3D printing-assisted extended lateral approach for displaced intra-articular calcaneal fractures: a systematic review and meta-analysis

3D printing-assisted extended lateral approach for displaced intra-articular calcaneal fractures: a systematic review and meta-analysis

Abstract Background Three-dimensional (3D) printing technology has developed rapidly in orthopaedic surgery and effectively achieves precise and personalized surgery. The purpose of this meta-analysis was to assess the efficacy of 3D printing technology in the management of displaced intra-articular...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Guang Shi, Wei Liu, Ying Shen, Xiyu Cai
Formato: article
Lenguaje:EN
Publicado: BMC 2021
Materias:
Calcaneal
Fracture
3D printing
Meta-analysis
Orthopedic surgery
RD701-811
Diseases of the musculoskeletal system
RC925-935
Acceso en línea:https://doaj.org/article/1ce53ad76f9c44b8a049124a7dd91562
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:1ce53ad76f9c44b8a049124a7dd91562
record_format dspace
spelling oai:doaj.org-article:1ce53ad76f9c44b8a049124a7dd915622021-11-21T12:29:59Z3D printing-assisted extended lateral approach for displaced intra-articular calcaneal fractures: a systematic review and meta-analysis10.1186/s13018-021-02832-51749-799Xhttps://doaj.org/article/1ce53ad76f9c44b8a049124a7dd915622021-11-01T00:00:00Zhttps://doi.org/10.1186/s13018-021-02832-5https://doaj.org/toc/1749-799XAbstract Background Three-dimensional (3D) printing technology has developed rapidly in orthopaedic surgery and effectively achieves precise and personalized surgery. The purpose of this meta-analysis was to assess the efficacy of 3D printing technology in the management of displaced intra-articular calcaneal fractures (DICFs) by extended lateral approach (ELA). Methods We searched PubMed, Web of Science, Embase, Cochrane Library, CNKI, VIP, and VANFUN databases were searched up to October 2020. All clinical studies comparing traditional surgery and 3D printing-assisted surgery in the management of DICFs were obtained, evaluating the quality of the included studies and extracting data. For each study, we assessed odds ratios (ORs), standard mean difference (SMD), and 95% confidence interval (95% CI) to assess and synthesize the outcomes. Results Three RCTs and nine retrospective studies involving 732 patients were included met our inclusion criteria with 366 patients in the 3D group and 366 patients in the conventional group. The meta-analysis showed that there were significant differences of the operative time in the 3D group [SMD =  − 1.86, 95% CI (− 2.23, − 1.40), P < 0.001], intraoperative blood loss [SMD =  − 1.26, 95% CI (− 1.82, − 0.69), P < 0.001], the number of intraoperative X-ray exposures [SMD =  − 0.66, 95% CI (− 1.20, − 0.12), P < 0.001], postoperative complications [OR = 0.49, 95% CI (0.31, 0.79), P < 0.001], excellent and good rate of calcaneal fracture outcome [OR = 4.09, 95% CI (2.03, 8.22), P < 0.001]. Conclusion The current study indicates that 3D printing-assisted ELA surgery showed a better rate of excellent and good outcome, shorter operation time, less intraoperative blood loss, fewer intraoperative fluoroscopies, fewer complications. Besides, there is still a need for large-sample, high-quality, long-term randomized controlled trials to confirm the conclusion.Guang ShiWei LiuYing ShenXiyu CaiBMCarticleCalcanealFracture3D printingMeta-analysisOrthopedic surgeryRD701-811Diseases of the musculoskeletal systemRC925-935ENJournal of Orthopaedic Surgery and Research, Vol 16, Iss 1, Pp 1-9 (2021)
institution DOAJ
collection DOAJ
language EN
topic Calcaneal
Fracture
3D printing
Meta-analysis
Orthopedic surgery
RD701-811
Diseases of the musculoskeletal system
RC925-935
spellingShingle Calcaneal
Fracture
3D printing
Meta-analysis
Orthopedic surgery
RD701-811
