The Clinical Efficacy of Contouring Periarticular Plates on a 3D Printed Bone Model

Overview

Journal J Pers Med

Date 2023 Jul 29

PMID 37511758

Authors

Seung-Yeob Sakong

Jae-Woo Cho

Beom-Soo Kim

Sung-Jun Park

Eic-Ju Lim

Jong-Keon Oh

Affiliations

Soon will be listed here.

Abstract

We report our experience of preoperative plate contouring for periarticular fractures using three-dimensional printing (3DP) technology and describe its benefits. We enrolled 34 patients, including 11 with humerus midshaft fractures, 12 with tibia plateau fractures, 2 with pilon fractures, and 9 with acetabulum fractures. The entire process of plate contouring over the 3DP model was videotaped and retrospectively analyzed. The total time and number of trials for the intraoperative positioning of precontoured plates and any further intraoperative contouring events were prospectively recorded. The mismatch between the planned and postoperative plate positions was evaluated. The average plate contouring time was 9.2 min for humerus shaft, 13.8 min for tibia plateau fractures, 8.8 min for pilon fractures, and 11.6 min for acetabular fractures. Most precontoured plates (88%, 30/34) could sit on the planned position without mismatch. In addition, only one patient with humerus shaft fracture required additional intraoperative contouring. Preoperative patient specific periarticular plate contouring using a 3DP model is a simple and efficient method that may alleviate the surgical challenges involved in plate contouring and positioning.

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References

Maini L, Jha S, Sharma A, Tiwari A . Three-dimensional printing and patient-specific pre-contoured plate: future of acetabulum fracture fixation?. Eur J Trauma Emerg Surg. 2016; 44(2):215-224. DOI: 10.1007/s00068-016-0738-6. View

Huitema J, van der Gaast N, Brouwers L, Jaarsma R, Doornberg J, Edwards M . Are 3D-printed Models of Tibial Plateau Fractures a Useful Addition to Understanding Fractures for Junior Surgeons?. Clin Orthop Relat Res. 2022; 480(6):1170-1177. PMC: 9263500. DOI: 10.1097/CORR.0000000000002137. View

Yammine K, Karbala J, Maalouf A, Daher J, Assi C . Clinical outcomes of the use of 3D printing models in fracture management: a meta-analysis of randomized studies. Eur J Trauma Emerg Surg. 2021; 48(5):3479-3491. DOI: 10.1007/s00068-021-01758-1. View

Lin K, Wei H, Lin K, Tsai C, Lee P . Proximal femoral morphology and the relevance to design of anatomically precontoured plates: a study of the Chinese population. ScientificWorldJournal. 2014; 2014:106941. PMC: 4235604. DOI: 10.1155/2014/106941. View

Assink N, Reininga I, Ten Duis K, Doornberg J, Hoekstra H, Kraeima J . Does 3D-assisted surgery of tibial plateau fractures improve surgical and patient outcome? A systematic review of 1074 patients. Eur J Trauma Emerg Surg. 2021; 48(3):1737-1749. PMC: 9192447. DOI: 10.1007/s00068-021-01773-2. View

Maini L, Verma T, Sharma A, Sharma A, Mishra A, Jha S . Evaluation of accuracy of virtual surgical planning for patient-specific pre-contoured plate in acetabular fracture fixation. Arch Orthop Trauma Surg. 2018; 138(4):495-504. DOI: 10.1007/s00402-018-2868-2. View

Dust T, Hartel M, Henneberg J, Korthaus A, Ballhause T, Keller J . The influence of 3D printing on inter- and intrarater reliability on the classification of tibial plateau fractures. Eur J Trauma Emerg Surg. 2022; 49(1):189-199. PMC: 9925517. DOI: 10.1007/s00068-022-02055-1. View

Kim J, Lee Y, Seo J, Park J, Seo Y, Kim S . Clinical experience with three-dimensional printing techniques in orthopedic trauma. J Orthop Sci. 2018; 23(2):383-388. DOI: 10.1016/j.jos.2017.12.010. View

Dillin L, Slabaugh P . Delayed wound healing, infection, and nonunion following open reduction and internal fixation of tibial plafond fractures. J Trauma. 1986; 26(12):1116-9. DOI: 10.1097/00005373-198612000-00011. View

10.

Chana-Rodriguez F, Mananes R, Rojo-Manaute J, Gil P, Martinez-Gomiz J, Vaquero-Martin J . 3D surgical printing and pre contoured plates for acetabular fractures. Injury. 2016; 47(11):2507-2511. DOI: 10.1016/j.injury.2016.08.027. View

11.

Bagaria V, Deshpande S, Rasalkar D, Kuthe A, Paunipagar B . Use of rapid prototyping and three-dimensional reconstruction modeling in the management of complex fractures. Eur J Radiol. 2011; 80(3):814-20. DOI: 10.1016/j.ejrad.2010.10.007. View

12.

Hung C, Li Y, Chou Y, Chen J, Wu C, Shen H . Conventional plate fixation method versus pre-operative virtual simulation and three-dimensional printing-assisted contoured plate fixation method in the treatment of anterior pelvic ring fracture. Int Orthop. 2018; 43(2):425-431. DOI: 10.1007/s00264-018-3963-2. View

13.

Zheng W, Chen C, Zhang C, Tao Z, Cai L . The Feasibility of 3D Printing Technology on the Treatment of Pilon Fracture and Its Effect on Doctor-Patient Communication. Biomed Res Int. 2018; 2018:8054698. PMC: 5822891. DOI: 10.1155/2018/8054698. View

14.

Yang L, Grottkau B, He Z, Ye C . Three dimensional printing technology and materials for treatment of elbow fractures. Int Orthop. 2017; 41(11):2381-2387. DOI: 10.1007/s00264-017-3627-7. View

15.

Hsu C, Chou Y, Li Y, Chen J, Hung C, Wu C . Pre-operative virtual simulation and three-dimensional printing techniques for the surgical management of acetabular fractures. Int Orthop. 2018; 43(8):1969-1976. DOI: 10.1007/s00264-018-4111-8. View

16.

Chung K, Hong D, Kim Y, Yang I, Park Y, Kim H . Preshaping plates for minimally invasive fixation of calcaneal fractures using a real-size 3D-printed model as a preoperative and intraoperative tool. Foot Ankle Int. 2014; 35(11):1231-6. DOI: 10.1177/1071100714544522. View

17.

McFerran M, Smith S, Boulas H, Schwartz H . Complications encountered in the treatment of pilon fractures. J Orthop Trauma. 1992; 6(2):195-200. DOI: 10.1097/00005131-199206000-00011. View

18.

Upex P, Jouffroy P, 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. 2017; 103(3):331-334. DOI: 10.1016/j.otsr.2016.11.021. View

19.

Papotto G, Testa G, Mobilia G, Perez S, Dimartino S, Giardina S . Use of 3D printing and pre-contouring plate in the surgical planning of acetabular fractures: A systematic review. Orthop Traumatol Surg Res. 2021; 108(2):103111. DOI: 10.1016/j.otsr.2021.103111. View

20.

Shon H, Bang J, Lee Y, Koh K, Kim J . Optimal plate position in minimally invasive plate osteosynthesis for mid-shaft clavicle fractures: simulation using 3D-printed models of actual clinical cases. Eur J Trauma Emerg Surg. 2020; 47(5):1411-1416. DOI: 10.1007/s00068-020-01330-3. View