The efficacy of 3D printing-assisted surgery in treating distal radius fractures: systematic review and meta-analysis
Publication: Journal of Comparative Effectiveness Research
Abstract
Aim: To compare the efficacy of 3D printing-assisted surgery with routine surgery in the treatment of distal radius fractures to evaluate whether 3D printing technology has more advantages. Materials & methods: To retrieve all published studies that compared the efficacy of 3D printing-assisted surgery with routine surgery for distal radius fractures. Operation time, frequency of intraoperative fluoroscopy, blood loss and other outcomes were assessed. Results: The results suggested that 3D printing-assisted surgery was better than routine surgery in the fields of operation time, frequency of intraoperative fluoroscopy, and blood loss. Conclusion: In the treatment of distal radius fractures, 3D printing-assisted surgery may be superior to routine surgery.
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References
Papers of special note have been highlighted as: • of interest
1.
Bentohami A, Bosma J, Akkersdijk GJ, Van Dijkman B, Goslings JC, Schep NW. Incidence and characteristics of distal radial fractures in an urban population in The Netherlands. Eur. J. Trauma Emerg. Surg. 40(3), 357–361 (2014).
2.
Chung KC, Spilson SV. The frequency and epidemiology of hand and forearm fractures in the United States. J. Hand Surg. 26(5), 908–915 (2001).
3.
Kopylov P, Johnell O, Redlund-Johnell I, Bengner U. Fractures of the distal end of the radius in young adults: a 30-year follow-up. J. Hand Surg. 18(1), 45–49 (1993).
4.
Singer BR, Mclauchlan GJ, Robinson CM, Christie J. Epidemiology of fractures in 15,000 adults: the influence of age and gender. J. Bone Joint Surg. Br. 80(2), 243–248 (1998).
5.
Arora R, Lutz M, Deml C, Krappinger D, Haug L, Gabl M. A prospective randomized trial comparing nonoperative treatment with volar locking plate fixation for displaced and unstable distal radial fractures in patients sixty-five years of age and older. J. Bone Joint Surg. Am. 93(23), 2146–2153 (2011).
6.
Van Der Vliet QMJ, Sweet AaR, Bhashyam AR et al. Polytrauma and high-energy injury mechanisms are associated with worse patient-reported outcomes after distal radius fractures. Clin. Orthopaed. Relat. Res. 477(10), 2267–2275 (2019).
7.
Armstrong KA, Von Schroeder HP, Baxter NN, Zhong T, Huang A, Mccabe SJ. Stable rates of operative treatment of distal radius fractures in Ontario, Canada: a population-based retrospective cohort study (2004–2013). Can. J. Surg. 62(6), 386–392 (2019).
8.
Aparicio P, Izquierdo Ó, Castellanos J. Conservative treatment of distal radius fractures: a prospective descriptive study. Hand (N Y) 13(4), 448–454 (2018).
9.
Bartl C, Stengel D, Bruckner T, Gebhard F. The treatment of displaced intra-articular distal radius fractures in elderly patients. Dtsch. Arztebl. Int. 111(46), 779–787 (2014).
10.
Bilgin SS, Armangil M. Correction of nascent malunion of distal radius fractures. Acta Orthop. Traumatol. Turc. 46(1), 30–34 (2012).
11.
Arora R, Lutz M, Hennerbichler A, Krappinger D, Espen D, Gabl M. Complications following internal fixation of unstable distal radius fracture with a palmar locking-plate. J. Orthop. Trauma 21(5), 316–322 (2007).
12.
Henry M. Vascularized medial femoral condyle bone graft for resistant nonunion of the distal radius. J. Hand Surg. Asian Pac. Vol. 22(1), 23–28 (2017).
13.
Jones CW, Lawson RD. One size does not fit all: distal radioulnar joint dysfunction after volar locking plate fixation. J. Wrist Surg. 3(1), 42–45 (2014).
14.
Rosenauer R, Pezzei C, Quadlbauer S et al. Complications after operatively treated distal radius fractures. Arch. Orthop. Trauma Surg. 140(5), 665–673 (2020).
15.
Bagaria V, Bhansali R, Pawar P. 3D printing- creating a blueprint for the future of orthopedics: current concept review and the road ahead!. J. Clin. Orthop. Trauma 9(3), 207–212 (2018).
16.
Honigmann P, Thieringer F, Steiger R, Haefeli M, Schumacher R, Henning J. A simple 3-dimensional printed aid for a corrective palmar opening wedge osteotomy of the distal radius. J. Hand Surg. 41(3), 464–469 (2016).
17.
Bizzotto N, Tami I, Tami A et al. 3D printed models of distal radius fractures. Injury 47(4), 976–978 (2016).
18.
Bauer AS, Storelli DaR, Sibbel SE, Mccarroll HR, Lattanza LL. Preoperative computer simulation and patient-specific guides are safe and effective to correct forearm deformity in children. J. Pediatric Orthop. 37(7), 504–510 (2017).
19.
Ma B, Kunz M, Gammon B, Ellis RE, Pichora DR. A laboratory comparison of computer navigation and individualized guides for distal radius osteotomy. Int. J. Comput. Assist. Radiol. Surg. 9(4), 713–724 (2014).
20.
Michielsen M, Van Haver A, Vanhees M, Van Riet R, Verstreken F. Use of three-dimensional technology for complications of upper limb fracture treatment. EFORT Open Rev. 4(6), 302–312 (2019).
