Does 3D-assisted surgery of tibial plateau fractures improve surgical and patient outcome?
Autor: | Max J. H. Witjes, Job N Doornberg, Nick Assink, Inge H. F. Reininga, Kaj Ten Duis, Jean-Paul P.M. de Vries, Harm Hoekstra, Frank F A IJpma, Joep Kraeima |
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Jazyk: | angličtina |
Rok vydání: | 2022 |
Předmět: |
medicine.medical_specialty
Sports medicine Concordance Operative Time 3D preoperative planning 3D virtual surgical planning Critical Care and Intensive Care Medicine Surgical planning Fracture Fixation Internal Blood loss Tibial plateau fracture medicine Fluoroscopy Humans Orthopedics and Sports Medicine Osteosynthesis Science & Technology medicine.diagnostic_test business.industry Three dimensional Guided surgery 3D printing medicine.disease Surgery Tibial Fractures Critical appraisal Treatment Outcome Printing Three-Dimensional Emergency Medicine business Bone Plates Life Sciences & Biomedicine |
Zdroj: | European Journal of Trauma and Emergency Surgery. 48 |
ISSN: | 1863-9933 |
Popis: | Purpose The aim of this systematic review was to provide an overview of current applications of 3D technologies in surgical management of tibial plateau fractures and to assess whether 3D-assisted surgery results in improved clinical outcome as compared to surgery based on conventional imaging modalities. Methods A literature search was performed in Pubmed and Embase for articles reporting on the use of 3D techniques in operative management of tibial plateau fractures. This systematic review was performed in concordance with the PRISMA-guidelines. Methodological quality and risk of bias was assessed according to the guidelines of the McMaster Critical Appraisal. Differences in terms of operation time, blood loss, fluoroscopy frequency, intra-operative revision rates and patient-reported outcomes between 3D-assisted and conventional surgery were assessed. Data were pooled using the inverse variance weighting method in RevMan. Results Twenty articles evaluating 948 patients treated with 3D-assisted surgery and 126 patients with conventional surgery were included. Five different concepts of 3D-assisted surgery were identified: ‘3D virtual visualization’, ‘3D printed hand-held fracture models’, ‘Pre-contouring of osteosynthesis plates’, ‘3D printed surgical guides’, and ‘Intra-operative 3D imaging’. 3D-assisted surgery resulted in reduced operation time (104.7 vs. 126.4 min; P P P P = 0.23). Conclusions Five concepts of 3D-assisted surgical management of tibial plateau fractures emerged over the last decade. These include 3D virtual fracture visualization, 3D-printed hand-held fracture models for surgical planning, 3D-printed models for pre-contouring of osteosynthesis plates, 3D-printed surgical guides, and intra-operative 3D imaging. 3D-assisted surgery may have a positive effect on operation time, blood loss, and fluoroscopy frequency. |
Databáze: | OpenAIRE |
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