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A customized percutaneous three-dimensional-printed guide for scaphoid fixation versus a freehand technique: a
Francesc A Marcano-Fernández1, Alexandre Berenguer1, Ferran Fillat-Gomà1,2
1Hand Surgery Department, Parc Taulí Hospital Universitari, Barcelona, Spain.
The Journal of Hand Surgery, European Volume
|October 14, 2021
Summary
Customized 3-D printed guides offer accurate percutaneous fixation for scaphoid fractures. This innovative method reduces surgery and fluoroscopy time compared to traditional freehand techniques.
Area of Science:
- Orthopedic Surgery
- Medical Device Technology
- Biomedical Engineering
Background:
- Scaphoid fractures are common wrist injuries.
- Percutaneous fixation is a standard treatment.
- Improving accuracy and efficiency in fixation is crucial.
Purpose of the Study:
- To compare the accuracy and reliability of 3-D printed guide-assisted percutaneous scaphoid fixation versus the conventional freehand method.
- To evaluate operative time and radiation exposure.
Main Methods:
- Prospective cohort study using a customized 3-D printed guide for scaphoid fixation (n=10).
- Retrospective cohort comparison with conventional freehand technique (n=10).
- Comparison of final screw position, total surgery time, and fluoroscopy time.
Main Results:
- No significant difference in final screw position accuracy between the 3-D guide and freehand groups.
- 43% reduction in surgery time with the 3-D guide.
- 52% reduction in fluoroscopy time with the 3-D guide.
Conclusions:
- Customized 3-D printed guides provide accurate scaphoid fixation.
- This technique reduces surgical time and intraoperative radiation exposure.
- 3-D printed guides represent a valuable advancement in treating scaphoid fractures.
