Surgical Treatment for Posterior Dislocation of Hip Combined with Acetabular Fractures Using Preoperative Virtual Simulation and Three-Dimensional Printing Model-Assisted Precontoured Plate Fixation Techniques.

Background and Purpose. Hip dislocation combined with acetabular fracture remains a challenging condition for orthopedic surgeons. In this study, we utilized a computer-assisted simulation and three-dimensional (3D) printing technology to treat patients with hip dislocation combined with acetabular...

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Publicado en:BioMed Research International pp. 1 - 10
Autores principales: Li, Yuan-Ta, Hung, Chun-Chi, Chou, Yu-Ching, Chen, Jia-En, Wu, Chia-Chun, Shen, Hsain-Chung, Yeh, Tsu-Te
Formato: diagnostic images pictorial research tables/charts Journal Article
Publicado: Wiley-Blackwell 2/28/2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2/28/2019
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2019/3971571
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        atl: Surgical Treatment for Posterior Dislocation of Hip Combined with Acetabular Fractures Using Preoperative Virtual Simulation and Three-Dimensional Printing Model-Assisted Precontoured Plate Fixation Techniques.
      aug:
        au:
          Li, Yuan-Ta
          Hung, Chun-Chi
          Chou, Yu-Ching
          Chen, Jia-En
          Wu, Chia-Chun
          Shen, Hsain-Chung
          Yeh, Tsu-Te
        affil: Department of Orthopaedic Surgery, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan
      sug:
        subj:
          Acetabulum Injuries
          Hip Dislocation Surgery
          Hip Fractures Surgery
          Fracture Fixation Methods
          Internal Fixators
          Preoperative Period
          Printing, Three-Dimensional Methods
          Computer Simulation
          Human
          Retrospective Design
          Treatment Duration
          Pelvis Radiography
          Tomography, X-Ray Computed Methods
          Software
          Intraoperative Period
          Blood Loss, Surgical
          Postoperative Complications
          Treatment Outcomes
      ab: Background and Purpose. Hip dislocation combined with acetabular fracture remains a challenging condition for orthopedic surgeons. In this study, we utilized a computer-assisted simulation and three-dimensional (3D) printing technology to treat patients with hip dislocation combined with acetabular fracture. We hypothesized that the 3D printing-assisted method would shorten the internal fixation time and surgical time. Methods. We retrospectively reviewed 16 patients diagnosed with traumatic posterior dislocation of hip combined with acetabular fractures and treated with plate fixation from September 2013 to August 2017. Patients were divided into two groups: (1) traditional method and (2) 3D printing groups. In the traditional method group, the plates were contoured during the surgery, whereas in the 3D printing group, the patient's pelvic computed tomography image was transformed to the 3D medical image software for processing preoperatively. The fracture reduction was simulated by the computer. Thereafter, the 1:1 scale 3D printing model was used to design the surgical plan and contour patient-specific plates preoperatively. Results. The internal fixation time was significantly shorter in the 3D printing group than in the traditional method group (-33 min, P<0.05). The mean operative time was shorter than that in the traditional method group (-43 min). However, blood loss and postoperative radiograph results were similar between the groups. The complication rate was lower in the 3D printing group (2/7) than in the traditional method group (5/9). Interpretation. Computer-assisted simulation with 3D printing technology is a more efficient method for treating hip dislocation combined with acetabular fractures.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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