3D‑printed pelvis model is an efficient method of osteotomy simulation for the treatment of developmental dysplasia of the hip

Liu,Kexin; Li,Zitao; Ma,Yubo; Lian,Hongyu

doi:10.3892/etm.2019.8332

3D‑printed pelvis model is an efficient method of osteotomy simulation for the treatment of developmental dysplasia of the hip

Authors:
- Kexin Liu
- Zitao Li
- Yubo Ma
- Hongyu Lian
View Affiliations

Affiliations: Orthopedics Surgery Department 2, Affiliated Hongqi Hospital, Mudanjiang Medical University, Mudanjiang, Heilongjiang 157000, P.R. China
Published online on: December 16, 2019 https://doi.org/10.3892/etm.2019.8332
Pages: 1155-1160
Copyright: © Liu et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )

Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )

Cited By (CrossRef): 0 citations Loading Articles...

Abstract

Developmental dysplasia of the hip (DDH) is a congenital or developmental deformation of the hip joint, which may require a high number of surgical interventions. It has been indicated that 3D printing may be used to simulate a fractured pelvis to facilitate the fixation of plates during the surgical procedure. In the present double‑blinded randomized clinical trial, the utility of the 3D‑printed pelvis model, comprising 3D reconstruction, reverse engineering and rapid prototyping, in the treatment of DDH was evaluated with 3D CT as control. The value of the 3D‑printed pelvis model in the surgical management and development of a strategy for an individualized operation for DDH using osteotomy simulation was also assessed. The results indicated that use of the 3D‑printed pelvis model increased the success rate of the operation with a shortened surgery time and post‑operative recovery time for DDH patients. In addition, the application of the 3D‑printed pelvis model allowed for more efficient surgical management of DDH than 3D CT and promoted post‑operative recovery of the DDH patients. Pre‑operative planning using the 3D‑printed pelvis model was feasible for DDH patients. Furthermore, few patients exhibited delayed incision healing, wound infection or nonunion in the DDH group with osteotomy simulation using the 3D‑printed pelvis model or 3D‑CT. In conclusion, the present study indicated that the 3D‑printed pelvis model, including 3D reconstruction, reverse engineering and rapid prototyping, constitutes an efficient tool for pelvic osteotomy simulation, which improves personalized pre‑operative planning by providing a visual and accurate osteotomy model for patients with DDH (Chinese Trial Registry No. KCT0012374).

