Application of 3D printing combined with bridge fixation system for finite element analysis in treatment of patients with comminuted and complex acetabular fractures

HUANG Jiajun; LAN Xiaoquan; DONG Depeng; HUANG Zhiyong; MA Jianlin; ZHAO Dunxu

doi:10.7619/jcmp.20211069

Journal of Clinical Medicine in Practice > 2021 > 25(9): 4-8. > DOI: 10.7619/jcmp.20211069

HUANG Jiajun, LAN Xiaoquan, DONG Depeng, HUANG Zhiyong, MA Jianlin, ZHAO Dunxu. Application of 3D printing combined with bridge fixation system for finite element analysis in treatment of patients with comminuted and complex acetabular fractures[J]. Journal of Clinical Medicine in Practice, 2021, 25(9): 4-8. DOI: 10.7619/jcmp.20211069

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Application of 3D printing combined with bridge fixation system for finite element analysis in treatment of patients with comminuted and complex acetabular fractures

1.
Department of Traumatic Microsurgery, Qingdao Hospital Affiliated to Shandong First Medical University, Qingdao, Shandong, 266000
2.
3D Printing Medical Transformation Center, Qingdao Hospital Affiliated to Shandong First Medical University, Qingdao, Shandong, 266000

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Received Date: March 12, 2021
Available Online: May 20, 2021
Published Date: May 14, 2021

Graphical Abstract

Abstract

Abstract

Objective To observe the effect of 3D printing combined with bridge fixation system for finite element analysis in treatment of patients with comminuted and complex acetabular fractures.
Methods A total of 112 patients with comminuted and complex acetabular fractures were selected and randomly divided into observation group and control group, with 56 cases in each group. The control group was treated by conventional internal fixation with steel plate, while the observation group was treated by 3D printing combined with bridge fixation system for finite element analysis. The postoperative recovery status, satisfaction degree of restoration, Harris score and incidence of complications were compared between the two groups.
Results The hospital stay and fracture healing time in the observation group were significantly shorter than those in the control group (P < 0.05). The satisfaction degree of restoration in the observation group was 83.93%, which was significantly higher than 66.07% in the control group (P < 0.05). The Harris scores at 3 and 6 months after operation in the observation group were significantly higher than those in the control group (P < 0.05). The incidence of complications in the observation group was 3.57%, which was significantly lower than 14.28% inthe control group (P < 0.05).
Conclusion The 3D printing combined with bridge fixation system for finite element analysis is effective in treatment of patients with comminuted and complex acetabular fractures, which can obtain satisfactory restoration and fixation effects, reduce postoperative complications, and improve recovery of hip function.
- acetabular fracture,
- 3D printing,
- bridge fixation system,
- conventional steel plate,
- restoration,
- finite element analysis

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References (16)

References

[1]	林诗源, 钟子毅, 冯子行, 等. 髋臼骨折预后影响因素的研究进展[J]. 中华创伤骨科杂志, 2020, 22(12): 1069-1073. doi: 10.3760/cma.j.cn115530-20201005-00644
[2]	王钢, 林诗源, 童凯. 髋臼骨折治疗现状与分级诊治[J]. 中华创伤骨科杂志, 2019, 21(11): 1009-1012. doi: 10.3760/cma.j.issn.1671-7600.2019.11.015
[3]	汪亮, 黄朝朝, 于娇娜, 等. 桥接系统混棒与双棒结构治疗股骨及胫骨骨折的生物力学特点[J]. 中国组织工程研究, 2020, 24(6): 888-892. https://www.cnki.com.cn/Article/CJFDTOTAL-XDKF202006015.htm
[4]	TOSOUNIDIS T H, GIANNOUDIS V P, KANAKARIS N K, et al. The Kocher-Langenbeck Approach: State ofthe Art[J]. JBJS Essential Surgical Techniques, 2018, 8(2): 18-20. doi: 10.2106/JBJS.ST.16.00102
[5]	田伟. 实用骨科学[M]. 北京: 人民卫生出版社, 2008: 73-75.
[6]	王忠正, 田思宇, 赵阔, 等. 髋臼骨折分型的研究进展[J]. 中华创伤杂志, 2020, 36(11): 966-971. doi: 10.3760/cma.j.cn501098-20200603-00407
[7]	黄振飞, 陈开放, 于凌佳, 等. 新型解剖锁定钢板在髋臼前、后柱合并四方区骨折中的应用[J]. 中华骨科杂志, 2017, 37(5): 263-268. doi: 10.3760/cma.j.issn.0253-2352.2017.05.002
[8]	胡捷斯, 杨继梅, 鲁晓波, 等. 股骨头缺血性坏死患者髋关节X线检查相关参数与Harris评分的关系[J]. 山东医药, 2018, 58(20): 75-77. doi: 10.3969/j.issn.1002-266X.2018.20.025
[9]	KIM J W, LEE Y, SEO J, et al. Clinical experience with three-dimensional printing techniques in orthopedic trauma[J]. Journal of Orthopaedic Science, 2018, 23(2): 383-388. doi: 10.1016/j.jos.2017.12.010
[10]	MAINI L, VERMA T, SHARMA A, et al. Evaluation of accuracy of virtual surgical planning for patient specific pre-contoured plate in acetabular fracture fixation[J]. Arch Orthop Trauma Surg, 2018, 138(4): 495-504. doi: 10.1007/s00402-018-2868-2
[11]	张震, 董跃福, 苏宏飞, 等. 轻度OA膝关节有限元解剖模型的构建及其力学分析[J]. 中国矫形外科杂志, 2020, 487(5): 61-65. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJXS202005015.htm
[12]	田丰德, 赵德伟, 李东怡, 等. 髋臼缺损程度对成人髋关节应力影响的三维有限元分析[J]. 中国组织工程研究, 2018, 22(3): 380-384. https://www.cnki.com.cn/Article/CJFDTOTAL-XDKF201803011.htm
[13]	MESBAHI S A, GHAEMMAGHAMI A, GHAEMMAGHAMI S, et al. Outcome after Surgical Management of Acetabular Fractures: A 7-Year Experience[J]. Bulletin of Emergency and Trauma, 2018, 6(1): 37-44. http://pubmedcentralcanada.ca/pmcc/articles/PMC5787362/
[14]	邹毅, 叶茂, 何玲莉, 等. 3D打印用于胫骨平台骨折辅助治疗的临床效果分析[J]. 实用临床医药杂志, 2017, 21(11): 138-140. doi: 10.7619/jcmp.201711044
[15]	杨佳林, 张玉堂, 付炳金, 等. 3D打印技术辅助治疗SandersⅡ, Ⅲ型跟骨骨折的疗效观察[J]. 实用临床医药杂志, 2020, 24(13): 29-32. doi: 10.7619/jcmp.202013009
[16]	MARDIS, N J. Emerging Technology and Applications of 3D Printing in the Medical Field[J]. Mo Med, 2018, 115(4): 368-373.

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Application of 3D printing combined with bridge fixation system for finite element analysis in treatment of patients with comminuted and complex acetabular fractures