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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2020

Open Access 01-12-2020 | Acetabular Fracture | Research article

Three-dimensional printing of patient-specific plates for the treatment of acetabular fractures involving quadrilateral plate disruption

Authors: Canbin Wang, Yuhui Chen, Liping Wang, Di Wang, Cheng Gu, Xuezhi Lin, Han Liu, Jiahui Chen, Xiangyuan Wen, Yuancheng Liu, Fuming Huang, Lufeng Yao, Shicai Fan, Wenhua Huang, Jianghui Dong

Published in: BMC Musculoskeletal Disorders | Issue 1/2020

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Abstract

Background

Complicated acetabular fractures comprise the most challenging field for orthopedists. The purpose of this study was to develop three-dimensional printed patient-specific (3DPPS) Ti-6Al-4 V plates to treat complicated acetabular fractures involving quadrilateral plate (QLP) disruption and to evaluate their efficacy.

Methods

Fifty patients with acetabular fractures involving QLP disruption were selected between January 2016 and June 2017. Patients were divided into a control group (Group A, 35 patients) and an experimental group (Group B, 15 patients), and were treated by the conventional method of shaping reconstruction plates or with 3DPPS Ti-6AL-4 V plates, respectively. The efficacy of Ti-6AL-4 V plates was evaluated by blood loss, operative time, reduction quality, postoperative residual displacement, and complications.

Results

The operative time and blood loss in Group B were reduced compared to Group A, and the difference was statistically significant (P < 0.05). There was no significant difference in reduction quality between the two groups (P > 0.05). Reduction quality in Group B was anatomic in 10 (66.7%), satisfactory in four (26.7%), and poor in one (6.7%). In Group A, they were anatomic in 18 (51.4%), satisfactory in 13 (37.1%), and poor in four (11.4%). Residual displacement in Group B was less than that in Group A, and the difference was statistically significant (P < 0.05). In Group B, one case exhibited loosening of the pubic screw postoperatively. In Group A, there was one case of wound infection, one of deep vein thrombosis (DVT) in the ipsilateral lower limb, one case of traumatic arthritis and two obturator nerve injuries.

Conclusions

The 3DPPS Ti-6AL-4 V plate is a feasible, accurate and effective implant for acetabular fracture treatment.
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Metadata
Title
Three-dimensional printing of patient-specific plates for the treatment of acetabular fractures involving quadrilateral plate disruption
Authors
Canbin Wang
Yuhui Chen
Liping Wang
Di Wang
Cheng Gu
Xuezhi Lin
Han Liu
Jiahui Chen
Xiangyuan Wen
Yuancheng Liu
Fuming Huang
Lufeng Yao
Shicai Fan
Wenhua Huang
Jianghui Dong
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2020
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-020-03370-7

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