Fei Gu1,2,3, Liangliang Li2,4, Huikang Zhang2,5, Xuxiang Li1,2, Chen Ling1,2, Liming Wang1,2, Qingqiang Yao1,2. 1. Department of Orthopaedics, Nanjing First Hospital, Nanjing Medical University, No. 68, Changle Rd, Qinhuai District, Nanjing 210006, China. 2. Institute of Digital Medicine, Nanjing Medical University, No. 68, Changle Rd, Qinhuai District, Nanjing 210006, China. 3. The Second People's Hospital of Lianyungang, No. 41, Hailian East Rd, Haizhou District, Lianyungang 222000, China. 4. Department of Orthopedics, The Affiliated Jiangning Hospital with Nanjing Medical University, Nanjing 211100, China. 5. Nanjing Clinical Nuclear Medicine Center, Nanjing First Hospital, Nanjing Medical University, No. 68, Changle Rd, Qinhuai District, Nanjing 210006, China.
Abstract
BACKGROUND: For unicompartmental knee arthroplasty (UKA), accurate alignment of the limb is crucial. This study is aimed at investigating the efficacy and safety of a three-dimensional printed patient-customized guiding template (3DGT) for UKA. METHODS: A total of 22 patients receiving UKA were randomly divided into the 3DGT-UKA group (n = 11) and traditional UKA group (T-UKA group; n = 11). In the 3DGT-UKA group, the line and angle of osteotomy were decided on a 3D image of the limb reconstructed from imaging data; a guiding template was then designed and printed out. The patients in the T-UKA group underwent conventional UKA. Prosthesis size, operation time, postoperative drainage, hip-knee angle (HKA), pain, and Hospital for Special Surgery (HSS) scores were recorded at day 1, week 1, month 1, and month 3 after surgery. RESULTS: There was no significant difference in the size of prostheses between the preoperatively designed and actually used in the 3DGT-UKA group (p > 0.05). HKA was comparable in 3DGT-UKA and T-UKA patients. Operation time was shorter (53.6 ± 6.4 minutes vs. 75.8 ± 7.1 minutes) and wound drainage was less (93.2 ± 3.9 mL vs. 85.2 ± 3.0 mL) in 3DGT-UKA than in T-UKA (p < 0.05). Hospital stay was shorter in the 3DGT-UKA group. The 3DGT-UKA group had a lower VAS score on day 1, week 1, and month 1 and a higher HSS score on week 1 and month 1 after surgery. No varus/valgus deformity or prosthesis loosening was observed in either group at the final follow-up. CONCLUSION: The 3D-printed patient-customized guiding template may help decrease operation time, decrease blood loss, and improve short-term clinical outcomes in patients undergoing UKA surgery.
BACKGROUND: For unicompartmental knee arthroplasty (UKA), accurate alignment of the limb is crucial. This study is aimed at investigating the efficacy and safety of a three-dimensional printed patient-customized guiding template (3DGT) for UKA. METHODS: A total of 22 patients receiving UKA were randomly divided into the 3DGT-UKA group (n = 11) and traditional UKA group (T-UKA group; n = 11). In the 3DGT-UKA group, the line and angle of osteotomy were decided on a 3D image of the limb reconstructed from imaging data; a guiding template was then designed and printed out. The patients in the T-UKA group underwent conventional UKA. Prosthesis size, operation time, postoperative drainage, hip-knee angle (HKA), pain, and Hospital for Special Surgery (HSS) scores were recorded at day 1, week 1, month 1, and month 3 after surgery. RESULTS: There was no significant difference in the size of prostheses between the preoperatively designed and actually used in the 3DGT-UKA group (p > 0.05). HKA was comparable in 3DGT-UKA and T-UKA patients. Operation time was shorter (53.6 ± 6.4 minutes vs. 75.8 ± 7.1 minutes) and wound drainage was less (93.2 ± 3.9 mL vs. 85.2 ± 3.0 mL) in 3DGT-UKA than in T-UKA (p < 0.05). Hospital stay was shorter in the 3DGT-UKA group. The 3DGT-UKA group had a lower VAS score on day 1, week 1, and month 1 and a higher HSS score on week 1 and month 1 after surgery. No varus/valgus deformity or prosthesis loosening was observed in either group at the final follow-up. CONCLUSION: The 3D-printed patient-customized guiding template may help decrease operation time, decrease blood loss, and improve short-term clinical outcomes in patients undergoing UKA surgery.
Authors: R Pailhé; J Cognault; J Massfelder; A Sharma; R-C Rouchy; B Rubens-Duval; D Saragaglia Journal: Bone Joint J Date: 2016-12 Impact factor: 5.082
Authors: Jarosław Meyer-Szary; Marlon Souza Luis; Szymon Mikulski; Agastya Patel; Finn Schulz; Dmitry Tretiakow; Justyna Fercho; Kinga Jaguszewska; Mikołaj Frankiewicz; Ewa Pawłowska; Radosław Targoński; Łukasz Szarpak; Katarzyna Dądela; Robert Sabiniewicz; Joanna Kwiatkowska Journal: Int J Environ Res Public Health Date: 2022-03-11 Impact factor: 3.390