View Figures

View References

1	Toma P, Valle M, Rossi U and Brunenghi GM: Paediatric hip-ultrasound screening for developmental dysplasia of the hip: A review. Eur J Ultrasound. 14:45–55. 2001. View Article : Google Scholar : PubMed/NCBI
2	Yang S and Cui Q: Total hip arthroplasty in developmental dysplasia of the hip: Review of anatomy, techniques and outcomes. World J Orthop. 3:42–48. 2012. View Article : Google Scholar : PubMed/NCBI
3	Rhodes AM and Clarke NM: A review of environmental factors implicated in human developmental dysplasia of the hip. J Child Orthop. 8:375–379. 2014. View Article : Google Scholar : PubMed/NCBI
4	Canavese F, Vargas-Barreto B, Kaelin A and de Coulon G: Onset of developmental dysplasia of the hip during clubfoot treatment: Report of two cases and review of patients with both deformities followed at a single institution. J Pediatric Orthop B. 20:152–156. 2011. View Article : Google Scholar
5	Gardner RO, Bradley CS, Howard A, Narayanan UG, Wedge JH and Kelley SP: The incidence of avascular necrosis and the radiographic outcome following medial open reduction in children with developmental dysplasia of the hip: A systematic review. Bone Joint J. 96-B:279–286. 2014. View Article : Google Scholar : PubMed/NCBI
6	Di Mascio L, Carey-Smith R and Tucker K: Open reduction of developmental hip dysplasia using a medial approach: A review of 24 hips. Acta Orthop Belg. 74:343–348. 2008.PubMed/NCBI
7	Eley KA, Watt-Smith SR and Golding SJ: ‘Black Bone’ MRI: A novel imaging technique for 3D printing. Dentomaxillofac Radiol. 46:201604072017. View Article : Google Scholar : PubMed/NCBI
8	Zhou Z, Buchanan F, Mitchell C and Dunne N: Printability of calcium phosphate: Calcium sulfate powders for the application of tissue engineered bone scaffolds using the 3D printing technique. Mater Sci Eng C Mater Biol Appl. 38:1–10. 2014. View Article : Google Scholar : PubMed/NCBI
9	Zheng P, Xu P, Yao Q, Tang K and Lou Y: 3D-printed navigation template in proximal femoral osteotomy for older children with developmental dysplasia of the hip. Sci Rep. 7:449932017. View Article : Google Scholar : PubMed/NCBI
10	Wu XB, Wang JQ, Zhao CP, Sun X, Shi Y, Zhang ZA, Li YN and Wang MY: Printed three-dimensional anatomic templates for virtual preoperative planning before reconstruction of old pelvic injuries: Initial results. Chin Med J (Engl). 128:477–482. 2015. View Article : Google Scholar : PubMed/NCBI
11	Zengy Y, Min L, Lai OJ, Shen B, Yang J, Zhou ZK, Kang PD and Pei FX: Acetabular morphological analysis in patients with high dislocated DDH using three-dimensional surface reconstruction technique. Sichuan Da Xue Xue Bao Yi Xue Ban. 46:296–300. 2015.(In Chinese). PubMed/NCBI
12	Xu J, Li D, Ma RF, Barden B and Ding Y: Application of rapid prototyping pelvic model for patients with DDH to facilitate arthroplasty planning: A pilot study. J Arthroplasty. 30:1963–1970. 2015. View Article : Google Scholar : PubMed/NCBI
13	Dai J, Shi D, Zhu P, Qin J, Ni H, Xu Y, Yao C, Zhu L, Zhu H, Zhao B, et al: Association of a single nucleotide polymorphism in growth differentiate factor 5 with congenital dysplasia of the hip: A case-control study. Arthritis Res Ther. 10:R1262008. View Article : Google Scholar : PubMed/NCBI
14	Upex P, Jouffroy P and Riouallon G: Application of 3D printing for treating fractures of both columns of the acetabulum: Benefit of pre-contouring plates on the mirrored healthy pelvis. Orthop Traumatol Surg Res. 103:331–334. 2017. View Article : Google Scholar : PubMed/NCBI
15	Tuhanioglu U, Cicek H, Ogur HU, Seyfettinoglu F and Kapukaya A: Evaluation of late redislocation in patients who underwent open reduction and pelvic osteotomy as treament for developmental dysplasia of the hip. Hip Int. 28:309–314. 2018. View Article : Google Scholar : PubMed/NCBI
16	Watt DG, McSorley ST, Park JH, Horgan PG and McMillan DC: A postoperative systemic inflammation score predicts short- and long-term outcomes in patients undergoing surgery for colorectal cancer. Ann Surg Oncol. 24:1100–1109. 2017. View Article : Google Scholar : PubMed/NCBI
17	Bajada S and Mohanty K: Psychometric properties including reliability, validity and responsiveness of the Majeed pelvic score in patients with chronic sacroiliac joint pain. Eur Spine J. 25:1939–1944. 2016. View Article : Google Scholar : PubMed/NCBI
18	Miao M, Cai H, Hu L and Wang Z: Retrospective observational study comparing the international hip dysplasia institute classification with the Tonnis classification of developmental dysplasia of the hip. Medicine (Baltimore). 96:e59022017. View Article : Google Scholar : PubMed/NCBI
19	Chandrasekaran S, Gui C, Walsh JP, Lodhia P, Suarez-Ahedo C and Domb BG: Correlation between Changes in visual analog scale and patient-reported outcome scores and patient satisfaction after hip arthroscopic surgery. Orthop J Sports Med. 5:23259671177247722017. View Article : Google Scholar : PubMed/NCBI
20	Lee N: The lancet technology: 3D printing for instruments, models, and organs? Lancet. 388:13682016. View Article : Google Scholar : PubMed/NCBI
21	Tetsworth K, Block S and Glatt V: Putting 3D modelling and 3D printing into practice: Virtual surgery and preoperative planning to reconstruct complex post-traumatic skeletal deformities and defects. SICOT J. 3:162017. View Article : Google Scholar : PubMed/NCBI
22	Zeng CJ, Tan XY, Huang HJ, Huang WQ, Li T, Jin DD, Zhang GD and Huang WH: Clincial effect of 3D printing-assisted minimal invasive surgery through a small incision lateral to the rectus abdominis for pelvic fracture. Nan Fang Yi Ke Da Xue Xue Bao. 36:220–225. 2016.(In Chinese). PubMed/NCBI
23	Xiao Y, Sun X, Wang L, Zhang Y, Chen K and Wu G: The application of 3D printing technology for simultaneous orthognathic surgery and mandibular contour osteoplasty in the treatment of craniofacial deformities. Aesthetic Plast Surg. 41:1413–1424. 2017. View Article : Google Scholar : PubMed/NCBI
24	Bertol LS, Schabbach R and Dos Santos LAL: Dimensional evaluation of patient-specific 3D printing using calcium phosphate cement for craniofacial bone reconstruction. J Biomater Appl. 31:799–806. 2017. View Article : Google Scholar : PubMed/NCBI
25	Nie Y, Wang H, Huang Z, Shen B, Kraus VB and Zhou Z: Radiographic underestimation of in vivo cup coverage provided by total Hip arthroplasty for dysplasia. Orthopedics. 41:e46–e51. 2018. View Article : Google Scholar : PubMed/NCBI
26	Murphy RF and Kim YJ: Surgical Management of pediatric developmental dysplasia of the Hip. J Am Acad Orthop Surg. 24:615–624. 2016. View Article : Google Scholar : PubMed/NCBI