2017, Number 4
<< Back Next >>
Rev Sanid Milit Mex 2017; 71 (4)
3D radial fracture printing; a pilot study in the Instituto Nacional de Rehabilitación
García-Valadez LR, Espinoza-Gutiérrez A, Rivas-Montero JA, Hernández-Méndez VE, Santiago-García A, Banegas-Ruiz R, César-Juárez ÁA, Palmieri-Bouchan RB
Language: Spanish
References: 17
Page: 366-373
PDF size: 423.60 Kb.
ABSTRACT
Background: Although it has shown multiple benefits in preoperative
fracture planning, 3D impressions have not been routinely
implemented due to difficult access.
Material and methods: A pilot study was conducted with 10
patients with a diagnosis of distal radius fracture and need for surgical
management. Patients were evaluated by radiography, tomography
with 3D reconstruction and stereolithography prior to their surgical
management. The editing of TAC images was done using the 3D
SLICER
® program for printing on thermoplastic material and finally a
questionnaire of satisfaction was made to doctors and patients.
Results: 3D models of distal radius fractures were performed preoperatively.
100% of the patients clearly understood the severity of
their condition. Doctors, reported a 42% improvement in fracture
classification, 90% referred to 3D printing as a useful preoperative tool.
Conclusions: 3D impressions promise to be a tool not only for a
better understanding and classification of distal radius fractures, but
also for a better understanding by our patients.
REFERENCES
Oppenheimer A. ¡Crear o morir! La esperanza de Latinoamérica y las cinco claves de la innovación. Ciudad de México: Debate, 2014.
Brown GA, Firoozbakhsh K, DeCoster TA, Reyna JR Jr, Moneim M. Rapid prototyping: the future of trauma surgery?. J Bone Joint Surg. Am. 2003; 85 (4): 49–55.
Rengier F, Mehndiratta A, von Tengg-Kobligk H, Zechmann CM, Unterhinninghofen R, Kauczor HU, Giesel FL. 3D printing based on imaging data: review of medical applications. Int J Comput Assist Radiol Surg. 2010; 5(4): 335-341.
Bizzotto N, Sandri A, Regis D, Romani D, Tami I, Magnan B. Three-dimensional printing of bone fractures: A new tangible realistic way for preoperative planning and education. Surg Innov 2015; 22(5): 548 –551.
Fuller SM, Butz DR, Vevang CB, Makhlouf MV. Application of 3-dimensional printing in hand surgery for production of a novel bone reduction clamp. J Hand Surg Am. 2014; 39: 1840–1845.
Fedorovich NE, Alblas J, Hennink WE, Oner FC, Dhert WJ. Organ printing: the future of bone regeneration? Trends Biotechnol. 2011; 29: 601–606.
Wu XB, Wang JQ, Zhao CP, Sun X, Shi Y, Zhang ZA et al. Printed three-dimensional anatomic templates for virtual preoperative planning before reconstruction of old pelvic injuries: Initial results, Chin Med J; 2015; 128(4): 477-482.
Liu A, Xue GH, Sun M, Shao HF, Ma CY, Gao Q, et al. 3D printing surgical implants at the clinic: A experimental study on anterior cruciate ligament reconstruction. Sci Rep. 201;6 :21704
Wu XB, Wang JQ, Zhao CP, Sun X, Shi Y, Zhang ZA et al. Printed three-dimensional anatomic templates for virtual preoperative planning before reconstruction of old pelvic injuries: Initial results. Chin Med J. 2015; 128(4): 477-482.
Li Z, Li Z, Xu R, Li M, Li J, Liu Y et al. Three-dimensional printing models improve understanding of spinal fracture--A randomized controlled study in China. Sci Rep, 2015; 5:11570.
Esses SJ, Berman P, Bloom AI, Sosna J. Clinical applications of physical 3D models derived from MDCT data and created by rapid prototyping. AJR Am J Roentgenol. 2011; 196(6):W683–688.
Malik HH, Darwood AR, Shaunak S, Kulatilake P, El-Hilly AA, Mulki O et al. Three dimensional printing un surgery: a review of current surgical aplications. J Surg Res. 2015; 199(2): 512-522.
Fuller SM, Butz DR, Vegang CB, Makhlouf MV. Application of 3-dimensional printing in hand surgery for production of a novel bone reduction clamp. J Hand Surg Am. 2014; 39(9):1840-1845.
Jeong HS, Park KJ, Kil KM, Chong S, Eun HJ, Lee TS et al. Minimally invasive plate osteosynthesis using 3D printing for shaft fractures of clavicles: technical note. Arch Orthop Trauma Surg. 2014; 134(11): 1551-1555.
Qiao F, Li D, Jin Z, Gao Y, Zhou T, He J et al. Application of 3D customized external fixator for fracture reduction. Injury. 2015; 46(6): 1150-1155.
Berman B. 3D printing, the new industrial revolution. Bus Horiz. 2012:155-162.
Hurson C, Tansey A, O’Donnchadha B, Nicholson P, Rice J, McElwain J. Rapid prototyping in the assessment, classification and preoperative planning of acetabular fractures. Injury 2007; 38(10): 1158–1162.