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Conventional plate fixation method versus pre-operative virtual simulation and three-dimensional printing-assisted contoured plate fixation method in the treatment of anterior pelvic ring fracture

机译:传统的板固定方法与术前虚拟仿真和三维印刷辅助轮廓板固定方法治疗前骨盆环骨折

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PurposeTreating pelvic fractures remains a challenging task for orthopaedic surgeons. We aimed to evaluate the feasibility, accuracy, and effectiveness of three-dimensional (3D) printing technology and computer-assisted virtual surgery for pre-operative planning in anterior ring fractures of the pelvis. We hypothesized that using 3D printing models would reduce operation time and significantly improve the surgical outcomes of pelvic fracture repair.MethodsWe retrospectively reviewed the records of 30 patients with pelvic fractures treated by anterior pelvic fixation with locking plates (14 patients, conventional locking plate fixation; 16 patients, pre-operative virtual simulation with 3D, printing-assisted, pre-contoured, locking plate fixation). We compared operative time, instrumentation time, blood loss, and post-surgical residual displacements, as evaluated on X-ray films, among groups. Statistical analyses evaluated significant differences between the groups for each of these variables.ResultsThe patients treated with the virtual simulation and 3D printing-assisted technique had significantly shorter internal fixation times, shorter surgery duration, and less blood loss (-57minutes, -70minutes, and -274ml, respectively; P 0.05). The complication rate was less in the 3D printing group (1/16 patients) than in the conventional surgery group (3/14 patients).ConclusionThe 3D simulation and printing technique is an effective and reliable method for treating anterior pelvic ring fractures. With precise pre-operative planning and accurate execution of the procedures, this time-saving approach can provide a more personalized treatment plan, allowing for a safer orthopaedic surgery.
机译:purposetreating骨盆骨折仍然是整形外科外科医生的具有挑战性的任务。我们旨在评估三维(3D)印刷技术和计算机辅助虚拟手术的可行性,准确性和有效性,用于骨盆前环骨折中的术前规划。我们假设使用3D打印模型将减少操作时间并显着提高骨盆骨折修复的外科矫正。近奇地区回顾性地审查了通过锁定板(14名患者,传统锁定板固定的前骨盆固定治疗的30例骨盆骨折患者的记录(14名患者。 16名患者,具有3D,印刷,预剥削,锁定板固定的术前的虚拟模拟)。我们比较了操作时间,仪表时间,失血和手术后残留位移,如在X射线膜中,在群体中评估。统计学分析评估了这些变量中的每种变量之间的群体之间的显着差异。使用虚拟模拟和3D印刷辅助技术处理的患者具有显着短的内部固定时间,短手术持续时间,较小的血液损失(-57分,-70分钟和-274ml,分别; p 0.05)。 3D印刷组(1/16患者)中的并发症率较少,而不是传统手术组(3/14患者)。结论3D仿真和印刷技术是治疗前盆腔骨折的有效且可靠的方法。具有精确的术前计划和准确执行程序,这种节省时间可以提供更个性化的治疗计划,允许更安全的骨科手术。

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