21.
Roner S, Carrillo F, Vlachopoulos L, Schweizer A, Nagy L, Fuernstahl P. Improving accuracy of opening-wedge osteotomies of distal radius using a patient-specific ramp-guide technique. BMC Musculoskelet. Disord. 19(1), 374 (2018).
22.
Shintani K, Kazuki K, Yoneda M et al. Computer-assisted three-dimensional corrective osteotomy for malunited fractures of the distal radius using prefabricated bone graft substitute. J. Hand Surg. Asian Pac. Vol. 23(4), 479–486 (2018).
23.
Storelli DA, Bauer AS, Lattanza LL, Mccarroll HR. The use of computer-aided design and 3-dimensional models in the treatment of forearm malunions in children. Tech. Hand Up. Extrem. Surg. 19(1), 23–26 (2015).
24.
Chen C, Cai L, Zhang C, Wang J, Guo X, Zhou Y. Treatment of die-punch fractures with 3D printing technology. J. Invest. Surg. 31(5), 385–392 (2018).
• A relatively high-quality clinical trial used for this meta-analysis.
25.
Chen C, Cai L, Zheng W, Wang J, Guo X, Chen H. The efficacy of using 3D printing models in the treatment of fractures: a randomised clinical trial. BMC Musculoskelet. Disord. 20(1), 65 (2019).
• A relatively high-quality clinical trial used for this meta-analysis.
26.
Kong L, Yang G, Yu J et al. Surgical treatment of intra-articular distal radius fractures with the assistance of three-dimensional printing technique. Medicine 99(8), e19259 (2020).
• A relatively high-quality clinical trial used for this meta-analysis.
27.
Luo W, Wu S, Chen JK, Deng YJ. Application value of 3D printing technique in the treatment of comminuted fracture of distal radius. CJCM 10(24), 125–127 (2018).
• A relatively high-quality clinical trial used for this meta-analysis.
28.
Tan X. Clinical application and research of 3-D printing technology in the treatment of distal radius fracture. Guangxi Medical University (2017). https://kns.cnki.net/KCMS/detail/detail.aspx?dbcode=CMFD&dbname=CMFD201702&filename=1017202467.nh&v=MDY5MzMzcVRyV00xRnJDVVI3cWZiK2R1RkN2bFVMekJWRjI2R2JHNEhOWEtxSkViUElSOGVYMUx1eFlTN0RoMVQ=
• A relatively high-quality clinical trial used for this meta-analysis.
29.
Xu S, Gu H, He Y, Huang G, Zhang ZQ, Lu W. Application of 3D printing in reduction and internal fixation for treatment of distal radius fractures. Chin. Orthop. J. Clin. Basic Res. 10(3), 133–139 (2018).
• A relatively high-quality clinical trial used for this meta-analysis.
30.
Biondi M, Keller M, Merenghi L, Gabl M, Lauri G. Hook plate for volar rim fractures of the distal radius: review of the first 23 cases and focus on dorsal radiocarpal dislocation. J. Wrist Surg. 8(2), 93–99 (2019).
31.
Cook A, Baldwin P, Fowler JR. Incidence of flexor pollicis longus complications following volar locking plate fixation of distal radius fractures. Hand (NY) (2019) (Epub ahead of print).
32.
Jinsihan N, Jin G. Recent developments of 3d-printing technique assisted surgery in the management of complex fractures. Int. J. Clin. Exp. Med. 11(11), 11578–11583 (2018).
33.
Zhou J, Tang W, Li D, Wu Y. Morphological characteristics of different types of distal radius die-punch fractures based on three-column theory. J. Orthop. Surg. Res. 14(1), 390 (2019).
34.
Zhou Y, Zhu Y, Zhang X, Tian D, Zhang B. Comparison of radiographic and functional results of die-punch fracture of distal radius between volar locking plating (VLP) and external fixation (EF). J. Orthop. Surg. Res. 14(1), 373 (2019).
35.
Han Q, Qin Y, Zou Y et al. Novel exploration of 3D printed wrist arthroplasty to solve the severe and complicated bone defect of wrist. Rapid Prototyping J. 23(3), 465–473 (2017).
36.
Kim SJ, Jo YH, Choi WS et al. Biomechanical properties of 3-dimensional printed volar locking distal radius plate: comparison with conventional volar locking plate. J. Hand Surg. 42(9), 747.e741–747.e746 (2017).
37.
Inge S, Brouwers L, Van Der Heijden F, Bemelman M. 3D printing for corrective osteotomy of malunited distal radius fractures: a low-cost workflow. BMJ Case Rep. (2018) (Epub ahead of print).
38.
Wan S-X, Meng F-B, Zhang J, Chen Z, Yu L-B, Wen J-J. Experimental study and preliminary clinical application of mini-invasive percutaneous internal screw fixation for scaphoid fracture under the guidance of a 3D-printed guide plate. Curr. Med. Sci. 39(6), 990–996 (2019).
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Pages: 919 - 931
PubMed: 32969712
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© 2020 Future Medicine Ltd.
History
Received: 6 June 2020
Accepted: 3 August 2020
Published online: 24 September 2020
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The efficacy of 3D printing-assisted surgery in treating distal radius fractures: systematic review and meta-analysis. (2020) Journal of Comparative Effectiveness Research. DOI: 10.2217/cer-2020-0099
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