Efficacy and safety of 3D print-assisted surgery for the treatment of pilon fractures: a meta-analysis of randomized controlled trials
Abstract Objective To compare the effects of 3D print-assisted surgery and conventional surgery in the treatment of pilon fractures. Methods PubMed, Embase, Web of Science, CNKI, CBM, and WanFang data were searched until July 2018. Two reviewers selected relevant studies, assessed the quality of stu...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-11-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13018-018-0976-x |
| _version_ | 1811279286414344192 |
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| author | Jianzhong Bai Yongxiang Wang Pei Zhang Meiying Liu Peian Wang Jingcheng Wang Yuan Liang |
| author_facet | Jianzhong Bai Yongxiang Wang Pei Zhang Meiying Liu Peian Wang Jingcheng Wang Yuan Liang |
| author_sort | Jianzhong Bai |
| collection | DOAJ |
| description | Abstract Objective To compare the effects of 3D print-assisted surgery and conventional surgery in the treatment of pilon fractures. Methods PubMed, Embase, Web of Science, CNKI, CBM, and WanFang data were searched until July 2018. Two reviewers selected relevant studies, assessed the quality of studies, and extracted data. For continuous data, a weighted mean difference (WMD) and 95% confidence intervals (CI) were used. For dichotomous data, a relative risk (RR) and 95% CI were calculated as the summary statistics. Results There were seven randomized controlled trials (RCT) enrolling a total of 486 patients, 242 patients underwent 3D print-assisted surgery and 244 patients underwent conventional surgery. The pooled outcomes demonstrate 3D print-assisted surgery was superior to conventional surgery in terms of operation time [WMD = − 26.16, 95% CI (− 33.19, − 19.14), P < 0.001], blood loss [WMD = − 63.91, 95% CI (− 79.55, − 48.27), P < 0.001], postoperative functional scores [WMD = 8.16, 95% CI (5.04, 11.29), P < 0.001], postoperative visual analogue score (VAS) [WMD = − 0.59, 95% CI (− 1.18, − 0.01), P = 0.05], rate of excellent and good outcome [RR = 1.20, 95% CI (1.07, 1.34), P = 0.002], and rate of anatomic reduction [RR = 1.35, 95% CI (1.19, 1.53), P < 0.001]. However, there was no significant difference between the groups regarding the rate of infection [RR = 0.51, 95% CI (0.20, 1.31), P = 0.16], fracture union time [WMD = − 0.85, 95% CI (− 1.79, 0.08), P = 0.07], traumatic arthritis [RR = 0.34, 95% CI (0.06, 2.09), P = 0.24], and malunion [RR = 0.34, 95% CI (0.06, 2.05), P = 0.24]. Conclusions Our meta-analysis demonstrates 3D print-assisted surgery was significantly better than conventional surgery in terms of operation time, blood loss, postoperative functional score, postoperative VAS, rate of excellent and good outcome, and rate of anatomic reduction. Concerning postoperative complications, there were no significant differences between the groups. |
| first_indexed | 2024-04-13T00:51:55Z |
| format | Article |
| id | doaj.art-3fa6e4193c434471b7736bc9e16c910a |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-13T00:51:55Z |
| publishDate | 2018-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-3fa6e4193c434471b7736bc9e16c910a2022-12-22T03:09:50ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2018-11-011311910.1186/s13018-018-0976-xEfficacy and safety of 3D print-assisted surgery for the treatment of pilon fractures: a meta-analysis of randomized controlled trialsJianzhong Bai0Yongxiang Wang1Pei Zhang2Meiying Liu3Peian Wang4Jingcheng Wang5Yuan Liang6Dalian Medical UniversityClinical Medical College, Yangzhou UniversityDalian Medical UniversityDalian Medical UniversityHeze Mudan People’s HospitalClinical Medical College, Yangzhou UniversityClinical Medical College, Yangzhou UniversityAbstract Objective To compare the effects of 3D print-assisted surgery and conventional surgery in the treatment of pilon fractures. Methods PubMed, Embase, Web of Science, CNKI, CBM, and WanFang data were searched until July 2018. Two reviewers selected relevant studies, assessed the quality of studies, and extracted data. For continuous data, a weighted mean difference (WMD) and 95% confidence intervals (CI) were used. For dichotomous data, a relative risk (RR) and 95% CI were calculated as the summary statistics. Results There were seven randomized controlled trials (RCT) enrolling a total of 486 patients, 242 patients underwent 3D print-assisted surgery and 244 patients underwent conventional surgery. The pooled outcomes demonstrate 3D print-assisted surgery was superior to conventional surgery in terms of operation time [WMD = − 26.16, 95% CI (− 33.19, − 19.14), P < 0.001], blood loss [WMD = − 63.91, 95% CI (− 79.55, − 48.27), P < 0.001], postoperative functional scores [WMD = 8.16, 95% CI (5.04, 11.29), P < 0.001], postoperative visual analogue score (VAS) [WMD = − 0.59, 95% CI (− 1.18, − 0.01), P = 0.05], rate of excellent and good outcome [RR = 1.20, 95% CI (1.07, 1.34), P = 0.002], and rate of anatomic reduction [RR = 1.35, 95% CI (1.19, 1.53), P < 0.001]. However, there was no significant difference between the groups regarding the rate of infection [RR = 0.51, 95% CI (0.20, 1.31), P = 0.16], fracture union time [WMD = − 0.85, 95% CI (− 1.79, 0.08), P = 0.07], traumatic arthritis [RR = 0.34, 95% CI (0.06, 2.09), P = 0.24], and malunion [RR = 0.34, 95% CI (0.06, 2.05), P = 0.24]. Conclusions Our meta-analysis demonstrates 3D print-assisted surgery was significantly better than conventional surgery in terms of operation time, blood loss, postoperative functional score, postoperative VAS, rate of excellent and good outcome, and rate of anatomic reduction. Concerning postoperative complications, there were no significant differences between the groups.http://link.springer.com/article/10.1186/s13018-018-0976-xThree-dimensional3D printingComputer-assistedPilon fracturesSurgery |
| spellingShingle | Jianzhong Bai Yongxiang Wang Pei Zhang Meiying Liu Peian Wang Jingcheng Wang Yuan Liang Efficacy and safety of 3D print-assisted surgery for the treatment of pilon fractures: a meta-analysis of randomized controlled trials Journal of Orthopaedic Surgery and Research Three-dimensional 3D printing Computer-assisted Pilon fractures Surgery |
| title | Efficacy and safety of 3D print-assisted surgery for the treatment of pilon fractures: a meta-analysis of randomized controlled trials |
| title_full | Efficacy and safety of 3D print-assisted surgery for the treatment of pilon fractures: a meta-analysis of randomized controlled trials |
| title_fullStr | Efficacy and safety of 3D print-assisted surgery for the treatment of pilon fractures: a meta-analysis of randomized controlled trials |
| title_full_unstemmed | Efficacy and safety of 3D print-assisted surgery for the treatment of pilon fractures: a meta-analysis of randomized controlled trials |
| title_short | Efficacy and safety of 3D print-assisted surgery for the treatment of pilon fractures: a meta-analysis of randomized controlled trials |
| title_sort | efficacy and safety of 3d print assisted surgery for the treatment of pilon fractures a meta analysis of randomized controlled trials |
| topic | Three-dimensional 3D printing Computer-assisted Pilon fractures Surgery |
| url | http://link.springer.com/article/10.1186/s13018-018-0976-x |
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