Hess, Silvan; Husarek, Julius; Müller, Martin; Eberlein, Sophie C; Klenke, Frank M.; Hecker, Andreas (2024). Applications and accuracy of 3D-printed surgical guides in traumatology and orthopaedic surgery: A systematic review and meta-analysis. Journal of experimental orthopaedics, 11(e12096) Springer 10.1002/jeo2.12096
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J__exp__orthop_-_2024_-_Hess_-_Applications_and_accuracy_of_3D_printed_surgical_guides_in_traumatology_and_orthopaedic.pdf - Published Version Available under License Creative Commons: Attribution (CC-BY). Download (3MB) | Preview |
BACKGROUND
Patient-Specific Surgical Guides (PSSGs) are advocated for reducing radiation exposure, operation time and enhancing precision in surgery. However, existing accuracy assessments are limited to specific surgeries, leaving uncertainties about variations in accuracy across different anatomical sites, three-dimensional (3D) printing technologies and manufacturers (traditional vs. printed at the point of care). This study aimed to evaluate PSSGs accuracy in traumatology and orthopaedic surgery, considering anatomical regions, printing methods and manufacturers.
METHODS
A systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Studies were eligible if they (1) assessed the accuracy of PSSGs by comparing preoperative planning and postoperative results in at least two different planes (2) used either computer tomography or magnetic resonance imaging (3) covered the field of orthopaedic surgery or traumatology and (4) were available in English or German language. The 'Quality Assessment Tool for Quantitative Studies' was used for methodological quality assessment. Descriptive statistics, including mean, standard deviation, and ranges, are presented. A random effects meta-analysis was performed to determine the pooled mean absolute deviation between preoperative plan and postoperative result for each anatomic region (shoulder, hip, spine, and knee).
RESULTS
Of 4212 initially eligible studies, 33 were included in the final analysis (8 for shoulder, 5 for hip, 5 for spine, 14 for knee and 1 for trauma). Pooled mean deviation (95% confidence interval) for total knee arthroplasty (TKA), total shoulder arthroplasty (TSA), total hip arthroplasty (THA) and spine surgery (pedicle screw placement during spondylodesis) were 1.82° (1.48, 2.15), 2.52° (1.9, 3.13), 3.49° (3.04, 3.93) and 2.67° (1.64, 3.69), respectively. Accuracy varied between TKA and THA and between TKA and TSA.
CONCLUSION
Accuracy of PSSGs depends on the type of surgery but averages around 2-3° deviation from the plan. The use of PSSGs might be considered for selected complex cases.
LEVEL OF EVIDENCE
Level 3 (meta-analysis including Level 3 studies).
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery 04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > University Emergency Center |
UniBE Contributor: |
Hess, Silvan, Müller, Martin (B), Eberlein, Sophie Charlotte, Klenke, Frank M., Hecker, Andreas |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
2197-1153 |
Publisher: |
Springer |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
13 Aug 2024 15:35 |
Last Modified: |
14 Aug 2024 15:46 |
Publisher DOI: |
10.1002/jeo2.12096 |
PubMed ID: |
39135870 |
Uncontrolled Keywords: |
3D printing computer‐aided design computer‐assisted surgery meta‐analysis orthopaedic procedures orthopaedics precision medicine systematic review traumatology |
BORIS DOI: |
10.48350/199670 |
URI: |
https://boris.unibe.ch/id/eprint/199670 |
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