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3D-Druck im Bereich der Schulterchirurgie

3D printing in the field of shoulder surgery

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Zusammenfassung

Die Technologie des 3D-Drucks ist ein relativ neues Verfahren mit einem hohen Potenzial im Bereich der Schulterchirurgie. Das Verfahren des 3D-Drucks entwickelt sich zunehmend weiter und gewinnt ebenfalls an Anwendern. Prinzipiell kann der 3D-Druck präoperativ im Bereich der Operationsplanung, der Patientenaufklärung und der Lehre eingesetzt werden, findet jedoch mehr und mehr intraoperative Anwendung. Neben der intraoperativen Veranschaulichung der Modelle lassen sich im 3D-Druck-Verfahren spezifische individuelle Instrumente und Implantate herstellen. Diese ermöglichen den präzisen Transfer der präoperativen Planung auf den Operationssitus. Ungenauigkeiten sind v. a. auf die Weichteile zurückzuführen. Sowohl im Bereich der Endoprothetik, der Schulterinstabilität und der Traumatologie kann der 3D-Druck einen Mehrwert bieten. Die Literatur zeigt in Bezug auf Operationszeit, Blutverlust und Operationsergebnis vielversprechende Ergebnisse. Andererseits ist weiterhin unklar, welcher Befund einen 3D-Druck erfordert. Fragen betreffen zudem die Planungs‑/Produktionszeit und die entstehenden Mehrkosten. Nichtsdestotrotz stellt der 3D-Druck eine sinnvolle Erweiterung des Portfolios des Chirurgen dar, deren Nutzen v. a. in der Komplexsituation sichtbar wird. Weiterhin erlaubt das Verfahren, auf bestimmte Umstände mit einer gewissen Flexibilität reagieren zu können.

Abstract

The 3D printing technology is a relatively new procedure with a high potential, especially in the field of shoulder surgery. The 3D printing procedures are increasingly being developed and also gaining new users. Principally, 3D printing procedures can be applied preoperatively in planning the surgical procedure, patient clarification and in teaching; however, the technology is increasing being used intraoperatively. In addition to intraoperative visualization of the models, 3D printing permits the use of individual and specific instruments and implants. This allows the precise transfer of the preoperative planning to the surgical procedure. Inaccuracies are mainly caused by soft tissues. The 3D printing can be beneficial in the fields of arthroplasty, shoulder instability as well as orthopedic trauma. The literature shows promising results in relation to duration of surgery, blood loss and clinical results of the procedure. On the other hand, it is still unclear which indications warrant the use of 3D printing. Other aspects that raise questions are the time of planning, the production time and the additional cost that the use of 3D printing entails. Nonetheless, 3D printing represents a meaningful enhancement of the portfolio of surgeons, which becomes highly beneficial and useful in complex situations. Furthermore, this procedure enables a certain amount of flexibility when reacting to certain circumstances.

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Change history

  • 12 April 2022

    Im Titel wurde das Wort „in“ gelöscht. Der Titel lautet korrekt: 3D-Druck im Bereich der Schulterchirurgie

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Authors and Affiliations

  1. Unfallchirurgische Klinik, Medizinische Hochschule Hannover (MHH), Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland

    Nael Hawi MBA, Nico Bruns,  S. Razaeian,  J. D. Clausen &  Christian Krettek FRACS, FRCSEd

  2. Orthopädisch-Chirurgische Praxisklinik Braunschweig, Steinweg 20 / Mauernstr. 35, 38100, Braunschweig, Deutschland

    Nael Hawi MBA

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  1. Nael Hawi MBA
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  2. Nico Bruns
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Correspondence to Nael Hawi MBA.

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N. Hawi, N. Bruns, S. Razaeian, J. D. Clausen und C. Krettek geben an, dass kein Interessenkonflikt besteht.

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Hawi, N., Bruns, N., Razaeian, S. et al. 3D-Druck im Bereich der Schulterchirurgie. Unfallchirurg 125, 371–380 (2022). https://doi.org/10.1007/s00113-022-01174-z

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