Printed three-dimensional anatomic templates for virtual preoperative planning before reconstruction of old pelvic injuries: initial results.
Identifieur interne : 000269 ( PubMed/Checkpoint ); précédent : 000268; suivant : 000270Printed three-dimensional anatomic templates for virtual preoperative planning before reconstruction of old pelvic injuries: initial results.
Auteurs : Xin-Bao Wu ; Jun-Qiang Wang [République populaire de Chine] ; Chun-Peng Zhao ; Xu Sun ; Yin Shi ; Zi-An Zhang ; Yu-Neng Li ; Man-Yi WangSource :
- Chinese medical journal [ 0366-6999 ] ; 2015.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Fractures, Bone.
- methods : Imaging, Three-Dimensional.
- pathology : Fractures, Bone.
- surgery : Pelvic Bones.
- Adolescent, Adult, Female, Humans, Male, Middle Aged, Reconstructive Surgical Procedures, Young Adult.
Abstract
Old pelvis fractures are among the most challenging fractures to treat because of their complex anatomy, difficult-to-access surgical sites, and the relatively low incidence of such cases. Proper evaluation and surgical planning are necessary to achieve the pelvic ring symmetry and stable fixation of the fracture. The goal of this study was to assess the use of three-dimensional (3D) printing techniques for surgical management of old pelvic fractures.
DOI: 10.4103/0366-6999.151088
PubMed: 25673449
Affiliations:
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pubmed:25673449Le document en format XML
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<author><name sortKey="Wang, Jun Qiang" sort="Wang, Jun Qiang" uniqKey="Wang J" first="Jun-Qiang" last="Wang">Jun-Qiang Wang</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Orthopaedic Trauma, Beijing Jishuitan Hospital; Laboratory of Bone Tissue Engineering, Beijing Research Institute of Traumatology and Orthopaedics, Beijing 100035, China.</nlm:affiliation>
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<author><name sortKey="Zhao, Chun Peng" sort="Zhao, Chun Peng" uniqKey="Zhao C" first="Chun-Peng" last="Zhao">Chun-Peng Zhao</name>
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<author><name sortKey="Sun, Xu" sort="Sun, Xu" uniqKey="Sun X" first="Xu" last="Sun">Xu Sun</name>
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<author><name sortKey="Shi, Yin" sort="Shi, Yin" uniqKey="Shi Y" first="Yin" last="Shi">Yin Shi</name>
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<author><name sortKey="Zhang, Zi An" sort="Zhang, Zi An" uniqKey="Zhang Z" first="Zi-An" last="Zhang">Zi-An Zhang</name>
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<author><name sortKey="Li, Yu Neng" sort="Li, Yu Neng" uniqKey="Li Y" first="Yu-Neng" last="Li">Yu-Neng Li</name>
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<author><name sortKey="Wang, Man Yi" sort="Wang, Man Yi" uniqKey="Wang M" first="Man-Yi" last="Wang">Man-Yi Wang</name>
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<author><name sortKey="Sun, Xu" sort="Sun, Xu" uniqKey="Sun X" first="Xu" last="Sun">Xu Sun</name>
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<author><name sortKey="Shi, Yin" sort="Shi, Yin" uniqKey="Shi Y" first="Yin" last="Shi">Yin Shi</name>
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<author><name sortKey="Li, Yu Neng" sort="Li, Yu Neng" uniqKey="Li Y" first="Yu-Neng" last="Li">Yu-Neng Li</name>
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<author><name sortKey="Wang, Man Yi" sort="Wang, Man Yi" uniqKey="Wang M" first="Man-Yi" last="Wang">Man-Yi Wang</name>
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<term>Humans</term>
<term>Imaging, Three-Dimensional (methods)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pelvic Bones (surgery)</term>
<term>Reconstructive Surgical Procedures</term>
<term>Young Adult</term>
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<front><div type="abstract" xml:lang="en">Old pelvis fractures are among the most challenging fractures to treat because of their complex anatomy, difficult-to-access surgical sites, and the relatively low incidence of such cases. Proper evaluation and surgical planning are necessary to achieve the pelvic ring symmetry and stable fixation of the fracture. The goal of this study was to assess the use of three-dimensional (3D) printing techniques for surgical management of old pelvic fractures.</div>
</front>
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<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">25673449</PMID>
