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Comparative use of the computer-aided angiography and rapid prototyping technology versus conventional imaging in the management of the Tile C pelvic fractures

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Abstract

Introduction

Computed tomography (CT) scan with three-dimensional (3D) reconstruction has been used to evaluate complex fractures in pre-operative planning. In this study, rapid prototyping of a life-size model based on 3D reconstructions including bone and vessel was applied to evaluate the feasibility and prospect of these new technologies in surgical therapy of Tile C pelvic fractures by observing intra- and perioperative outcomes.

Materials and methods

The authors conducted a retrospective study on a group of 157 consecutive patients with Tile C pelvic fractures. Seventy-six patients were treated with conventional pre-operative preparation (A group) and 81 patients were treated with the help of computer-aided angiography and rapid prototyping technology (B group). Assessment of the two groups considered the following perioperative parameters: length of surgical procedure, intra-operative complications, intra- and postoperative blood loss, postoperative pain, postoperative nausea and vomiting (PONV), length of stay, and type of discharge.

Results

The two groups were homogeneous when compared in relation to mean age, sex, body weight, injury severity score, associated injuries and pelvic fracture severity score. Group B was performed in less time (105 ± 19 minutes vs. 122 ± 23 minutes) and blood loss (31.0 ± 8.2 g/L vs. 36.2 ± 7.4 g/L) compared with group A. Patients in group B experienced less pain (2.5 ± 2.3 NRS score vs. 2.8 ± 2.0 NRS score), and PONV affected only 8 % versus 10 % of cases. Times to discharge were shorter (7.8 ± 2.0 days vs. 10.2 ± 3.1 days) in group B, and most of patients were discharged to home.

Conclusions

In our study, patients of Tile C pelvic fractures treated with computer-aided angiography and rapid prototyping technology had a better perioperative outcome than patients treated with conventional pre-operative preparation. Further studies are necessary to investigate the advantages in terms of clinical results in the short and long run.

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Acknowledgments

This study was supported by Nature Science Foundation of China (no. 81000819), and science and technology project of Guangzhou (11C36090496).

Conflict of interest

The authors declare that they have no competing interests.

Ethical approval

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. For this type of study formal consent is not required.

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Authors and Affiliations

  1. Department of Orthopaedics, Guangzhou General Hospital of Guangzhou Military Command, 111 Liu Hua Road, Guangzhou, 510010, Guangdong, People’s Republic of China

    Baofeng Li, Ying Zhang, Xinyu Wang, Fei Wang, Hong Xia & Qingshui Yin

  2. Department of Oncology, Guangzhou General Hospital of Guangzhou Military Command, Guangzhou, 510010, China

    Bei Chen

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  1. Baofeng Li
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  2. Bei Chen
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  3. Ying Zhang
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  4. Xinyu Wang
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  5. Fei Wang
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  6. Hong Xia
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  7. Qingshui Yin
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Correspondence to Ying Zhang.

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Li, B., Chen, B., Zhang, Y. et al. Comparative use of the computer-aided angiography and rapid prototyping technology versus conventional imaging in the management of the Tile C pelvic fractures. International Orthopaedics (SICOT) 40, 161–166 (2016). https://doi.org/10.1007/s00264-015-2800-0

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  • DOI: https://doi.org/10.1007/s00264-015-2800-0

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