Objective To investigate the advantages of pre-shaped plate based on 3D printing model in the surgery for clavicle fracture. Methods From October 2018 to October 2019, the medical records of 30 cases of midshaft clavicle fracture were retrieved. The patients were divided into an experimental group and a control group according to whether 3D printing-assisted technology was used or not. The operation time, intraoperative fluoroscopy times, intraoperative blood loss, intraoperative screw replacement times, postoperative DASH score, and complication rate of the two groups were compared. Results The operation time of the experimental group was (42.07±8.34) min, while that of the control group was (56.60±7.69) min. The intraoperative blood loss was (39.53±4.03) mL in the experimental group and (66.27±5.97) mL in the control group. The intraoperative fluoroscopy frequency was (2.80±1.32) times in the experimental group and (6.47±1.55) times in the control group. In the experimental group, the screws were replaced (0.40±0.63) times, while in the control group, the number was (1.13±0.64) times. At the follow-up visit 6 weeks after surgery, the DASH score of the experimental group was 10.80±2.73, and that of the control group was 14.73±2.99. All these indicators between the two groups were significantly different. There were no postoperative complications in the experimental group, and 2 cases in the control group had internal fixation irritation. Conclusion Applying 3D printing technology can reduce the time of minimally invasive fixation and screw replacement frequency, and improve postoperative early shoulder function.
ZHANG Aiguo
,
LI Jiayue
,
MA Hong
,
ZHANG Yingqi
,
WANG Xin
. 3D printing-assisted minimally invasive internal fixation for clavicle fracture[J]. Surgical Research and New Technique, 2021
, 10(2)
: 84
-87
.
DOI: 10.3969/j.issn.2095-378X.2021.02.002
[1] 穆卫庐,常军英,贾东昭.3D打印手术导板引导骶髂螺钉置入的手术技术介绍[J].中华骨科杂志,2015,35(7):767-773.
[2] Kim DW, Kim DH, Kim BS, et al.Current concepts for classification and treatment of distal clavicle fractures[J]. Clin Orthop Surg,2020,12(2):135-144.
[3] Šimek J, Šmejkal K, Frank M, et al.Surgical treatment of clavicle midshaft fractures-prospective randomized trial][J]. Acta Chir Orthop Traumatol Cech, 2020,87(2):101-107.
[4] Lambert S, Al-Hadithy N, Sewell MD, et al.Computerized tomography based 3D modeling of the clavicle[J]. Orthop Re, 2016,34(7):1216-1223.
[5] Kotekar MF, Pai S, Yogesh K, et al.Anatomy of clavicle in the Indian population and its applicability in pre-contoured plating[J]. Int Orthop, 2020,44(4):699-704.
[6] Fontana AD, Hoyen HA, Blauth M, et al.The variance of clavicular surface morphology is predictable: an analysis of dependent and independent metadata variables[J]. JSES Int, 2020,4(3):413-421.
[7] Reisch T, Camenzind RS, Fuhrer R, et al.The first 100 patients treated with a new anatomical pre-contoured locking plate for clavicular midshaft fractures[J]. BMC Musculoskelet Disord, 2019,20(1):4.
[8] Nourian A, Dhaliwal S, Vangala S, et al.Midshaft fractures of the clavicle: a meta-analysis comparing surgical fixation using anteroinferior plating versus superior plating[J]. J Orthop Trauma, 2017,31(9):461-467.
[9] Sohn HS, Kim BY, Shin SJ.A surgical technique for minimally invasive plate osteosynthesis of clavicular midshaft fractures[J]. J Orthop Trauma, 2013,27(4):e92-e96.
[10] Zhang YZ, Lu S, Chen B, et al.Application of computer-aided design osteotomy template for treatment of cubitus varus deformity in teenagers: a pilot study[J]. J Shoulder Elbow Surg, 2011,20(1):51-56.
[11] Shen F, Chen B, Guo Q, et al.Augmented reality patient-specific reconstruction plate design for pelvic and acetabular fracture surgery[J]. Int J Comput Assist Radiol Surg, 2013,8(2):169-179.
[12] Xu M, Zhang LH, Zhang YZ, et al.Custom-made locked plating for acetabular fracture: a pilot study in 24 consecutive cases[J]. Orthopedics, 2014,37(7):e660-670.
[13] Liu K, Li Z, Ma Y, et al.3D-printed pelvis model is an efficient method of osteotomy simulation for the treatment of developmental dysplasia of the hip[J]. Exp Ther Med, 2020,19(2):1155-1160.
[14] Vlachopoulos L, Schweizer A, Meyer DC, et al.Computer-assisted planning and patient-specific guides for the treatment of midshaft clavicle malunions[J]. J Shoulder Elbow Surg, 2017,26(8):1367-1373.
[15] 张亮,刘文军,杜安稳.保护锁骨上神经的锁骨中外1/3骨折重建钢板内固定临床疗效分析[J].中国骨与关节损伤杂志, 2013,28(11):1070-1071.