3D printed biomodels for preoperative planning of total hip arthroplasty following an acetabular fracture: a case report
DOI:
https://doi.org/10.58814/01208845.22Keywords:
3D printing, Hip Fractures, AcetabulumAbstract
Introduction: Acetabulum fractures are a challenge for orthopedic surgeons due to the difficulty of their treatment and associated complications.
Case presentation: A 53-year-old man was admitted to the emergency department of a tertiary care hospital due to multiple trauma to the chest and pelvis following a traffic accident. He presented with chest and hip pain, but no bone lesion was identified, so he was discharged after 48 hours. Seven days later, the patient attended the emergency department again due to pain in the left hip and limited walking. Imaging tests showed a fracture of the left acetabulum, but he was operated on only after two months owing to economic and health insurance difficulties. Open reduction internal fixation and filling with iliac crest graft and total hip arthroplasty (THA) were performed. After six months, the patient presented limited ambulation capacity and pain in the left hip. Upon physical and imaging examinations, severe deformity of the left acetabulum with posterosuperior migration of the femoral head, necrosis of the entire femoral head, and posterosuperior bone defect of the acetabulum (type IIIB according to Paprosky's classification) were diagnosed, so 3D biomodel-assisted THA was performed. The patient had an optimal recovery.
Conclusion: The use of 3D printed biomodels optimizes preoperative planning, as it allows identifying the lesion, planning the most appropriate approach, choosing the best implants, and reducing operating time, bleeding and complications.
Downloads
References
Daurka JS, Pastides PS, Lewis A, Rickman M, Bircher MD. Acetabular fractures in patients aged >55 years: a systematic review of the literature. Bone Joint J. 2014;96-B(2):157-63. https://doi.org/j8z9.
Boudissa M, Ruatti S, Kerschbaumer G, Milaire M, Merloz P, Tonetti J. Part 2: outcome of acetabular fractures and associated prognostic factors-a ten-year retrospective study of one hundred and fifty-six operated cases with open reduction and internal fixation. Int Orthop. 2016;40(10):2151-6. https://doi.org/j82b.
Rinne PP, Laitinen M K, Huttunen T, Kannus P, Mattila VM. The incidence and trauma mechanisms of acetabular fractures: A nationwide study in Finland between 1997 and 2014. Injury. 2017;48(10):2157-61. https://doi.org/gqtbqr.
Kelly J, Ladurner A, Rickman M. Surgical management of acetabular fractures - A contemporary literature review. Injury. 2020;51(10):2267-77. https://doi.org/gqtbqs.
Ortega-Briones A, Smith S, Rickman M. Acetabular Fractures in the Elderly: Midterm Outcomes of Column Stabilisation and Primary Arthroplasty. BioMed Res Int. 2017;4651518. https://doi.org/f9qx9c.
Paprosky WG, Perona PG, Lawrence JM. Acetabular defect classification and surgical reconstruction in revision arthroplasty. A 6-year follow-up evaluation. J Arthroplasty. 1994;9(1): 33-44. https://doi.org/ctv66k.
McCabe FJ, Kelly M, Farrell C, Abdelhalim M, Quinlan JF. Acetabular Lip Augmentation Devices for the Unstable Total Hip Replacement–A Systematic Review. Arthroplasty Today. 2021;12:1723. https://doi.org/j82c.
Sánchez-Pérez C, Rodríguez-Lozano G, Rojo-Manaute J, Vaquero-Martín J, & Chana-Rodríguez F. 3D surgical printing for preoperative planning of trabecular augments in acetabular fracture sequel. Injury. 2018;49(Suppl 2):S36–43. https://doi.org/j82d.
Meesters A, Trouwborst NM, de Vries J, Kraeima J, Witjes M, Doornberg JN, et al. Does 3D-Assisted Acetabular Fracture Surgery Improve Surgical Outcome and Physical Functioning? - A Systematic Review. J Pers Med. 2021;11(10):966. https://doi.org/j82f.
Wang XZ., Shi Z, Lu QL, Xie W, Chen L, Li XG, et al. [Treatment of old acetabular posterior wall fracture with 3D printing combined with composite plate internal fixation]. Zhongguo Gu Shang. 2019;32(5):395-400. https://doi.org/j82g.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Revista Colombiana de ortopedia y traumatología
This work is licensed under a Creative Commons Attribution 3.0 Unported License.
Derechos de autor
Los autores aceptar transferir a la Revista Colombiana de Ortopedia y Traumatología los derechos edición, publicación y reproducción de los artículos publicados. La editorial tiene el derecho del uso, reproducción, transmisión, distribución y publicación en cualquier forma o medio. Los autores no podrán permitir o autorizar el uso de la contribución sin el consentimiento escrito de la revista. Una vez firmada por todos los autores, la carta de Cesión de derechos debe ser cargada en el paso dos del envío.
Aquellos autores que tengan publicaciones en esta revista aceptan los siguientes términos:
- Los autores/as conservarán sus derechos de autor y garantizarán a la revista el derecho de primera publicación de su obra, el cuál estará simultáneamente sujeto a la Licencia de reconocimiento de Creative Commons que permite a terceros compartir la obra siempre que se indique su autor y su primera publicación esta revista.
- Los autores/as podrán adoptar otros acuerdos de licencia no exclusiva de distribución de la versión de la obra publicada (p. ej.: depositarla en un archivo telemático institucional o publicarla en un volumen monográfico) siempre que se indique la publicación inicial en esta revista.
- Se permite y recomienda a los autores/as difundir su obra a través de Internet (p. ej.: en archivos telemáticos institucionales o en su página web), lo cual puede producir intercambios interesantes y aumentar las citas de la obra publicada. (Véase El efecto del acceso abierto).
