Abhishek Mishra,Tarun Verma,Abhishek Vaish,Riya Vaish,Raju Vaishya,Lalit Maini.[J].中华创伤杂志英文版,2019,22(6):350-355
Virtual preoperative planning and 3D printing are valuable for the management of complex orthopaedic trauma
  
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KeyWord: Three-dimensional printingBone fracturesFracture dislocationX-ray computed tomography
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Abhishek Mishra Department of Orthopaedics and Joint Replacement Surgery, Maulana Azad Medical College, Lok Nayak Hospital, New Delhi 110001, India 
Tarun Verma Department of Orthopaedics and Joint Replacement Surgery, Maulana Azad Medical College, Lok Nayak Hospital, New Delhi 110001, India 
Abhishek Vaish Department of Orthopaedics and Joint Replacement Surgery, Maulana Azad Medical College, Lok Nayak Hospital, New Delhi 110001, India 
Riya Vaish Department of Orthopaedics and Joint Replacement Surgery, Maulana Azad Medical College, Lok Nayak Hospital, New Delhi 110001, India 
Raju Vaishya Department of Orthopaedics and Joint Replacement Surgery, Indraprastha Apollo Hospital, SaritaVihar, New Delhi 110076, India 
Lalit Maini Department of Orthopaedics and Joint Replacement Surgery, Maulana Azad Medical College, Lok Nayak Hospital, New Delhi 110001, India 
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Abstract:
      Purpose: The technology of 3D printing (3DP) exists for quite some time, but it is still not utilized to its full potential in the field of orthopaedics and traumatology, such as underestimating its worth in virtual preoperative planning (VPP) and designing various models, templates, and jigs. It can be a significant tool in the reduction of surgical morbidity and better surgical outcome avoiding various associated complications. Methods: An observational study was done including 91 cases of complex trauma presented in our institution requiring operative fixation. Virtual preoperative planning and 3DP were used in the management of these fractures. Surgeons managing these cases were given a set of questionnaire and responses were recorded and assessed as a quantitative data. Results: In all the 91 cases, where VPP and 3DP were used, the surgeons were satisfied with the outcome which they got intraoperatively and postoperatively. Surgical time was reduced, with a better outcome. Three dimensional models of complex fracture were helpful in understanding the anatomy and sketching out the plans for optimum reduction and fixation. The average score of the questionnaire was 4.5, out of a maximum of 6, suggesting a positive role of 3DP in orthopaedics. Conclusion: 3DP is useful in complex trauma management by accurate reduction and placement of implants, reduction of surgical time and with a better outcome. Although there is an initial learning curve to understand and execute the VPP and 3DP, these become easier with practice and experience.
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