Subscribe to RSS
DOI: 10.1055/s-0042-1750760
Application of 3D Printing Technology in the Treatment of Hoffa's Fracture Nonunion
Article in several languages: português | English
Abstract
Objective To evaluate a proposed three-dimensional (3D) printing process of a biomodel developed with the aid of fused deposition modeling (FDM) technology based on computed tomography (CT) scans of an individual with nonunion of a coronal femoral condyle fracture (Hoffa's fracture).
Materials and Methods Thus, we used CT scans, which enable the evaluation of the 3D volumetric reconstruction of the anatomical model, as well as of the architecture and bone geometry of sites with complex anatomy, such as the joints. In addition, it enables the development of the virtual surgical planning (VSP) in a computer-aided design (CAD) software. This technology makes it possible to print full-scale anatomical models that can be used in surgical simulations for training and in the choice of the best placement of the implant according to the VSP. In the radiographic evaluation of the osteosynthesis of the Hoffa's fracture nonunion, we assessed the position of the implant in the 3D-printed anatomical model and in the patient's knee.
Results The 3D-printed anatomical model showed geometric and morphological characteristics similar to those of the actual bone. The position of the implants in relation to the nonunion line and anatomical landmarks showed great accuracy in the comparison of the patient's knee with the 3D-printed anatomical model.
Conclusion The use of the virtual anatomical model and the 3D-printed anatomical model with the additive manufacturing (AM) technology proved to be effective and useful in planning and performing the surgical treatment of Hoffa's fracture nonunion. Thus, it showed great accuracy in the reproducibility of the virtual surgical planning and the 3D-printed anatomical model.
Financial Support
The authors declare they have received no financial support from public, commercial, or non-profit sources.
* Work developed at the Federal Technological University of Paraná, Curitiba, Paraná, Brazil.
Publication History
Received: 01 March 2022
Accepted: 28 April 2022
Article published online:
03 October 2022
© 2022. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
-
Referências
- 1 Zheng W, Su J, Cai L. et al. Application of 3D-printing technology in the treatment of humeral intercondylar fractures. Orthop Traumatol Surg Res 2018; 104 (01) 83-88
- 2 Rankin TM, Wormer BA, Miller JD, Giovinco NA, Al Kassis S, Armstrong DG. Image once, print thrice? Three-dimensional printing of replacement parts. Br J Radiol 2018; 91 (1083): 20170374
- 3 Morgan C, Khatri C, Hanna SA, Ashrafian H, Sarraf KM. Use of three-dimensional printing in preoperative planning in orthopaedic trauma surgery: A systematic review and meta-analysis. World J Orthop 2020; 11 (01) 57-67
- 4 Samaila EM, Negri S, Zardini A. et al. Value of three-dimensional printing of fractures in orthopaedic trauma surgery. J Int Med Res 2020; 48 (01) 300060519887299
- 5 Vaishya R, Patralekh MK, Vaish A, Agarwal AK, Vijay V. Publication trends and knowledge mapping in 3D printing in orthopaedics. J Clin Orthop Trauma 2018; 9 (03) 194-201
- 6 Mishra A, Verma T, Vaish A, Vaish R, Vaishya R, Maini L. Virtual preoperative planning and 3D printing are valuable for the management of complex orthopaedic trauma. Chin J Traumatol 2019; 22 (06) 350-355
- 7 Pires RE, Giordano V, Fogagnolo F, Yoon RS, Liporace FA, Kfuri M. Algorithmic treatment of Busch-Hoffa distal femur fractures: A technical note based on a modified Letenneur classification. Injury 2018; 49 (08) 1623-1629
- 8 Sun H, He QF, Huang YG, Pan JF, Luo CF, Chai YM. Plate fixation for Letenneur type I Hoffa fracture: a biomechanical study. Injury 2017; 48 (07) 1492-1498
- 9
Buckley RE,
Moran CG,
Apivatthakakul T.
