3D printing in orthopaedic surgery: a scoping review of randomized controlled trials

Bone & Joint Research

article

Ronald Man Yeung Wong¹  Pui Yan Wong¹  Chaoran Liu¹  Yik Lok Chung¹  Kwok Chuen Wong²  Chi Yin Tso²  Simon Kwoon-Ho Chow¹  Wing-Hoi Cheung¹  Patrick Shu-Hang Yung¹  Chun Sing Chui¹  Sheung Wai Law¹ 

[1] Department of Orthopaedics & Traumatology, The Chinese University of Hong Kong;Department of Orthopaedics & Traumatology, Prince of Wales Hospital

关键词: 3D printing;    Orthopaedic surgery;    Functional outcome;    Meta-analysis;    Randomized controlled trials;    orthopaedic surgeries;    randomized controlled trials;    blood loss;    fluoroscopy;    bone union;    functional scores;    lower limb surgeries;    spine surgeries;    upper limb surgeries;    pain score;   

DOI  :  10.1302/2046-3758.1012.BJR-2021-0288.R2

学科分类：骨科学

来源: British Editorial Society Of Bone And Joint Surgery

【 摘 要 】

AimsThe use of 3D printing has become increasingly popular and has been widely used in orthopaedic surgery. There has been a trend towards an increasing number of publications in this field, but existing literature incorporates limited high-quality studies, and there is a lack of reports on outcomes. The aim of this study was to perform a scoping review with Level I evidence on the application and effectiveness of 3D printing.MethodsA literature search was performed in PubMed, Embase, and Web of Science databases. The keywords used for the search criteria were ((3d print*) OR (rapid prototyp*) OR (additive manufactur*)) AND (orthopaedic). The inclusion criteria were: 1) use of 3D printing in orthopaedics, 2) randomized controlled trials, and 3) studies with participants/patients. Risk of bias was assessed with Cochrane Collaboration Tool and PEDro Score. Pooled analysis was performed.ResultsOverall, 21 studies were included in our study with a pooled total of 932 participants. Pooled analysis showed that operating time (p < 0.001), blood loss (p < 0.001), fluoroscopy times (p < 0.001), bone union time (p < 0.001), pain (p = 0.040), accuracy (p < 0.001), and functional scores (p < 0.001) were significantly improved with 3D printing compared to the control group. There were no significant differences in complications.Conclusion3D printing is a rapidly developing field in orthopaedics. Our findings show that 3D printing is advantageous in terms of operating time, blood loss, fluoroscopy times, bone union time, pain, accuracy, and function. The use of 3D printing did not increase the risk of complications.

【 授权许可】

CC BY-NC