Does 3D Printing-Assisted Acetabular or Pelvic Fracture Surgery Shorten Hospitalization Durations among Older Adults?
Acetabular or anterior pelvic ring fractures are rare but extremely complicated and challenging injuries for orthopedic trauma surgeons. Three-dimensional (3D) printing technology is widely used in the management of these two fracture types for surgical benefits. Our study aimed to explore whether 3...
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| Format: | Article |
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MDPI AG
2022-01-01
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| Series: | Journal of Personalized Medicine |
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| Online Access: | https://www.mdpi.com/2075-4426/12/2/189 |
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| author | Chun-Chi Hung Jia-Lin Wu Yung-Wen Cheng Wei-Liang Chen Shih-Han Lee Tsu-Te Yeh |
| author_facet | Chun-Chi Hung Jia-Lin Wu Yung-Wen Cheng Wei-Liang Chen Shih-Han Lee Tsu-Te Yeh |
| author_sort | Chun-Chi Hung |
| collection | DOAJ |
| description | Acetabular or anterior pelvic ring fractures are rare but extremely complicated and challenging injuries for orthopedic trauma surgeons. Three-dimensional (3D) printing technology is widely used in the management of these two fracture types for surgical benefits. Our study aimed to explore whether 3D printing-assisted acetabular or pelvic surgery is beneficial in terms of shortening the length of hospital stay (LHS) and intensive care unit (ICU) stay (ICU LS) for older patients. This retrospective study included two groups of 76 participants over 60 years old who underwent operations with (<i>n</i> = 41) or without (<i>n</i> = 35) guidance by 3D printing. The Mann–Whitney <i>U</i> test was used to analyze continuous variables. Chi-square analysis was applied for categorical variables. Univariable and multivariable linear regression models were used to analyze the factors associated with LHS. The median LHS in the group without 3D printing assistance was 16 (12–21) days, and the median ICU LS was 0 (0–2) days. The median LHS in the group with 3D printing assistance was 17 (12.5–22.5) days, and the median ICU LS was 0 (0–3) days. There was no significant difference in LHS associated with 3D printing assistance vs. that without 3D printing among patients who underwent open reduction and internal fixation for pelvic or acetabular fractures. The LHS positively correlated with the ICU LS whether the operation was 3D printing assisted or not. For fracture surgery in older patients, in addition to the advancement of surgical treatment and techniques, medical teams require more detailed preoperative evaluations, and more personalized medical plans regarding postoperative care to achieve the goals of shortening LHS, reducing healthcare costs, and reducing complication rates. |
| first_indexed | 2024-03-09T21:37:05Z |
| format | Article |
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| issn | 2075-4426 |
| language | English |
| last_indexed | 2024-03-09T21:37:05Z |
| publishDate | 2022-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Personalized Medicine |
| spelling | doaj.art-3143bc0dfd4f43cdb9187bf502f722f42023-11-23T20:39:38ZengMDPI AGJournal of Personalized Medicine2075-44262022-01-0112218910.3390/jpm12020189Does 3D Printing-Assisted Acetabular or Pelvic Fracture Surgery Shorten Hospitalization Durations among Older Adults?Chun-Chi Hung0Jia-Lin Wu1Yung-Wen Cheng2Wei-Liang Chen3Shih-Han Lee4Tsu-Te Yeh5Department of Orthopaedic Surgery, Tri-Service General Hospital, and School of Medicine, National Defense Medical Center, Taipei 114, TaiwanDepartment of Orthopedics, School of Medicine, College of Medicine, Taipei Medical University, Taipei 110, TaiwanDivision of Family Medicine, Department of Family and Community Medicine, Tri-Service General Hospital, and School of Medicine, National Defense Medical Center, Taipei 114, TaiwanDivision of Family Medicine, Department of Family and Community Medicine, Tri-Service General Hospital, and School of Medicine, National Defense Medical Center, Taipei 114, TaiwanDepartment of Orthopedics, School of Medicine, College of Medicine, Taipei Medical University, Taipei 110, TaiwanDepartment of Orthopaedic Surgery, Tri-Service General Hospital, and School of Medicine, National Defense Medical Center, Taipei 114, TaiwanAcetabular or anterior pelvic ring fractures are rare but extremely complicated and challenging injuries for orthopedic trauma surgeons. Three-dimensional (3D) printing technology is widely used in the management of these two fracture types for surgical benefits. Our study aimed to explore whether 3D printing-assisted acetabular or pelvic surgery is beneficial in terms of shortening the length of hospital stay (LHS) and intensive care unit (ICU) stay (ICU LS) for older patients. This retrospective study included two groups of 76 participants over 60 years old who underwent operations with (<i>n</i> = 41) or without (<i>n</i> = 35) guidance by 3D printing. The Mann–Whitney <i>U</i> test was used to analyze continuous variables. Chi-square analysis was applied for categorical variables. Univariable and multivariable linear regression models were used to analyze the factors associated with LHS. The median LHS in the group without 3D printing assistance was 16 (12–21) days, and the median ICU LS was 0 (0–2) days. The median LHS in the group with 3D printing assistance was 17 (12.5–22.5) days, and the median ICU LS was 0 (0–3) days. There was no significant difference in LHS associated with 3D printing assistance vs. that without 3D printing among patients who underwent open reduction and internal fixation for pelvic or acetabular fractures. The LHS positively correlated with the ICU LS whether the operation was 3D printing assisted or not. For fracture surgery in older patients, in addition to the advancement of surgical treatment and techniques, medical teams require more detailed preoperative evaluations, and more personalized medical plans regarding postoperative care to achieve the goals of shortening LHS, reducing healthcare costs, and reducing complication rates.https://www.mdpi.com/2075-4426/12/2/1893D printing-assisted surgerypelvis fractureacetabulum fracturelength of hospital staygeriatric patient |
| spellingShingle | Chun-Chi Hung Jia-Lin Wu Yung-Wen Cheng Wei-Liang Chen Shih-Han Lee Tsu-Te Yeh Does 3D Printing-Assisted Acetabular or Pelvic Fracture Surgery Shorten Hospitalization Durations among Older Adults? Journal of Personalized Medicine 3D printing-assisted surgery pelvis fracture acetabulum fracture length of hospital stay geriatric patient |
| title | Does 3D Printing-Assisted Acetabular or Pelvic Fracture Surgery Shorten Hospitalization Durations among Older Adults? |
| title_full | Does 3D Printing-Assisted Acetabular or Pelvic Fracture Surgery Shorten Hospitalization Durations among Older Adults? |
| title_fullStr | Does 3D Printing-Assisted Acetabular or Pelvic Fracture Surgery Shorten Hospitalization Durations among Older Adults? |
| title_full_unstemmed | Does 3D Printing-Assisted Acetabular or Pelvic Fracture Surgery Shorten Hospitalization Durations among Older Adults? |
| title_short | Does 3D Printing-Assisted Acetabular or Pelvic Fracture Surgery Shorten Hospitalization Durations among Older Adults? |
| title_sort | does 3d printing assisted acetabular or pelvic fracture surgery shorten hospitalization durations among older adults |
| topic | 3D printing-assisted surgery pelvis fracture acetabulum fracture length of hospital stay geriatric patient |
| url | https://www.mdpi.com/2075-4426/12/2/189 |
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