Preoperative Simulation and Three-Dimensional Model for the Operative Treatment of Forearm Double Fracture: A Randomized Controlled Clinical Trial.

IF 2.1 4区 医学 Q2 SURGERY
Journal of Investigative Surgery Pub Date : 2022-06-01 Epub Date: 2022-01-04 DOI:10.1080/08941939.2021.2024305
Yin Zhang, Junchao Luo, Li Cao, Shuijun Zhang, Yu Tong, Qing Bi, Qiong Zhang
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引用次数: 1

Abstract

Background: To assess the safety and efficacy of preoperative simulation and three-dimensional (3D) models in the treatment of ulnoradial diaphyses fracture. It was hypothesized that preoperative simulation and 3D printing might significantly shorten the mean operative time, intraoperative bleeding, and intraoperative fluoroscopy.

Material and methods: Forty patients with forearm double fracture were divided into 3D printing group and conventional surgery group. Preoperative simulation and 3D printing were performed on patients in the 3D printing group to examine implant reduction and placement as well as preoperative plate/screw size. The operation time, intraoperative bleeding, and frequency of fluoroscopies were recorded.

Results: In the conventional surgery group, the operative time, intraoperative bleeding, and the frequency of fluoroscopy were 106.2 ± 15.92 min, 61.45 ± 11.33 ml and 5.65 ± 1.23 times, whereas in the 3D printing group, values of all the three parameters were better than those of the conventional surgery group (91.3 ± 14.85 min, 48.6 ± 10.39 ml and 3.85 ± 1.04 times, respectively). The forearm pronation and supination of the 3D printing group improved to 79.55 ± 5.12° and 76.80 ± 3.96°, respectively. In the conventional surgery group, patients also had significant improvement in these indicators, which improved to 78.60 ± 5.18° and 75.4 ± 5.30°.

Conclusions: The results showed that preoperative simulation and 3D printing can enhance the safety as well as personalization of the surgical process during the treatment of forearm double fracture and therefore holds potential for future application in clinical practice.

Trial registry: Name of the registry: This study was registered in the Chinese Clinical Trial Registry; Trial registration number: ChiCTR2100045790.

前臂双侧骨折手术治疗的术前模拟及三维模型:一项随机对照临床试验。
背景:评价术前模拟和三维模型治疗尺桡骨骨干骨折的安全性和有效性。假设术前模拟和3D打印可以显著缩短平均手术时间、术中出血和术中透视时间。材料与方法:40例前臂双侧骨折患者分为3D打印组和常规手术组。3D打印组患者进行术前模拟和3D打印,检查种植体复位和放置以及术前钢板/螺钉大小。记录手术时间、术中出血情况及透视次数。结果:常规手术组手术时间、术中出血、透视次数分别为106.2±15.92 min、61.45±11.33 ml、5.65±1.23次,而3D打印组3项指标均优于常规手术组(分别为91.3±14.85 min、48.6±10.39 ml、3.85±1.04次)。3D打印组前臂旋前、旋后分别提高到79.55±5.12°和76.80±3.96°。常规手术组患者上述指标均有明显改善,分别为78.60±5.18°和75.4±5.30°。结论:在前臂双侧骨折治疗过程中,术前模拟和3D打印技术可以提高手术过程的安全性和个性化,具有未来临床应用的潜力。注册中心名称:本研究已在中国临床试验注册中心注册;试验注册号:ChiCTR2100045790。
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来源期刊
CiteScore
4.20
自引率
0.00%
发文量
114
审稿时长
6-12 weeks
期刊介绍: Journal of Investigative Surgery publishes peer-reviewed scientific articles for the advancement of surgery, to the ultimate benefit of patient care and rehabilitation. It is the only journal that encompasses the individual and collaborative efforts of scientists in human and veterinary medicine, dentistry, basic and applied sciences, engineering, and law and ethics. The journal is dedicated to the publication of outstanding articles of interest to the surgical research community.
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