期刊
JOURNAL OF CLINICAL MEDICINE
卷 11, 期 18, 页码 -出版社
MDPI
DOI: 10.3390/jcm11185258
关键词
three-dimensional printing; fracture mapping; meta-analysis
Three-dimensional printing and fracture mapping technology can reduce surgical time and blood loss, decrease postoperative complications, and improve reduction outcomes in pelvic and acetabular fractures.
Three-dimensional printing and fracture mapping technology is gaining popularity for preoperative planning of fractures. The aim of this meta-analysis is to further understand for the effects of 3D printing and fracture mapping on intraoperative parameters, postoperative complications, and functional recovery on pelvic and acetabular fractures. The PubMed, Embase, Cochrane and Web of Science databases were systematically searched for articles according to established criteria. A total of 17 studies were included in this study, of which 3 were RCTs, with a total of 889 patients, including 458 patients treated by traditional open reduction and internal fixation methods and 431 patients treated using 3D printing strategies. It was revealed that three-dimensional printing and fracture mapping reduced intraoperative surgical duration (RoM 0.74; 95% CI; 0.66-0.83; I-2 = 93%), and blood loss (RoM 0.71; 95% CI; 0.63-0.81; I-2 = 71%). as compared to traditional surgical approaches. In addition, there was significantly lower exposure to intraoperative imaging (RoM 0.36; 95% CI; 0.17-0.76; I-2 = 99%), significantly lower postoperative complications (OR 0.42; 95% CI; 0.22-0.78; I-2 = 9%) and significantly higher excellent/good reduction (OR 1.53; 95% CI; 1.08-2.17; I-2 = 0%) in the three-dimensional printing and fracture mapping group. Further stratification results with only prospective studies showed similar trends. Three-dimensional printing and fracture mapping technology has potential in enhancing treatment of complex fractures by improving surgical related factors and functional outcomes and therefore could be considered as a viable tool for future clinical applications.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据