Clinical application of instant 3D printed cast versus polymer orthosis in the treatment of colles fracture: a randomized controlled trial
Abstract Background The shortcomings of plaster in water resistance, air permeability, skin comfort, fixed stability and weight of wearing are still to be solved. 3D printed cast can overcome the above shortcomings. At present, there is a relative lack of data on the clinical application of 3D print...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-024-07212-8 |
| _version_ | 1827328840714682368 |
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| author | Ya-Ping Xiao Hai-Jia Xu Wen Liao Zhang-Hua Li |
| author_facet | Ya-Ping Xiao Hai-Jia Xu Wen Liao Zhang-Hua Li |
| author_sort | Ya-Ping Xiao |
| collection | DOAJ |
| description | Abstract Background The shortcomings of plaster in water resistance, air permeability, skin comfort, fixed stability and weight of wearing are still to be solved. 3D printed cast can overcome the above shortcomings. At present, there is a relative lack of data on the clinical application of 3D printed cast, probably due to its complexity, relatively long operating time, and high price. We aimed to compare and evaluate the short-term effectiveness, safety and advantages of 3D printed wrist cast versus polymer orthosis in the treatment of Colles fracture. Methods Forty patients with Colles fracture in our hospital from June to December 2022 were selected and divided into an observation group (20 patients, treated with instant 3D printed cast) and a control group (20 cases, treated with polymer orthosis). Both groups treated with manual reduction and external fixation. The visual analogue scale (VAS), immobilization effectiveness and satisfaction scores, Disability of the Arm, Shoulder and Hand (DASH) score, complications and imaging data were collected and compared before immobilization and at 2, 6 and 12 weeks after the fracture. Results VAS at 2 weeks after the fracture was significantly lower in the observation group than in the control group ( P < 0.05). The immobilization effectiveness and satisfaction scores at 6 weeks after the fracture were significantly higher in the observation group than in the control group (all P < 0.05). The DASH scores at 2 and 6 weeks after the fracture were significantly lower in the observation group than in the control group (all P < 0.05). There wasn’t rupture of the printed cast or orthosis in both groups. There were 2 cases of skin irritation in the control group, and no skin irritation occurred in the observation group. The palmar tilt angle and ulnar inclination angle at 2 weeks and 12 weeks after the fracture were significantly higher in the observation group than in the control group (all P < 0.05). Conclusions Both instant 3D printed cast and polymer orthosis are effective in the treatment of Colles fracture. But instant 3D printed cast is better than polymer orthosis in areas of good clinical and imaging performance, and high patient satisfaction and comfort. |
| first_indexed | 2024-03-07T15:25:06Z |
| format | Article |
| id | doaj.art-b0cf6d1d5b134999a2e24b19d40f382d |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-03-07T15:25:06Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-b0cf6d1d5b134999a2e24b19d40f382d2024-03-05T17:24:37ZengBMCBMC Musculoskeletal Disorders1471-24742024-01-012511910.1186/s12891-024-07212-8Clinical application of instant 3D printed cast versus polymer orthosis in the treatment of colles fracture: a randomized controlled trialYa-Ping Xiao0Hai-Jia Xu1Wen Liao2Zhang-Hua Li3The Department of Orthopedic Surgery, Wuhan Third Hospital, Tongren Hospital of Wuhan UniversityThe Department of Orthopedic Surgery, Wuhan Third Hospital, Tongren Hospital of Wuhan UniversityThe Department of Orthopedic Surgery, Wuhan Third Hospital, Tongren Hospital of Wuhan UniversityThe Department of Orthopedic Surgery, Wuhan Third Hospital, Tongren Hospital of Wuhan UniversityAbstract Background The shortcomings of plaster in water resistance, air permeability, skin comfort, fixed stability and weight of wearing are still to be solved. 3D printed cast can overcome the above shortcomings. At present, there is a relative lack of data on the clinical application of 3D printed cast, probably due to its complexity, relatively long operating time, and high price. We aimed to compare and evaluate the short-term effectiveness, safety and advantages of 3D printed wrist cast versus polymer orthosis in the treatment of Colles fracture. Methods Forty patients with Colles fracture in our hospital from June to December 2022 were selected and divided into an observation group (20 patients, treated with instant 3D printed cast) and a control group (20 cases, treated with polymer orthosis). Both groups treated with manual reduction and external fixation. The visual analogue scale (VAS), immobilization effectiveness and satisfaction scores, Disability of the Arm, Shoulder and Hand (DASH) score, complications and imaging data were collected and compared before immobilization and at 2, 6 and 12 weeks after the fracture. Results VAS at 2 weeks after the fracture was significantly lower in the observation group than in the control group ( P < 0.05). The immobilization effectiveness and satisfaction scores at 6 weeks after the fracture were significantly higher in the observation group than in the control group (all P < 0.05). The DASH scores at 2 and 6 weeks after the fracture were significantly lower in the observation group than in the control group (all P < 0.05). There wasn’t rupture of the printed cast or orthosis in both groups. There were 2 cases of skin irritation in the control group, and no skin irritation occurred in the observation group. The palmar tilt angle and ulnar inclination angle at 2 weeks and 12 weeks after the fracture were significantly higher in the observation group than in the control group (all P < 0.05). Conclusions Both instant 3D printed cast and polymer orthosis are effective in the treatment of Colles fracture. But instant 3D printed cast is better than polymer orthosis in areas of good clinical and imaging performance, and high patient satisfaction and comfort.https://doi.org/10.1186/s12891-024-07212-8Colles fracture3D printingDistal radius fracturesExternal fixationSplintOrthosis |
| spellingShingle | Ya-Ping Xiao Hai-Jia Xu Wen Liao Zhang-Hua Li Clinical application of instant 3D printed cast versus polymer orthosis in the treatment of colles fracture: a randomized controlled trial BMC Musculoskeletal Disorders Colles fracture 3D printing Distal radius fractures External fixation Splint Orthosis |
| title | Clinical application of instant 3D printed cast versus polymer orthosis in the treatment of colles fracture: a randomized controlled trial |
| title_full | Clinical application of instant 3D printed cast versus polymer orthosis in the treatment of colles fracture: a randomized controlled trial |
| title_fullStr | Clinical application of instant 3D printed cast versus polymer orthosis in the treatment of colles fracture: a randomized controlled trial |
| title_full_unstemmed | Clinical application of instant 3D printed cast versus polymer orthosis in the treatment of colles fracture: a randomized controlled trial |
| title_short | Clinical application of instant 3D printed cast versus polymer orthosis in the treatment of colles fracture: a randomized controlled trial |
| title_sort | clinical application of instant 3d printed cast versus polymer orthosis in the treatment of colles fracture a randomized controlled trial |
| topic | Colles fracture 3D printing Distal radius fractures External fixation Splint Orthosis |
| url | https://doi.org/10.1186/s12891-024-07212-8 |
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