<DateCreated><Year>2015</Year>
<Month>02</Month>
<Day>12</Day>
</DateCreated>
<DateCompleted><Year>2015</Year>
<Month>09</Month>
<Day>28</Day>
</DateCompleted>
<DateRevised><Year>2016</Year>
<Month>05</Month>
<Day>04</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">0366-6999</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>128</Volume>
<Issue>4</Issue>
<PubDate><Year>2015</Year>
<Month>Feb</Month>
<Day>20</Day>
</PubDate>
</JournalIssue>
<Title>Chinese medical journal</Title>
<ISOAbbreviation>Chin. Med. J.</ISOAbbreviation>
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<ArticleTitle>Printed three-dimensional anatomic templates for virtual preoperative planning before reconstruction of old pelvic injuries: initial results.</ArticleTitle>
<Pagination><MedlinePgn>477-82</MedlinePgn>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Old pelvis fractures are among the most challenging fractures to treat because of their complex anatomy, difficult-to-access surgical sites, and the relatively low incidence of such cases. Proper evaluation and surgical planning are necessary to achieve the pelvic ring symmetry and stable fixation of the fracture. The goal of this study was to assess the use of three-dimensional (3D) printing techniques for surgical management of old pelvic fractures.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">First, 16 dried human cadaveric pelvises were used to confirm the anatomical accuracy of the 3D models printed based on radiographic data. Next, nine clinical cases between January 2009 and April 2013 were used to evaluate the surgical reconstruction based on the 3D printed models. The pelvic injuries were all type C, and the average time from injury to reconstruction was 11 weeks (range: 8-17 weeks). The workflow consisted of: (1) Printing patient-specific bone models based on preoperative computed tomography (CT) scans, (2) virtual fracture reduction using the printed 3D anatomic template, (3) virtual fracture fixation using Kirschner wires, and (4) preoperatively measuring the osteotomy and implant position relative to landmarks using the virtually defined deformation. These models aided communication between surgical team members during the procedure. This technique was validated by comparing the preoperative planning to the intraoperative procedure.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The accuracy of the 3D printed models was within specification. Production of a model from standard CT DICOM data took 7 hours (range: 6-9 hours). Preoperative planning using the 3D printed models was feasible in all cases. Good correlation was found between the preoperative planning and postoperative follow-up X-ray in all nine cases. The patients were followed for 3-29 months (median: 5 months). The fracture healing time was 9-17 weeks (mean: 10 weeks). No delayed incision healing, wound infection, or nonunions occurred. The results were excellent in two cases, good in five, and poor in two based on the Majeed score.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The 3D printing planning technique for pelvic surgery was successfully integrated into a clinical workflow to improve patient-specific preoperative planning by providing a visual and haptic model of the injury and allowing patient-specific adaptation of each osteosynthesis implant to the virtually reduced pelvis.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Wu</LastName>
<ForeName>Xin-Bao</ForeName>
<Initials>XB</Initials>
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<Author ValidYN="Y"><LastName>Wang</LastName>
<ForeName>Jun-Qiang</ForeName>
<Initials>JQ</Initials>
<AffiliationInfo><Affiliation>Department of Orthopaedic Trauma, Beijing Jishuitan Hospital; Laboratory of Bone Tissue Engineering, Beijing Research Institute of Traumatology and Orthopaedics, Beijing 100035, China.</Affiliation>
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<Author ValidYN="Y"><LastName>Zhao</LastName>
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<Author ValidYN="Y"><LastName>Sun</LastName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D010384">Pelvic Bones</DescriptorName>
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<name sortKey="Wu, Xin Bao" sort="Wu, Xin Bao" uniqKey="Wu X" first="Xin-Bao" last="Wu">Xin-Bao Wu</name>
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