Ihle C, Stöckle U, Ochs BG and Gonser C: Periprosthetic tibial fractures in total knee arthroplasty - an outcome analysis of a challenging and underreported surgical issue. BMC Musculoskelet Disord. 19:3232018. View Article : Google Scholar : PubMed/NCBI
14	Maini L, Verma T, Sharma A, Sharma A, Mishra A and Jha S: Evaluation of accuracy of virtual surgical planning for patient-specific pre-contoured plate in acetabular fracture fixation. Arch Orthop Trauma Surg. 138:495–504. 2018. View Article : Google Scholar : PubMed/NCBI
15	Wang YC, Ma Y, Yu WZ, Li YF and Liu YH: Application of the computer-assisted virtual reduction combined with 3D printing technique in acetabular fractures. Zhongguo Gu Shang. 30:627–632. 2017.(In Chinese). PubMed/NCBI
16	Arabnejad S, Johnston B, Tanzer M and Pasini D: Fully porous 3D printed titanium femoral stem to reduce stress-shielding following total hip arthroplasty. J Orthop Res. 35:1774–1783. 2017. View Article : Google Scholar : PubMed/NCBI
17	Lou Y, Cai L, Wang C, Tang Q, Pan T, Guo X and Wang J: Comparison of traditional surgery and surgery assisted by three dimensional printing technology in the treatment of tibial plateau fractures. Int Orthop. 41:1875–1880. 2017. View Article : Google Scholar : PubMed/NCBI

Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Clinical feasibility and application value of computer virtual reduction combined with 3D printing technique in complex acetabular fractures

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