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Can 3-Dimensional Printing for Calcaneal Fracture Surgery Decrease Operation Time and Improve Quality of Fracture

Hyun-Jin Park1, Ki-Han You1, Bingzhe Huang2

  • 1Department of Orthopedic Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Republic of Korea.

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
|April 14, 2022
PubMed
Summary
This summary is machine-generated.

Three-dimensional (3D) printed models significantly reduced operative time for calcaneal fractures. While radiological outcomes were similar, 3D models enabled earlier weight-bearing, improving patient recovery without compromising fracture reduction quality.

Keywords:
3-dimensional printingcalcaneusextensile lateral approachfracture fixation

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Area of Science:

  • Orthopedic Surgery
  • Medical Imaging
  • Biomedical Engineering

Background:

  • Calcaneal fractures are complex injuries requiring precise surgical reduction.
  • Traditional surgical techniques may have limitations in achieving optimal reduction and prolonged recovery times.
  • Three-dimensional (3D) printing offers potential for enhanced pre-operative planning and intra-operative guidance.

Purpose of the Study:

  • To evaluate the impact of 3D printed models on operative time and reduction quality in calcaneal fracture surgery.
  • To compare surgical outcomes between patients operated with and without 3D printed models.
  • To assess the feasibility of early weight-bearing in patients treated with 3D printed models.

Main Methods:

  • Retrospective case-matched study of 48 patients with unilateral intra-articular calcaneal fractures.
  • Group A (24 patients) used 3D printed models for preoperative and intraoperative guidance.
  • Group B (24 patients) underwent surgery using standard techniques without 3D models.

Main Results:

  • Group A demonstrated significantly shorter operation times compared to Group B (82.3 vs 91.4 minutes, p=0.036).
  • Radiological parameters (Böhler and Gissane angles) and screw placement accuracy were similar between groups.
  • Group A achieved early weight-bearing (3-4 weeks sooner) without significant loss of reduction quality.

Conclusions:

  • 3D printed models can decrease operative time for calcaneal fractures.
  • The use of 3D models facilitates earlier weight-bearing without compromising fracture reduction.
  • 3D printing is a valuable tool for improving surgical efficiency and patient outcomes in calcaneal fracture management.