Evaluation of the effects of using 3D - patient specific models of displaced intra - articular calcaneal fractures in surgery
Autor: | Kemal Aktuglu, Okan Derin, Mehmet Asim Ozer, Anıl Murat Öztürk, Onur Süer, Figen Govsa |
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Přispěvatelé: | Ege Üniversitesi |
Rok vydání: | 2022 |
Předmět: |
3D model
Technology medicine.medical_specialty Intra-Articular Fractures medicine.medical_treatment 3d model Knee Injuries Personalized surgery Fracture Fixation Internal Fractures Bone 03 medical and health sciences 0302 clinical medicine Calcaneal fracture Intra articular medicine Humans Internal fixation Fluoroscopy Ankle Injuries Foot Injuries Reduction (orthopedic surgery) Retrospective Studies General Environmental Science 030222 orthopedics medicine.diagnostic_test business.industry Osteosynthesis 030208 emergency & critical care medicine 3D printing Patient specific medicine.disease Fixation Surgery Calcaneus Treatment Outcome Preoperative planning Orthopedic surgery General Earth and Planetary Sciences Patient-specific model Plates business |
Zdroj: | Injury. 53:S40-S51 |
ISSN: | 0020-1383 |
Popis: | Background: It was aimed to compare conventional surgery and three-dimensional (3D) model-assisted surgery used in the treatment of calcaneal fractures. Materials & Methods: A total of 37 patients with unilateral calcaneal fractures were randomly divided into two groups as a conventional surgery group (n: 19) and a 3D model-assisted surgery group (n: 18). The preoperative, postoperative and last follow up angles of the Bohler and Gissane, calcaneal width and facet height were measured. The duration of the operation, blood loss volume, fluoroscopy usage, instrumentation time for both groups were recorded. Finally, the follow-up AOFAS scores were evaluated. A questionnaire was used to determine the perceptions of the resident doctors about the 3D model. Results: The duration of the operation, blood loss volume, fluoroscopy usage, instrumentation time for 3D model-assisted surgery group were 83.3 +/- 4.6 minutes, 83.6 +/- 4.6 ml, 6.8 +/- 1.4 times and 13.0 +/- 0.8 weeks, and as for conventional group they were 130.0 +/- 5.8 minutes, 105.1 +/- 5.6 minutes, 11.7 +/- 1.5 ml, 22.2 +/- 2.4 times and 13.3 +/- 0.8 weeks, respectively (p < 0.0001). The both groups significantly restored Bohler angle, Gissane angle, calcaneal width and calcaneal facet height after operation (p < 0.0 001). The 3D model-assisted group was significantly more succesful in restoration and protection of achieved correction of calcanel facet height (p < 0.0001). The difference was determined among the groups at the final follow-up examination with respect to the amount of change according the values achieved postop. were significant in Bohler angle (p < 0.001), calcaneal facet height (p < 0.0001) and calcaneal widht (p = 0.017). There was no significant difference between AOFAS scores of the two groups at last follow-up. Resident doctors exhibited high scores of overall satisfaction with the use of a 3D printing model. Conclusions: Compared to the conventional group, the 3D model-assisted group provide successful intervention and reduce operation, instrumentation time and the fluoroscopy usage with less blood loss. Performing 3D-assisted surgery helps the quality of reduction during the surgery and stability of internal fixation to protect achieved reduction at follow-up more succesfully. (C) 2020 Elsevier Ltd. All rights reserved. European Society of Tissue Regeneration in Orthopaedics and Traumatology (ESTROT) This paper is part of a Supplement supported by the European Society of Tissue Regeneration in Orthopaedics and Traumatology (ESTROT). |
Databáze: | OpenAIRE |
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