Diseases of the musculoskeletal system
RC925-935
Guang Shi
Wei Liu
Ying Shen
Xiyu Cai
3D printing-assisted extended lateral approach for displaced intra-articular calcaneal fractures: a systematic review and meta-analysis
description Abstract Background Three-dimensional (3D) printing technology has developed rapidly in orthopaedic surgery and effectively achieves precise and personalized surgery. The purpose of this meta-analysis was to assess the efficacy of 3D printing technology in the management of displaced intra-articular calcaneal fractures (DICFs) by extended lateral approach (ELA). Methods We searched PubMed, Web of Science, Embase, Cochrane Library, CNKI, VIP, and VANFUN databases were searched up to October 2020. All clinical studies comparing traditional surgery and 3D printing-assisted surgery in the management of DICFs were obtained, evaluating the quality of the included studies and extracting data. For each study, we assessed odds ratios (ORs), standard mean difference (SMD), and 95% confidence interval (95% CI) to assess and synthesize the outcomes. Results Three RCTs and nine retrospective studies involving 732 patients were included met our inclusion criteria with 366 patients in the 3D group and 366 patients in the conventional group. The meta-analysis showed that there were significant differences of the operative time in the 3D group [SMD =  − 1.86, 95% CI (− 2.23, − 1.40), P < 0.001], intraoperative blood loss [SMD =  − 1.26, 95% CI (− 1.82, − 0.69), P < 0.001], the number of intraoperative X-ray exposures [SMD =  − 0.66, 95% CI (− 1.20, − 0.12), P < 0.001], postoperative complications [OR = 0.49, 95% CI (0.31, 0.79), P < 0.001], excellent and good rate of calcaneal fracture outcome [OR = 4.09, 95% CI (2.03, 8.22), P < 0.001]. Conclusion The current study indicates that 3D printing-assisted ELA surgery showed a better rate of excellent and good outcome, shorter operation time, less intraoperative blood loss, fewer intraoperative fluoroscopies, fewer complications. Besides, there is still a need for large-sample, high-quality, long-term randomized controlled trials to confirm the conclusion.
format article
author Guang Shi
Wei Liu
Ying Shen
Xiyu Cai
author_facet Guang Shi
Wei Liu
Ying Shen
Xiyu Cai
author_sort Guang Shi
title 3D printing-assisted extended lateral approach for displaced intra-articular calcaneal fractures: a systematic review and meta-analysis
title_short 3D printing-assisted extended lateral approach for displaced intra-articular calcaneal fractures: a systematic review and meta-analysis
title_full 3D printing-assisted extended lateral approach for displaced intra-articular calcaneal fractures: a systematic review and meta-analysis
title_fullStr 3D printing-assisted extended lateral approach for displaced intra-articular calcaneal fractures: a systematic review and meta-analysis
title_full_unstemmed 3D printing-assisted extended lateral approach for displaced intra-articular calcaneal fractures: a systematic review and meta-analysis
title_sort 3d printing-assisted extended lateral approach for displaced intra-articular calcaneal fractures: a systematic review and meta-analysis
publisher BMC
publishDate 2021
url https://doaj.org/article/1ce53ad76f9c44b8a049124a7dd91562
work_keys_str_mv AT guangshi 3dprintingassistedextendedlateralapproachfordisplacedintraarticularcalcanealfracturesasystematicreviewandmetaanalysis
AT weiliu 3dprintingassistedextendedlateralapproachfordisplacedintraarticularcalcanealfracturesasystematicreviewandmetaanalysis
AT yingshen 3dprintingassistedextendedlateralapproachfordisplacedintraarticularcalcanealfracturesasystematicreviewandmetaanalysis
AT xiyucai 3dprintingassistedextendedlateralapproachfordisplacedintraarticularcalcanealfracturesasystematicreviewandmetaanalysis
_version_ 1718418930210439168

Ejemplares similares