Anil Murat Ozturk1, Onur Suer1, Okan Derin2, Mehmet Asim Ozer2, Figen Govsa3, Kemal Aktuglu1. 1. Department of Orthopedic Surgery, Faculty of Medicine, Ege University, Izmir, Turkey. 2. Department of Anatomy Digital Imaging and 3D Modelling Laboratory, Faculty of Medicine, Ege University, Izmir, Turkey. 3. Department of Anatomy Digital Imaging and 3D Modelling Laboratory, Faculty of Medicine, Ege University, Izmir, Turkey. fgovsa@yahoo.com.
Abstract
PURPOSE: Treatment of tibial plateau fractures are difficult due to the intra-articular nature of the proximal tibia and extensive involvement of the soft tissue envelope. In this study, we investigated the surgical experience acquired using digitally designed life-size fracture models to guide as a template to place plates and screws in the treatment of tibial plateau fractures and anatomic reduction of joint. METHODS: 20 tibial plateau frature patients were divided into two equal surgery groups as conventional versus 3D model assisted. The fracture line angles, depression depth, and preoperative/postoperative Rasmussen knee score were measured for each patient. RESULTS: The duration of the operation, blood loss volume, turniquet time and number of intraoperative fluoroscopy was 89.5 ± 5.9 min, 160.5 ± 15.3 ml, 74.5 ± 6 min and 10.7 ± 1.76 times, for 3D printing group and 127 ± 14.5 min, 276 ± 44.8 ml, 104.5 ± 5.5 min and 18.5 ± 2.17 times for the conventional group, respectively. 3D model-assisted group indicated significantly shorter operation time, less blood loss volume, shorter turniquet and fluoroscopy times, and better outcome than the conventional one. CONCLUSIONS: The customized 3D model was user friendly, and it provided a radiation-free tibial screw insertion. The use of these models assisted surgical planning, maximized the possibility of ideal anatomical reduction and provided individualized information concerning tibial plateau fractures.
PURPOSE: Treatment of tibial plateau fractures are difficult due to the intra-articular nature of the proximal tibia and extensive involvement of the soft tissue envelope. In this study, we investigated the surgical experience acquired using digitally designed life-size fracture models to guide as a template to place plates and screws in the treatment of tibial plateau fractures and anatomic reduction of joint. METHODS: 20 tibial plateau frature patients were divided into two equal surgery groups as conventional versus 3D model assisted. The fracture line angles, depression depth, and preoperative/postoperative Rasmussen knee score were measured for each patient. RESULTS: The duration of the operation, blood loss volume, turniquet time and number of intraoperative fluoroscopy was 89.5 ± 5.9 min, 160.5 ± 15.3 ml, 74.5 ± 6 min and 10.7 ± 1.76 times, for 3D printing group and 127 ± 14.5 min, 276 ± 44.8 ml, 104.5 ± 5.5 min and 18.5 ± 2.17 times for the conventional group, respectively. 3D model-assisted group indicated significantly shorter operation time, less blood loss volume, shorter turniquet and fluoroscopy times, and better outcome than the conventional one. CONCLUSIONS: The customized 3D model was user friendly, and it provided a radiation-free tibial screw insertion. The use of these models assisted surgical planning, maximized the possibility of ideal anatomical reduction and provided individualized information concerning tibial plateau fractures.
Authors: Nynke van der Gaast; Hans Dunning; Jellina M Huitema; Andrew Waters; Ruurd L Jaarsma; Job N Doornberg; Michael J R Edwards; Sebastiaan A W van de Groes; Erik Hermans Journal: Eur J Trauma Emerg Surg Date: 2022-07-13 Impact factor: 2.374
Authors: Nick Assink; Inge H F Reininga; Kaj Ten Duis; Job N Doornberg; Harm Hoekstra; Joep Kraeima; Max J H Witjes; Jean-Paul P M de Vries; Frank F A IJpma Journal: Eur J Trauma Emerg Surg Date: 2021-08-31 Impact factor: 2.374