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Current Medical Science

, Volume 38, Issue 5, pp 827–833 | Cite as

Three-dimensional (3D) Printing Technology Assisted by Minimally Invasive Surgery for Pubic Rami Fractures

  • Wen-bo Nie
  • Fa-gang YeEmail author
  • Jian-lin Ma
  • Jiang-ping Yu
  • Ming-xing Wang
  • Zhen-hua Zhang
  • Fu-jie Sun
Article
  • 44 Downloads

Abstract

The feasibility of three-dimensional (3D) printing technology combined with minimally invasive surgery in the treatment of pubic rami fractures was explored. From August 2015 to October 2017, a series of 30 patients who underwent surgical stabilization of their anterior pelvic ring (all utilizing the 3D printing technology) by one surgeon at a single hospital were studied. The minimally invasive incisions were made through anterior inferior cilia spine and pubic nodule. Data collected included the operative duration, the blood loss, the damage of the important tissue, the biographic union and the recovery of the function after the operation. Measurements on inlet and outlet pelvic cardiograph were made immediately post-operation and at all follow-up clinic visits. The scores of reduction and function were measured during follow-up. Results showed that the wounds of 30 patients were healed in the first stage, and there was no injury of important structures such as blood vessels and nerves. According to the Matta criteria, excellent effectiveness was obtained in 22 cases and good in 8 cases. According to the functional evaluation criteria of Majeed, excellent effectiveness was obtained in 21 cases and good in 9 cases. It was suggested that the 3D printing technology assisted by minimally invasive surgery can better evaluate the pelvic fracture before operation, which was helpful in plate modeling, and can shorten surgery duration and reduce intraoperative blood loss and complications. The positioning accuracy was improved, and better surgical result was finally achieved.

Key words

digital design three-dimensional printing anterior ring pelvic fractures minimally invasive surgery 

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Copyright information

© Huazhong University of Science and Technology 2018

Authors and Affiliations

  • Wen-bo Nie
    • 1
    • 2
  • Fa-gang Ye
    • 1
    Email author
  • Jian-lin Ma
    • 3
  • Jiang-ping Yu
    • 3
  • Ming-xing Wang
    • 2
  • Zhen-hua Zhang
    • 2
  • Fu-jie Sun
    • 2
  1. 1.Department of OrthopedicsAffiliated Hospital of Qingdao UniversityQingdaoChina
  2. 2.Department of OrthopedicsHuxi Hospital Affiliated to Jining Medical College (Shanxian Central Hospital)HezeChina
  3. 3.Department of OrthopedicsQingdao Chengyang District People’s HospitalQingdaoChina

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