Value of three-dimensional printed fracture model in the repair of complicated distal femoral fractures

doi:10.3969/j.issn.2095-4344.1124

Abstract

Abstract:

BACKGROUND: Three-dimensional printing has been shown to be available for the auxiliary technology in various bone fractures, but whether it can be applied in the surgery of complicated distal femoral fracture remains unclear.

OBJECTIVE: To investigate the value of three-dimensional printed fracture models in the repair of complicated distal femoral fractures.

METHODS: One hundred and seven patients with complicated distal femoral fractures and received surgical treatment at the Qingdao Hospital Affiliated to Taishan Medical University were included. Among them, 51 patients underwent conventional internal reduction (conventional group) and 56 patients underwent three-dimensional printing technology before reduction (three-dimensional printing group). All patients were followed up for 1.0-1.5 years.

RESULTS AND CONCLUSION: (1) Compared with the conventional group, the operation time, blood loss, times of fluoroscopy, postoperative drainage volume and hospitalization time were significantly decreased in the three-dimensional printing group (P < 0.05). (2) X-ray immediately postoperatively showed fracture reduction, 85.7% satisfaction in the three-dimensional printing group, slightly higher than that in the conventional group (78.4%) (P > 0.05). (3) There was no significant difference in the healing time between two groups (P > 0.05). The excellent and good rate in Hospital for Special Surgery scores at 1 year postoperatively in the three-dimensional printing group (91.1%) was slightly higher than that in the conventional group (84.3%) (P > 0.05). (4) The total incidence of adverse reaction in the three-dimensional printing group (12.5%) was significantly lower than that in the conventional group (31.4%) (P < 0.05). (5) Our results indicate that three- dimensional printing technique can reduce the operation time, and intraoperative blood loss, same treatment outcomes and good safety for complicated distal femoral fractures compared with the conventional surgery.

Key words: Tissue Engineering, Femoral Fractures, Fracture Healing

CLC Number:

R459.9|R615

Huang Zhiyong, Su Liping, Lan Xiaoquan, Guo Qiang, Ma Jianlin, Huang Jiajun, Zhao Dunxu, Xing Jianlong, Ji Xiang, Zhao Ming. Value of three-dimensional printed fracture model in the repair of complicated distal femoral fractures [J]. Chinese Journal of Tissue Engineering Research, 2019, 23(12): 1859-1863.

Figures/Tables 7

References

[1] 牛子全,李淑琴,姚勇,等.外侧锁定钢板结合植骨治疗老年股骨远端骨折[J].中华创伤骨科杂志,2016,18(2):166-168.

[2] Zhang Y, Ni PH, Liu DP. Application of the 3D printing technology in the diagnosis and treatment of distal femoral fractures. China Digital Med. 2017;22(12):66-71.

[3] 徐可林,殷渠东.对侧皮质锁定技术治疗股骨远端骨折的研究近况[J].中国现代医学杂志,2016,26(7):48-53.

[4] Guo JS, Orthopedics DO. Clinical study of locking plate and retrograde intramedullary nail in the treatment of distal femoral fractures. China Modern Med. 2016;34(26):401-403.

[5] 赵飞,李岩,毕龙,等.3D打印骨折模型辅助治疗复杂骨盆骨折的长期随访研究[J].中华创伤杂志,2016,32(11):967-973.

[6] 胥少汀,葛宝丰,徐印坎.实用骨科学[M]. 4版. 北京:人民军医出版社,2012:921-923.

[7] 杨迪生,李建华,范顺武.临床骨科康复学(精)[M].北京:医药科技出版社,2007.

[8] S?upik A, Bia?oszewski D. A comparative analysis of the clinical utility of the Staffelstein-score and the hospital for special surgery knee score (HSS) in monitoring physiotherapy of total knee replacement patients--preliminary study. Ortop Traumatol Rehabil. 2007;9(6):627-635.

[9] 高哲辰,周方,田耘,等.锁定接骨板内固定治疗股骨远端骨折[J].中华创伤骨科杂志,2016,18(11):965-969.

[10] Xing W, Lin W, Dai J, et al. Clinical effect of locking compression plate via posterolateral approach in the treatment of distal femoral fractures: a new approach. J Orthop Surg Res. 2018;13(1):57-62.

[11] 冒锋涌,姚庆强,郑朋飞,等.3D打印骨折模型在股骨转子间骨折治疗中的应用[J].中华创伤骨科杂志,2016,18(8):725-728.

[12] Atrey A, Hussain N, Gosling O, et al. A 3 year minimum follow up of Endoprosthetic replacement for distal femoral fractures- An alternative treatment option. J Orthop. 2017;14(1): 216-222.

[13] 林海滨,黄文华,陈宣煌,等.基于3D打印和接骨板标准件库数字化的股骨远端骨折内固定[J].中华医学杂志, 2016,96(5): 344-348.

[14] Zheng W, Tao Z, Lou Y, et al. Comparison of the conventional surgery and the surgery assisted by 3d printing technology in the treatment of calcaneal fractures. J Invest Surg. 2017; 31(18):203-206.

[15] 张计超,宁宇,王向前,等.3D打印技术在复杂胫骨平台骨折中的应用[J].生物骨科材料与临床研究,2015,12(6):26-28.

[16] 何志勇,张擎柱,林影影,等.传统手术与应用3D打印技术后手术治疗复杂胫骨平台骨折的疗效比较[J].中国矫形外科杂志, 2016, 24(8):682-686.

[17] Rong G, Hou D, Yang J, et al. Experimental study of flow characteristics in non-mated rock fractures considering 3D definition of fracture surfaces. Eng Geol. 2017;22(24): 152-163.

[18] Ma J, Ma L, Wang Z, et al. The use of 3D-printed titanium mesh tray in treating complex comminuted mandibular fractures: a case report. Medicine. 2017;96(27):725-729.

[19] Mauffrey C, Hake M, Kim F J. Flexible 3D laparoscopic assisted reduction and percutaneous fixation of acetabular fractures: introduction to a new surgical option. Injury. 2016;47(10):2203-2211.

[20] 何锦泉,马信龙,马宝通,等.LISS治疗股骨远端不稳定骨折的不良反应分析[J].中华骨科杂志,2016,36(14):891-897.

[21] 王全收,万青红,王晓光,等.股骨远端锁定钢板治疗股骨远端骨折不良反应的原因分析[J].中华创伤杂志,2016,32(3):234-236.