A Systematic Review and Meta-Analysis of 3D Printing Technology for the Treatment of Acetabular Fractures.

Purpose. Three-dimensional (3D) printing technology has been widely used in orthopedics surgery. However, its efficacy in acetabular fractures remains unclear. The aim of this systematic review and meta-analysis was to examine the effect of using 3D printing technology in the surgery for acetabular...

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Publicado en:BioMed Research International pp. 1 - 16
Autores principales: Cao, Jin, Zhu, Huanye, Gao, Chao
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Wiley-Blackwell 8/18/2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 8/18/2021
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      pub: Wiley-Blackwell
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        10.1155/2021/5018791
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        atl: A Systematic Review and Meta-Analysis of 3D Printing Technology for the Treatment of Acetabular Fractures.
      aug:
        au:
          Cao, Jin
          Zhu, Huanye
          Gao, Chao
        affil: Department of Orthopedics, Ningbo No. 6 Hospital, Ningbo, China
      sug:
        subj:
          Hip Fractures Surgery
          Fracture Fixation Methods
          Printing, Three-Dimensional
          Treatment Outcomes
          Human
          Systematic Review
          Meta Analysis
          Adult
          Middle Age
          Aged
          Intraoperative Period
          Confidence Intervals
          Relative Risk
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
      ab: Purpose. Three-dimensional (3D) printing technology has been widely used in orthopedics surgery. However, its efficacy in acetabular fractures remains unclear. The aim of this systematic review and meta-analysis was to examine the effect of using 3D printing technology in the surgery for acetabular fractures. Methods. The systematic review was performed following the PRISMA guidelines. Four major electronic databases were searched (inception to February 2021). Studies were screened using a priori criteria. Data from each study were extracted by two independent reviewers and organized using a standardized table. Data were pooled and presented in forest plots. Results. Thirteen studies were included in the final analysis. Four were prospective randomized trials, and nine used a retrospective comparative design. The patients aged between 32.1 (SD 14.6) years and 51.9 (SD 18.9) years. Based on the pooled analyses, overall, 3D printing-assisted surgery decreased operation time by 38.8 minutes (95% CI: -54.9, -22.8), intraoperative blood loss by 259.7 ml (95% CI: -394.6, -124.9), instrumentation time by 34.1 minutes (95% CI: -49.0, -19.1). Traditional surgery was less likely to achieve good/excellent function of hip (RR, 0.53; 95% CI: 0.34, 0.82) and more likely to have complications than 3D printing-assisted surgery (RR, 1.19; 95% CI: 1.07, 1.33). Conclusions. 3D printing technology demonstrated efficacy in the treatment of acetabular fractures. It may improve surgery-related and clinical outcomes. More prospective studies using a rigorous design (e.g., randomized trial with blinding) are warranted to confirm the long-term effects of 3D printing technology in orthopedics surgeries.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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