Three dimensional (3D) modelling and surgical planning in trauma and orthopaedics

Fadero, P; Shah, Mitul

doi:10.1016/j.surge.2014.03.008

Cited by 68 publications

(53 citation statements)

References 19 publications

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“…There are several software programs for planning joint replacement (i.e., Orthoplanner, Zed Hip, & Knee). In fracture surgery, 3D pre‐operative planning is useful for viewing and measuring the fracture displacement …”

Section: Discussionmentioning

confidence: 99%

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Reproducibility of three dimensional digital preoperative planning for the osteosynthesis of distal radius fractures

Yoshii

Kusakabe

Akita³

et al. 2017

Journal Orthopaedic Research

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A three-dimensional (3D) digital preoperative planning system for the osteosynthesis of distal radius fractures was developed for clinical practice. To assess the usefulness of the 3D planning for osteosynthesis, we evaluated the reproducibility of the reduction shapes and selected implants in the patients with distal radius fractures. Twenty wrists of 20 distal radius fracture patients who underwent osteosynthesis using volar locking plates were evaluated. The 3D preoperative planning was performed prior to each surgery. Four surgeons conducted the surgeries. The surgeons performed the reduction and the placement of the plate while comparing images between the preoperative plan and fluoroscopy. Preoperative planning and postoperative reductions were compared by measuring volar tilt and radial inclination of the 3D images. Intra-class correlation coefficients (ICCs) of the volar tilt and radial inclination were evaluated. For the implant choices, the ICCs for the screw lengths between the preoperative plan and the actual choices were evaluated. The ICCs were 0.644 (p < 0.01) and 0.625 (p < 0.01) for the volar tilt and radial inclination in the 3D measurements, respectively. The planned size of plate was used in all of the patients. The ICC for the screw length between preoperative planning and actual choice was 0.860 (p < 0.01). Good reproducibility for the reduction shape and excellent reproducibility for the implant choices were achieved using 3D preoperative planning for distal radius fracture. Three-dimensional digital planning was useful to visualize the reduction process and choose a proper implant for distal radius fractures. © 2017 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 35:2646-2651, 2017.

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Section: Discussionmentioning

confidence: 99%

“…In fracture surgery, 3D pre-operative planning is useful for viewing and measuring the fracture displacement. 20 Adding manipulation would enable a virtual operation to be completed, including the testing for fit of possible implants. Thus, a 3D digital preoperative planning system for fracture surgery was developed.…”

Section: Discussionmentioning

confidence: 99%

Reproducibility of three dimensional digital preoperative planning for the osteosynthesis of distal radius fractures

Yoshii

Kusakabe

Akita³

et al. 2017

Journal Orthopaedic Research

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“…However, even though the intraobserver variability is good, the predictive value of this form of planning is insufficient [43] . A threedimensional planning tool would possibly give more accurate information on TEA placement and sizing [44] . Another question is the use of threedimensional guiding.…”

Section: The Futurementioning

confidence: 99%

Total elbow arthroplasty is moving forward: Review on past, present and future

Prkić

Bergen

Eygendaal

2016

WJO

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The elbow joint is a complex joint, which, when impaired in function, leads to severe disability. In some cases however, an arthroplasty might be an appropriate treatment. In the past four decades, large steps have been taken to optimize this treatment in order to achieve better post-operative outcomes. To understand these progresses and to discover aspects for upcoming improvements, we present a review on the past developments, the present state of affairs and future developments which may improve patient care further.

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“…Current preoperative planning in orthopaedic surgery relies on the use of plain radiographs or computed tomography (CT) images to convey topographic information of the pathology to the surgeon . The value of this relies heavily on surgeon expertise, especially in more complex cases such as complex fractures where there is significant bone loss or distortion of normal anatomy, and spinal cases . Novel methods have been investigated with the aim of improving this process.…”

Section: Introductionmentioning

confidence: 99%

“…4 The value of this relies heavily on surgeon expertise, especially in more complex cases such as complex fractures where there is significant bone loss or distortion of normal anatomy, and spinal cases. 5 Novel methods have been investigated with the aim of improving this process. Surgical planning using 3D printed models has been an early application of the technology.…”

Section: Introductionmentioning

confidence: 99%

Three‐dimensional printing in orthopaedic preoperative planning improves intraoperative metrics: a systematic review

Jiang

Chen

Coles‐Black

et al. 2019

ANZ Journal of Surgery

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Background Three‐dimensional (3D) printing has seen increasing interest in surgery, where it improves the visualization of difficult anatomy in complex cases. This literature review investigates the benefits and limitations of 3D printed models in preoperative planning in the field of orthopaedic surgery. Methods A literature search was performed using the Ovid platform on the Embase and MEDLINE databases using the terms ‘3D printing’, ‘Orthopaedics’ and ‘Surgical Planning’. Studies using 3D printed models as a part of preoperative planning were included. All others were excluded. Data regarding the metrics used to assess the benefit of the use of 3D models, surgical outcome, and surgeon or patient opinion on the technology were extracted. Results A total of 41 studies resulted. Eight (19.5%) were case–control studies, the remainder were case reports or case series. Assessment of benefit was mostly subjective, although the case–control studies included objective metrics such as operation time, intraoperative blood loss and intraoperative fluoroscopy time. The use of 3D printing technology showed subjective benefit for both patient and surgeon as well as indicating clinically significant improvements in intraoperative metrics. Conclusion Despite the current absence of large scale trials, 3D printing has clear benefits in preoperative planning, particularly when utilized in complex cases. A streamlined workflow for case selection, in‐house model creation and preoperative rehearsals is still required to be developed before the process is ready for routine use. Evidence supports an improvement in intraoperative metrics and patient engagement but data to support improved clinical outcome is lacking.

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Three dimensional (3D) modelling and surgical planning in trauma and orthopaedics

Cited by 68 publications

References 19 publications

Reproducibility of three dimensional digital preoperative planning for the osteosynthesis of distal radius fractures

Reproducibility of three dimensional digital preoperative planning for the osteosynthesis of distal radius fractures

Total elbow arthroplasty is moving forward: Review on past, present and future

Three‐dimensional printing in orthopaedic preoperative planning improves intraoperative metrics: a systematic review

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