Three-dimensional printing combined with open reduction and internal fixation versus open reduction and internal fixation in the treatment of acetabular fractures: A systematic review and meta-analysis
| Autor: | Xin Fan, Zhen Liu, Dong‐peng Tu, Chao Xu, Wen-Kai Zhang, Yi-Kang Yu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Medicine (General) medicine.medical_treatment education Open reduction and internal fixation Cochrane Library law.invention Fracture Fixation Internal 03 medical and health sciences 0302 clinical medicine R5-920 Randomized controlled trial law medicine Humans Internal fixation Orthopedics and Sports Medicine Retrospective Studies 030222 orthopedics Three-dimensional printing business.industry Acetabular fracture 030208 emergency & critical care medicine Retrospective cohort study medicine.disease Acetabulum Surgery Open Fracture Reduction Meta-analysis Treatment Outcome Strictly standardized mean difference Printing Three-Dimensional Original Article business Acetabular fractures |
| Zdroj: | Chinese Journal of Traumatology, Vol 24, Iss 3, Pp 159-168 (2021) Chinese Journal of Traumatology |
| ISSN: | 1008-1275 |
| Popis: | Purpose: This meta-analysis compared the clinical outcome of three-dimensional (3D) printing combined with open reduction and internal fixation (ORIF) to traditional ORIF in the treatment of acetabular fractures. Methods: We searched the Cochrane Library, PubMed, Embase, VIP database, CNKI, and Wanfang database with keywords “acetabular fracture”, “3D printing”, “three-dimensional printing”, “open reduction and internal fixation”, “Acetabulum”, “Acetabula” from January 2000 to March 2020. Two reviewers independently selected articles, extracted data, assessed the quality evidence and risk bias of included trials using the Cochrane Collaboration’ s tools and/or Newcastle–Ottawa scale. When the two analysts had different opinions, they would ask the third analyst for opinion. Randomized controlled trials or retrospective comparative studies of 3D printing combined with ORIF (3D printing group) versus traditional ORIF (conventional group) in the treatment of acetabular fractures were selected. The data of operation time, intraoperative blood loss, intraoperative fluoroscopy times, incidence of complications, excellent and good rate of Matta score for reduction, and excellent and good rate of hip function score were extracted. Stata14.0 statistical software was used for data analysis. Results: Altogether 9 articles were selected, including 5 randomized controlled trials and 4 retrospective studies. A total of 467 patients were analyzed, 250 in the conventional group, and 217 in the 3D printing group. The operation time in the 3D printing group was less than that in the conventional group and the difference was statistically significant (standardized mean difference (SMD) = −1.19, 95% CI: −1.55 to −0.82, p 0.05). There was no significant difference in the excellent and good rate of hip function score at the end of postoperative follow-up between the two groups (OR = 0.84, 95% CI: 0.46–1.56, p > 0.05), but the follow-up time varies from 6 months to 40 months. Conclusion: Compared with traditional ORIF, 3D printing combined with ORIF has certain advantages in terms that 3D printing not only helps surgeons to understand acetabular fractures more intuitively, but also effectively reduces operation time, intraoperative blood loss, intraoperative fluoroscopy times, and postoperative complications. However, there were no significant differences in the excellent and good rate of Matta score for reduction and the excellent and good rate of hip function score at the end of follow-up. |
| Databáze: | OpenAIRE |
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