Related Experiment Video
Updated: Apr 27, 2026
04:41
Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
1.6K
Custom-made locked plating for acetabular fracture: a pilot study in 24 consecutive cases
Orthopedics
|July 4, 2014
Summary
Custom-made locking plates designed with CAD/CAM offer a promising solution for acetabular fractures, enabling anatomical fit and secure fixation for early rehabilitation with minimal complications.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
- Trauma Surgery
Background:
- Acetabular fractures pose complex surgical challenges.
- Clinical use of site-specific locking plates for acetabular fractures is largely unexplored.
Purpose of the Study:
- To evaluate the clinical feasibility and outcomes of custom-made, computer-aided designed and manufactured (CAD/CAM) locking plates for acetabular fractures.
Main Methods:
- 3D CT imaging was used for preoperative planning and custom plate design.
- CAD/CAM techniques and digital milling produced patient-specific plates.
- Clinical implementation assessed parameters, reduction quality, and functional scores (Postel Merle d'Aubigné).
Main Results:
- 49 custom plates were manufactured for 24 patients; average manufacturing time was 6.9 days.
- Plate contouring was eliminated in 48 cases, with excellent anatomical fit.
- No intra-articular screw penetration occurred; secure fixation allowed early mobilization and low implant failure rates.
Conclusions:
- Custom CAD/CAM locking plates provide anatomical fit, secure fixation, and facilitate early rehabilitation for acetabular fractures.
- Further research should focus on patient selection, reducing manufacturing time, and cost-effectiveness.
