Treatment of Die-Punch Fractures with 3D Printing Technology

Purpose: We evaluated the feasibility, accuracy and effectiveness of applying three-dimensional (3D) printing technology for preoperative planning for die-punch fractures. Methods: A total of 107 patients who underwent die-punch fracture surgery were enrolled in the study. They were randomly divided...

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Main Authors: Chunhui Chen, Leyi Cai, Chuanxu Zhang, Jianshun Wang, Xiaoshan Guo, Yifei Zhou
Format: Article
Language:English
Published: Taylor & Francis Group 2018-09-01
Series:Journal of Investigative Surgery
Subjects:
Online Access:http://dx.doi.org/10.1080/08941939.2017.1339150
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author Chunhui Chen
Leyi Cai
Chuanxu Zhang
Jianshun Wang
Xiaoshan Guo
Yifei Zhou
author_facet Chunhui Chen
Leyi Cai
Chuanxu Zhang
Jianshun Wang
Xiaoshan Guo
Yifei Zhou
author_sort Chunhui Chen
collection DOAJ
description Purpose: We evaluated the feasibility, accuracy and effectiveness of applying three-dimensional (3D) printing technology for preoperative planning for die-punch fractures. Methods: A total of 107 patients who underwent die-punch fracture surgery were enrolled in the study. They were randomly divided into two groups: 52 cases in the 3D model group and 55 cases in the routine group. A 3D digital model of each die-punch fracture was reconstructed in the 3D group. The 3D digital model was imported to a 3D printer to build the full solid model. The operation time, blood loss volume, and the number of intraoperative fluoroscopy were recorded. Follow-up was performed to evaluate the patients' surgical outcomes. Results: Treatment of die-punch fractures using the 3D printing approach reduced the number of intraoperative fluoroscopy, blood loss volume, and operation time, but did not improve wrist function compared to those in the routine group. The patients wanted the doctor to use the 3D model to introduce the condition and operative plan because it was easier for them to understand. The orthopedic surgeons thought that the 3D model was useful for communicating with their patients, but their satisfaction with the preoperative plan was much lower than the benefit of using the 3D model to communicate with their patients. Conclusions: 3D printing technology produced more accurate morphometric information for orthopedists to provide personalized surgical planning and communicate better with their patients. However, it is difficult to use widely in the department of orthopedics.
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spelling doaj.art-492473c55a1a41b091309cf2fb4822242023-09-15T10:12:27ZengTaylor & Francis GroupJournal of Investigative Surgery0894-19391521-05532018-09-0131538539210.1080/08941939.2017.13391501339150Treatment of Die-Punch Fractures with 3D Printing TechnologyChunhui Chen0Leyi Cai1Chuanxu Zhang2Jianshun Wang3Xiaoshan Guo4Yifei Zhou5The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical UniversityThe Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical UniversityThe Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical UniversityThe Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical UniversityThe Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical UniversityThe Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical UniversityPurpose: We evaluated the feasibility, accuracy and effectiveness of applying three-dimensional (3D) printing technology for preoperative planning for die-punch fractures. Methods: A total of 107 patients who underwent die-punch fracture surgery were enrolled in the study. They were randomly divided into two groups: 52 cases in the 3D model group and 55 cases in the routine group. A 3D digital model of each die-punch fracture was reconstructed in the 3D group. The 3D digital model was imported to a 3D printer to build the full solid model. The operation time, blood loss volume, and the number of intraoperative fluoroscopy were recorded. Follow-up was performed to evaluate the patients' surgical outcomes. Results: Treatment of die-punch fractures using the 3D printing approach reduced the number of intraoperative fluoroscopy, blood loss volume, and operation time, but did not improve wrist function compared to those in the routine group. The patients wanted the doctor to use the 3D model to introduce the condition and operative plan because it was easier for them to understand. The orthopedic surgeons thought that the 3D model was useful for communicating with their patients, but their satisfaction with the preoperative plan was much lower than the benefit of using the 3D model to communicate with their patients. Conclusions: 3D printing technology produced more accurate morphometric information for orthopedists to provide personalized surgical planning and communicate better with their patients. However, it is difficult to use widely in the department of orthopedics.http://dx.doi.org/10.1080/08941939.2017.13391503d printingdie-punch fracturesorthopedicssurgerydistal radiusfractures
spellingShingle Chunhui Chen
Leyi Cai
Chuanxu Zhang
Jianshun Wang
Xiaoshan Guo
Yifei Zhou
Treatment of Die-Punch Fractures with 3D Printing Technology
Journal of Investigative Surgery
3d printing
die-punch fractures
orthopedics
surgery
distal radius
fractures
title Treatment of Die-Punch Fractures with 3D Printing Technology
title_full Treatment of Die-Punch Fractures with 3D Printing Technology
title_fullStr Treatment of Die-Punch Fractures with 3D Printing Technology
title_full_unstemmed Treatment of Die-Punch Fractures with 3D Printing Technology
title_short Treatment of Die-Punch Fractures with 3D Printing Technology
title_sort treatment of die punch fractures with 3d printing technology
topic 3d printing
die-punch fractures
orthopedics
surgery
distal radius
fractures
url http://dx.doi.org/10.1080/08941939.2017.1339150
work_keys_str_mv AT chunhuichen treatmentofdiepunchfractureswith3dprintingtechnology
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AT chuanxuzhang treatmentofdiepunchfractureswith3dprintingtechnology
AT jianshunwang treatmentofdiepunchfractureswith3dprintingtechnology
AT xiaoshanguo treatmentofdiepunchfractureswith3dprintingtechnology
AT yifeizhou treatmentofdiepunchfractureswith3dprintingtechnology