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A novel approach using 3-D printing in the Irish National Centre for pelvic and acetabular surgery

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Irish Journal of Medical Science (1971 -) Aims and scope Submit manuscript

Abstract

Background

Complex pelvic fractures present the orthopaedic surgeon with many challenges. 3-D printed models may provide assistance in pre-operative planning, may lead to improvements in intra-operative (i) decision making and (ii) efficiencies (time reduction, blood loss reduction, screening reduction) and may result in improvements in post-operative outcomes (fracture reduction & quality of life). The models also provide hands-on opportunities for orthopaedic trainees and patients. This may result in improvements in (i) education/training regarding the management of pelvic and acetabular fractures for orthopaedic trainees and (ii) improvements in patient consenting and overall patient satisfaction.

Design

Single-centre, two orthopaedic surgeons (pelvic and acetabular fellowship trained), prospective observational study. Twenty patients with acute displaced pelvic/acetabular fracture(s); ten 3-D–printed pelvis and ten non-printed cases for comparison. The comparison cohorts were matched for fracture classification, sex and age.

Outcome measures

Classification assistance, intra-operative time, estimated blood loss, screening amount, post-operative reduction and infection, EQ-5D-5L, teaching/educational assistance and pre-operative counselling.

Results

The models provided more information regarding fracture pattern, however, this did not result in change of CT-planned approach/procedure or patient outcomes. The models scored highly on surgeon’s questionnaire. The models were found to have a positive impact on trainee education and patient consenting/counselling. With regard to objective comparisons, there was no significant improvements in time-to-surgery, intra-operative time, estimated blood loss, screening amount, fracture reduction or infection rate. There was no significant difference in quality of life questionnaire ~ 12 months post-surgery (statistical tests used; Cohen’s effect size and Fisher’s exact test).

Conclusions

Whilst the authors recognize the positive subjective findings with respect to the use of 3-D printing in pelvic and acetabular trauma in our National Centre, objective findings were lacking.

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Authors and Affiliations

  1. Department of Trauma and Orthopaedics, Tallaght University Hospital, Dublin, 24, Ireland

    Colum Downey, Cathleen McCarrick, Christopher Fenelon, Evelyn P. Murphy, Brendan J. O’Daly & Michael Leonard

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  1. Colum Downey
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  2. Cathleen McCarrick
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  3. Christopher Fenelon
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  4. Evelyn P. Murphy
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  5. Brendan J. O’Daly
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Correspondence to Colum Downey.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Downey, C., McCarrick, C., Fenelon, C. et al. A novel approach using 3-D printing in the Irish National Centre for pelvic and acetabular surgery. Ir J Med Sci 189, 219–228 (2020). https://doi.org/10.1007/s11845-019-02055-y

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  • DOI: https://doi.org/10.1007/s11845-019-02055-y

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