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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(02): 303-312
DOI: 10.1055/s-0042-1750760
Artigo Original
Joelho

Application of 3D Printing Technology in the Treatment of Hoffa's Fracture Nonunion

Article in several languages: português | English
Celso Júnio Aguiar Mendonça 
1   Unidade do Sistema Musculoesquelético, Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, Paraná, Brasil
2   Programa de Pós-Graduação em Engenharia Elétrica e Informática Industrial, Universidade Tecnológica Federal do Paraná, Curitiba, Paraná, Brasil
,
Sidney Carlos Gasoto 
2   Programa de Pós-Graduação em Engenharia Elétrica e Informática Industrial, Universidade Tecnológica Federal do Paraná, Curitiba, Paraná, Brasil
,
Ivan Moura Belo 
3   Programa de Pós-Graduação em Engenharia Biomédica, Universidade Tecnológica Federal do Paraná, Curitiba, Paraná, Brasil
,
João Antônio Palma Setti 
3   Programa de Pós-Graduação em Engenharia Biomédica, Universidade Tecnológica Federal do Paraná, Curitiba, Paraná, Brasil
,
Jamil Faissal Soni 
1   Unidade do Sistema Musculoesquelético, Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, Paraná, Brasil
4   Hospital Universitário Cajuru, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brasil
,
Bertoldo Schneider Júnior 
2   Programa de Pós-Graduação em Engenharia Elétrica e Informática Industrial, Universidade Tecnológica Federal do Paraná, Curitiba, Paraná, Brasil
3   Programa de Pós-Graduação em Engenharia Biomédica, Universidade Tecnológica Federal do Paraná, Curitiba, Paraná, Brasil
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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.

Keywords

Hoffa's fracture - pseudarthrosis - printing, three-dimensional - orthopedic surgery

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/)

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