, Eds. AO Principles of Fracture Management. Stuttgart: Thieme; 2018
- 10 Bagaria V, Chaudhary K. A paradigm shift in surgical planning and simulation using 3Dgraphy: Experience of first 50 surgeries done using 3D-printed biomodels. Injury 2017; 48 (11) 2501-2508
- 11 Marro A, Bandukwala T, Mak W. Three-Dimensional Printing and Medical Imaging: A Review of the Methods and Applications. Curr Probl Diagn Radiol 2016; 45 (01) 2-9
- 12 Hoang D, Perrault D, Stevanovic M, Ghiassi A. Surgical applications of three-dimensional printing: a review of the current literature & how to get started. Ann Transl Med 2016; 4 (23) 456-475
- 13 van Eijnatten M, van Dijk R, Dobbe J, Streekstra G, Koivisto J, Wolff J. CT image segmentation methods for bone used in medical additive manufacturing. Med Eng Phys 2018; 51: 6-16
- 14 Aimar A, Palermo A, Innocenti B. The Role of 3D Printing in Medical Applications: A State of the Art. J Healthc Eng 2019; 2019: 5340616
- 15 Kim JW, Lee Y, Seo J. et al. Clinical experience with three-dimensional printing techniques in orthopedic trauma. J Orthop Sci 2018; 23 (02) 383-388
- 16 Bizzotto N, Tami I, Tami A. et al. 3D Printed models of distal radius fractures. Injury 2016; 47 (04) 976-978
- 17 Tack P, Victor J, Gemmel P, Annemans L. 3D-printing techniques in a medical setting: a systematic literature review. Biomed Eng Online 2016; 15 (01) 115
- 18 Wilcox B, Mobbs RJ, Wu AM, Phan K. Systematic review of 3D printing in spinal surgery: the current state of play. J Spine Surg 2017; 3 (03) 433-443
- 19 Zheng W, Chen C, Zhang C, Tao Z, Cai L. The Feasibility of 3D Printing Technology on the Treatment of Pilon Fracture and Its Effect on Doctor-Patient Communication. BioMed Res Int 2018; 2018: 8054698
- 20 Langridge B, Momin S, Coumbe B, Woin E, Griffin M, Butler P. Systematic Review of the Use of 3-Dimensional Printing in Surgical Teaching and Assessment. J Surg Educ 2018; 75 (01) 209-221
- 21 Montgomery SJ, Kooner SS, Ludwig TE, Schneider PS. Impact of 3D Printed Calcaneal Models on Fracture Understanding and Confidence in Orthopedic Surgery Residents. J Surg Educ 2020; 77 (02) 472-478
- 22 Bagaria V, Deshpande S, Rasalkar DD, Kuthe A, Paunipagar BK. Use of rapid prototyping and three-dimensional reconstruction modeling in the management of complex fractures. Eur J Radiol 2011; 80 (03) 814-820
- 23 Shui W, Zhou M, Chen S. et al. The production of digital and printed resources from multiple modalities using visualization and three-dimensional printing techniques. Int J CARS 2017; 12 (01) 13-23
- 24 Mulford JS, Babazadeh S, Mackay N. Three-dimensional printing in orthopaedic surgery: review of current and future applications. ANZ J Surg 2016; 86 (09) 648-653
- 25 Malik HH, Darwood ARJ, Shaunak S. et al. Three-dimensional printing in surgery: a review of current surgical applications. J Surg Res 2015; 199 (02) 512-522
- 26 Cromeens BP, Ray WC, Hoehne B, Abayneh F, Adler B, Besner GE. Facilitating surgeon understanding of complex anatomy using a three-dimensional printed model. J Surg Res 2017; 216: 18-25
- 27 Fadero PE, Shah M. Three dimensional (3D) modelling and surgical planning in trauma and orthopaedics. Surgeon 2014; 12 (06) 328-333
- 28 Egger J, Wallner J, Gall M. et al. Computer-aided position planning of miniplates to treat facial bone defects. PLoS One 2017; 12 (08) e0182839
- 29 Zhang Y, Wen L, Zhang J, Yan G, Zhou Y, Huang B. Three-dimensional printing and computer navigation assisted hemipelvectomy for en bloc resection of osteochondroma: A case report. Medicine (Baltimore) 2017; 96 (12) e6414
- 30 Xiong L, Li X, Li H, Chen Z, Xiao T. The efficacy of 3D printing-assisted surgery for traumatic fracture: a meta-analysis. Postgrad Med J 2019; 95 (1126): 414-419