Clinical Applications of Three-Dimensional Printing in Upper Extremity Surgery: A Systematic Review
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Protocol
2.2. Search Strategy
2.3. Article Selection
3. Results
3.1. Literature Search
3.2. Study Characteristics
3.3. Entities
3.4. Applications
3.5. Involved Anatomical Upper Extremity Structures
3.6. Reported Outcomes
3.7. Comparative Outcome Results (3D-Printed Group vs. Conventional Group)
3.8. Evidence Level
3.9. Language/Nation of Affiliated Institution
4. Discussion
4.1. Applications
4.2. Preoperative Planning
4.3. Intraoperative Support
4.4. Patient-Specific Implants, Prostheses, and Orthoses
5. Conclusions
6. Limitations
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Author | Study | Indication | Number of Patients (3D: Conventional) | Clinical Application | 3D Group (Mean Operative Time in Minutes; Mean Intraoperative Blood Loss in mL) | Conventional Group (Operative Time in Minutes) | p-Value |
---|---|---|---|---|---|---|---|
Yang et al. [11] | RCT | Elbow fracture | 40 (20:20) | Preoperative planning | 61 35.6 | 82 52.1 | 0.023 <0.001 |
Chen et al. [12] | RCT | Intraarticular radius fracture | 48 (23:25) | Preoperative planning | 66.5 41.1 | 75.4 54.2 | <0.001 <0.001 |
Kong et al. [13] | RCT | Intraarticular radius fracture | 32 (16:16) | Preoperative planning | 51.4 52.3 | 63.5 74.2 | <0.001 <0.001 |
Zheng et al. [14] | RCT | Intraarticular humerus fracture | 91 (43:48) | Preoperative planning | 76.6 231.1 | 92.0 278.6 | <0.0001 <0.0001 |
Zhang et al. [15] | Retrospective | Cubitus varus deformity | 25 (14:11) | Intraoperative aid | 48.3 35.6 | 73.5 52.1 | <0.001 <0.001 |
Yin et al. [16] | RCT | Scaphoid fracture/nonunions | 16 (8:8) | Intraoperative aid | 69.4 | 94.1 | 0.012 |
Schweizer et al. [17] | Prospective | Scaphoid fracture/nonunions | 22 (9:13) | Intraoperative aid | 118 | 150 | 0.01 |
Bauer et al. [18] | Retrospective | Forearm malunions | 56 (25:31) | Intraoperative aid | 108 | 140 | <0.05 |
Author | Study | Indication | Number of Patients (3D: Conventional) | Clinical Application | Test | 3D Group | Conventional Group | p-Value |
---|---|---|---|---|---|---|---|---|
Yang et al. [11] | RCT | Elbow fracture | 40 (20:20) | Preoperative planning | MEFS | 88.0 | 82 | 0.001 |
Wang et al. [19] | Retrospective | Carcinoma (giant cell tumor) | 30 (15:15) | Body implant | MWS VAS | 65 1.2 | 71.0 1.3 | 0.013 0.806 |
Kong et al. [13] | RCT | Intraarticular radius fracture | 32 (16:16) | Preoperative planning | DASH VAS | 23.8 0.9 | 24.5 0.9 | 0.80 0.91 |
Zheng et al. [14] | RCT | Intraarticular humerus fracture | 91 (43:48) | Preoperative planning | MEFS | 85.2 | 83.1 | 0.448 |
Chen et al. [20] | RCT | Forearm fractures | 60 (20:20:20) | Orthosis | GOBS | 85 | 65.0/70 | 0.014/0.035 |
Yin et al. [16] | RCT | Scaphoid fracture/nonunions | 16 (8:8) | Intraoperative aid | MMS PRWE VAS | 9.4 −11.6 −4.2 | 5.6 −16.7 −4.17 | 0.52 0.52 0.98 |
Kim et al. [21] | RCT | Wrist pain | 22 (11:11) | Orthosis | JHFT PRWE | 4.3 19.2 | 1.0 23.4 | 0.101 0.109 |
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Hecker, A.; Tax, L.; Giese, B.; Schellnegger, M.; Pignet, A.-L.; Reinbacher, P.; Watzinger, N.; Kamolz, L.-P.; Lumenta, D.B. Clinical Applications of Three-Dimensional Printing in Upper Extremity Surgery: A Systematic Review. J. Pers. Med. 2023, 13, 294. https://doi.org/10.3390/jpm13020294
Hecker A, Tax L, Giese B, Schellnegger M, Pignet A-L, Reinbacher P, Watzinger N, Kamolz L-P, Lumenta DB. Clinical Applications of Three-Dimensional Printing in Upper Extremity Surgery: A Systematic Review. Journal of Personalized Medicine. 2023; 13(2):294. https://doi.org/10.3390/jpm13020294
Chicago/Turabian StyleHecker, Andrzej, Lukas Tax, Barbara Giese, Marlies Schellnegger, Anna-Lisa Pignet, Patrick Reinbacher, Nikolaus Watzinger, Lars-Peter Kamolz, and David Benjamin Lumenta. 2023. "Clinical Applications of Three-Dimensional Printing in Upper Extremity Surgery: A Systematic Review" Journal of Personalized Medicine 13, no. 2: 294. https://doi.org/10.3390/jpm13020294