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One-stop computerized virtual planning system for the surgical management of posterior wall acetabular fractures.
- Source :
-
Journal of orthopaedic surgery and research [J Orthop Surg Res] 2022 Oct 04; Vol. 17 (1), pp. 439. Date of Electronic Publication: 2022 Oct 04. - Publication Year :
- 2022
-
Abstract
- Background: Posterior wall acetabular fractures remain one of the most difficult fracture injuries to treat. Accurate assessment of fracture characteristics and appropriate preoperative surgical strategies are essential for excellent reduction. This paper evaluates the feasibility and effectiveness of a one-stop computerized virtual planning system for the surgical management of posterior wall acetabular fractures.<br />Methods: 52 cases of posterior wall acetabular fractures treated surgically were selected in our department between January 2015 and December 2020 for retrospective analysis. 52 cases were classified into group A (25 patients) and group B (27 patients) according to whether computerized virtual planning procedures were performed preoperatively. In group A, virtual surgical simulation was conducted using a one-stop computerized planning system preoperatively. In group B, traditional surgery was employed. Reduction quality, surgical time, blood loss, hip function, complications, and instrumentation time were compared between the two groups.<br />Results: The actual surgery for all patients in group A was essentially the same as the virtual surgery before the operation. Compared to group B, patients in group A had markedly shorter surgical time (-43 min), shorter instrumentation time (-20 min), and less intraoperative blood loss (-130 ml). However, no significant statistical difference was observed in reduction quality and hip function. The complication rate was slightly lower in group A (4/25) than in group B (7/27), without a significant difference.<br />Conclusion: The one-stop computerized virtual planning system is a highly effective, user-friendly and educational tool for allowing the cost-efficient surgical simulation of posterior wall acetabular fractures and providing a more individualized therapeutic schedule. The one-stop computerized planning system is feasible to treat posterior wall acetabular fractures, which is an effective method than the conventional treatment of posterior wall acetabular fractures.<br />Trial Registration: retrospective registration.<br /> (© 2022. The Author(s).)
- Subjects :
- Acetabulum diagnostic imaging
Acetabulum injuries
Acetabulum surgery
Fracture Fixation, Internal methods
Humans
Printing, Three-Dimensional
Retrospective Studies
Treatment Outcome
Fractures, Bone diagnostic imaging
Fractures, Bone surgery
Hip Fractures surgery
Spinal Fractures
Surgery, Computer-Assisted methods
Subjects
Details
- Language :
- English
- ISSN :
- 1749-799X
- Volume :
- 17
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of orthopaedic surgery and research
- Publication Type :
- Academic Journal
- Accession number :
- 36195909
- Full Text :
- https://doi.org/10.1186/s13018-022-03333-9