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Laparoscopic Acetabular Fracture Fixation after Three-dimensional Modelling and Printing
Can-Jun Zeng1, Wen-Hua Huang2, Hua-Jun Huang3
1Academy of Orthopedics of Guangdong Province, Department of Orthopedics, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, Guangdong, PR China.
Indian Journal of Orthopaedics
|October 3, 2017
Summary
Laparoscopic internal fixation using 3D-printed acetabular models offers a minimally invasive approach for acetabular fractures. This technique resulted in excellent functional recovery with reduced complications compared to traditional open surgery.
Area of Science:
- Orthopedic Surgery
- Medical Imaging
- Biomedical Engineering
Background:
- Traditional open reduction and internal fixation for acetabular fractures involves large incisions, significant blood loss, and prolonged recovery.
- Minimally invasive surgical techniques are increasingly adopted in various medical fields but remain uncommon for acetabular fracture treatment.
Purpose of the Study:
- To report a case of acetabular fracture treated with laparoscopic internal fixation.
- To demonstrate the utility of three-dimensional (3D) modeling and printing in pre-operative planning for acetabular fracture surgery.
Main Methods:
- Computed tomography (CT) scanning with thin slices (0.6 mm increments) was used for 3D reconstruction of the acetabulum and fracture.
- A 3D model of the acetabulum was printed to pre-bend the steel reconstruction plate and determine optimal screw length and insertion.
- Laparoscopic internal fixation was performed using the pre-bent plate based on 3D planning.
Main Results:
- The laparoscopic procedure was completed without complications.
- The patient achieved excellent functional recovery following the surgery.
- This case highlights the successful application of 3D modeling and printing in guiding minimally invasive acetabular fracture fixation.
Conclusions:
- Three-dimensional (3D) modeling and printing can enhance surgical planning for complex acetabular fractures.
- Laparoscopic internal fixation, guided by 3D technology, represents a promising minimally invasive alternative to open surgery for acetabular fractures.
- Further research into the widespread application of 3D printing in orthopedic surgery is warranted.
