Can 3-Dimensional Printing for Calcaneal Fracture Surgery Decrease Operation Time and Improve Quality of Fracture Reduction?

Park, Hyun-Jin; You, Ki-Han; Huang, Bingzhe; Yoon, Joon Hyeok; Kim, Hyong Nyun

doi:10.1053/j.jfas.2022.03.004

Cited by 3 publications

(2 citation statements)

References 35 publications

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“…Compared to traditional plate fixation, percutaneous screw fixation still exhibits several flaws including inadequate stability, loss of reduction, non-generally accepted screw configurations, tedious adjustment of screw insertion, and excessive fluoroscopic exposure [ 12 , 13 ]. With the advent of three-dimensional (3D) printing technology, preoperatively printed templates have been widely applied to formulate surgical strategies of screw configurations [ 9 , 14 , 15 ]. Yet there is no report regarding intraoperative usage of the 3D-printed jig in assisting screw insertion.…”

Section: Introductionmentioning

confidence: 99%

Three-dimensional printed cast assisted screw fixation of calcaneal fractures: a prospective study

Song,

Li,

Xia

et al. 2023

BMC Musculoskelet Disord

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Background Treatment of displaced intra-articular calcaneal fractures (DIACFs) with percutaneous screw fixation remains defective in some aspects. A novel three-dimensional (3D) printed cast was devised to assist screw placement. This study assessed the radiological and functional outcomes of 3D-printed cast assisted screw fixation for patients with DIACFs. Methods Patients with unilateral Sanders type II or III DIACFs admitted to a single-centre hospital underwent either 3D-printed cast assisted screw fixation (3D group) or minimally invasive plate fixation (control group) from September 2020 to November 2022. All patients were assessed at one, two, three, and six months of follow-up. Comparison between groups was conducted in operative duration, fluoroscopic times, radiographic measurements of the calcaneus, and the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Score. Results A total of 32 patients were enrolled (19 in the 3D group versus 13 in the control group). Significant differences were detected between the 3D group and control group in operative duration (53.63±8.95 min, 95.08±8.31 min, P <0.001), fluoroscopic times (7.37±1.21, 16.85±1.57, P <0.001). At a follow-up of six months, the 3D group showed better restoration than the control group in calcaneal width, height, Bohler angle, and AOFAS Ankle-Hindfoot scores (all P <0.001). No significant differences were shown in calcaneal length and Gissane angle (P >0.05). No wound-related complications occurred in either group. Conclusion The 3D-printed cast assisted screw fixation has shown superiority over minimally invasive plate fixation in the operative duration, fluoroscopic exposure, morphological restoration of the calcaneus, and functional outcomes in the treatment of DIACFs.

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Section: Introductionmentioning

confidence: 99%

Three-dimensional printed cast assisted screw fixation of calcaneal fractures: a prospective study

Song,

Li,

Xia

et al. 2023

BMC Musculoskelet Disord

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“…This personalised approach optimises anatomical fit, potentially improving stability and reducing the risk of complications. 3D printing technology represents a cutting-edge tool that aligns with the principles of precision medicine, offering customised solutions for calcaneal fracture management [ 50 ].…”

Section: Reviewmentioning

confidence: 99%

A Comprehensive Review on Managing Fracture Calcaneum by Surgical and Non-surgical Modalities

Chirayath,

Dhaniwala,

Kawde

2024

Cureus

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This comprehensive review delves into the multifaceted landscape of calcaneal fractures, thoroughly examining their aetiology, clinical presentation, and diverse management strategies. Encompassing surgical and non-surgical approaches, the review scrutinises critical aspects such as patient compliance, rehabilitation protocols, and long-term follow-up considerations. Surgical modalities, propelled by recent innovations like minimally invasive techniques and advanced fixation materials, are juxtaposed with non-surgical interventions, emphasising the pivotal role of patient education and adherence to optimise outcomes. The synthesis of critical findings underscores the need for individualised care and multidisciplinary collaboration in clinical practice. Moreover, the review outlines recommendations for healthcare practitioners and identifies promising areas for future research, including biomechanical studies and telerehabilitation. This comprehensive exploration aims to contribute to the ongoing evolution of calcaneal fracture management, ultimately enhancing patient care and outcomes in this complex orthopaedic realm.

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Robot-assisted versus traditional fixation for the treatment of calcaneal fractures: a meta-analysis

Shi,

Shen,

Guo

et al. 2024

BMC Musculoskelet Disord

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Objective With the development of surgical technology, the level of digital medicine is constantly improving. The birth of new technologies has a certain impact on traditional methods. At present, robot-assisted technology has been applied to patients with calcaneal fractures, which poses a challenge to traditional surgery. We aimed to assess whether robot-assisted internal fixation confers certain surgical advantages through a literature review. Design The databases PubMed, EMBASE, the Cochrane Library, the China National Knowledge Infrastructure (CNKI), and the Wanfang Data Knowledge Service Platform were systematically searched for both randomized and nonrandomized studies involving patients with calcaneal fractures. Main results Five studies were identified that compared clinical indexes. For the clinical indexes, robot-assisted surgery is generally feasible because of intraoperative fluoroscopy, complications, the Gissane angle, the calcaneal width, and the American Orthopedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot score 3 and 6 months after the operation (P < 0.05). However, on the operation time, Böhler’s angle at 3 and 6 months, Gissane angle and calcaneal width at 6 months after the operation did not show good efficacy compared with those of the traditional group (P > 0.05). Conclusions Based on the current evidence, the advantages of robot-assisted fixation over traditional fixation are clear. The long-term clinical effects of the two methods are also good, and the short-term effect of robot assistance is better. However, the quality of some studies is low, and more high-quality randomized controlled trials (RCTs) are needed for further verification.

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Can 3-Dimensional Printing for Calcaneal Fracture Surgery Decrease Operation Time and Improve Quality of Fracture Reduction?

Cited by 3 publications

References 35 publications

Three-dimensional printed cast assisted screw fixation of calcaneal fractures: a prospective study

Three-dimensional printed cast assisted screw fixation of calcaneal fractures: a prospective study

A Comprehensive Review on Managing Fracture Calcaneum by Surgical and Non-surgical Modalities

Robot-assisted versus traditional fixation for the treatment of calcaneal fractures: a meta-analysis

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