The Utility of 3-Dimensional Printing for Preoperative Plate Templating in Clavicular Fixation: A Cadaveric Study
Journal Title: Journal of Orthopaedic Science and Research - Year 2024, Vol 5, Issue 3
Abstract
Objectives: To investigate the effectiveness and reliability of 3-Dimensional (3D) printed models of the contralateral, unaffected clavicle to serve as templates of the affected side for preoperative planning. Method: Computed tomography scans of 18 embalmed cadavers (8 male and 10 female) were used to 3D-print mirror images of “unaffected” clavicles which were then used for the selection of a superior midshaft contoured plate. Various morphometric and goodness-of-fit measurements were taken of the 3D-printed clavicle and then the in-situ specimen. Statistical analysis was performed using two-tailed, unpaired t-tests with a p value < 0.05. Results: For 3D-printed models, 7/9 morphometric measurements differed significantly between males and females for both clavicles and in 1 additional measurement for right-sided clavicles. For in-situ specimens, 6/9 morphometric measurements differed significantly between male and female clavicles. When comparing the 3D-printed versus the corresponding in-situ clavicle, only 1/9 morphometric measurements differed significantly for both males and females and 1 additional measurement for each sex. The goodness-of-fit of the plate using the 3D-printed template for the in-situ specimen differed significantly only for males with a right clavicle mirrored to template for the left clavicle. Conclusions: Clavicular anatomic complexity and variance supports the need for many contoured plate options for adequate fixation. Preoperatively 3D-printed contralateral, mirrored clavicles for plate selection of midshaft clavicular fractures may reduce intraoperative time.
Authors and Affiliations
Andrew Romero1, Daniel Lynch1*, Evan Johnson2, Tammy Phillips3, Daniel Topping4, John Kirkpatrick5, Francisco Schwartz-Fernandes6
Keywords
Related Articles
- EP ID EP750285
- DOI https://doi.org/10.46889/JOSR.2024.5306
- Views 78
- Downloads 0
Are Osteoarthritis Inflammation and Its Related Sensorimotor Interactions Both Noteworthy and Modifiable Key Players?
Joints are sensitive structures whose qualitative and quantitative components depend not only on the harmonious interactions of hormones, enzymes, vitamins, minerals and protein, but also on the stresses put upon them by...
Improvement of Life After Scoliosis Surgery: Assessment Using the SRS-30 Questionnaire
Introduction: Idiopathic scoliosis is a complex three-dimensional deformity of the spinal column. Adolescent Idiopathic Scoliosis (AIS) is the most common type affecting healthy young individuals. Psychological well-bein...
The Etiological Understanding of Spine Deformities in Patients with Neuromuscular Disorders
Purpose: The etiology understanding is the corner stone for proper management of the spine deformities in patients with neuromuscular disorders. Methods: Progressive spine deformities have been encountered in 71 patie...
Epidemiology of Patella Instability Injuries in Collegiate Level Athletes in the United States
Objective: Patella instability injuries are often sports-related and occur in young athletes. These injuries severely impact the season and career trajectory of high-level competitors. This is the first large epidemiolog...
Alpha-Lipoic Acid Effectiveness in Early Stages of Carpal Tunnel Syndrome: Short Term Follow-up
Carpal Tunnel Syndrome (CTS) is still the most common nerve compression syndrome of the upper extremity. The aim of this paper is to analyze the effectiveness of Alpha-Lipoic Acid (ALA) in early stages of carpal tunnel...