Can 3D-printing avoid discomfort-related implant removal in midshaft clavicle fractures? A four-year follow-up
Introduction Due to the variation in shape and curvature of the clavicle, plates often have to be adjusted during surgery to acquire a good fit. Poorly fitted plates can cause discomfort, eventually requiring implant removal. 3D-printed replicas of the fractured clavicle can assist in planning of th...
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| Veröffentlicht in: | Archives of orthopaedic and trauma surgery 2021-11, Vol.141 (11), p.1899-1907 |
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| creator | van Doremalen, Rob F. M. van der Linde, Rens A. Kootstra, Jan J. van Helden, Sven H. Hekman, Edsko E. G. |
| description | Introduction
Due to the variation in shape and curvature of the clavicle, plates often have to be adjusted during surgery to acquire a good fit. Poorly fitted plates can cause discomfort, eventually requiring implant removal. 3D-printed replicas of the fractured clavicle can assist in planning of the surgical approach, plate selection and, if necessary, adjustment of the plate prior to surgery. We hypothesized this method of preoperative preparation would reduce implant-related discomfort resulting in a reduced reoperation rate
Materials and methods
In a prospective cohort study, perioperative plate handling and clavicle fixation were timed and follow-up data were collected from participants undergoing operative treatment for a midshaft clavicle fracture. The control group (
n
= 7) received conventional surgery with standard precontoured plates. For the intervention group (
n
= 7), 3D-printed replicas of the fractured clavicle and a mirrored version of the healthy contralateral clavicle were available prior to surgery for planning of the surgical approach, and for plate selection and contouring. Primary outcome was reoperation rate due to implant-related discomfort. Secondary outcomes were complications and time differences in the different surgical phases (reduction, fixation and overall operation time)
Results
More participants in the control group had the plate removed due to discomfort compared to the intervention group (5/7 vs. 0/6;
P
= 0.012). One participant was excluded from the intervention group due to a postoperative complication; an infection occurred at the implant site. No relevant time difference in surgical plate handling was found between both groups.
Conclusions
Preoperative preparation using 3D-printed replicas of the clavicle fracture may reduce implant removal caused by plated-related discomfort. No relevant effect on surgery time was found.
Trial registration
Registered with ‘toetsingonline.nl’, trial number NL51269.075/14, 17-02-2015 |
| doi_str_mv | 10.1007/s00402-020-03654-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8497298</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2579873279</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-396db3d7acdd54b298962a0b4f99f7add8a0ba836162a05a0040941469a525643</originalsourceid><addsrcrecordid>eNp9UctuFDEQtBCILIEf4IAsceFi8HvGF1C0PKVIXOBs9Y49G0cee7FnFuXv8bAhPA6c3Larq7q6EHrK6EtGafeqUiopJ5RTQoVWkuh7aMOkkEQYpu-jDTVCk54qdoYe1XpNKeO9oQ_RmRCt0tRsUNpCwuItOZSQ5pD2GI45OOxCHfI05jKT4iPM3uEwHSKkGRc_5SNEHBKegqtXMM54iHAMQ_R4LDDMS_H1Db7AY14KufFQWhVj_k6Ww2P0YIRY_ZPb8xx9ff_uy_Yjufz84dP24pIMspNzm1-7nXAdDM4pueOmN5oD3cnRmLED5_p2gV5otj4rWBdhJJPagOJKS3GOXp94D8tu8m7waS4QbXM5QbmxGYL9-yeFK7vPR9tL0zW5RvDilqDkb4uvs53aSnxsK_B5qZbLJsOUkqvW83-g1814avYsV53pO8E701D8hBpKrrX48W4YRu0apz3FaVuc9mecVremZ3_auGv5lV8DiBOgrgHuffmt_R_aHyp-q94</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2579873279</pqid></control><display><type>article</type><title>Can 3D-printing avoid discomfort-related implant removal in midshaft clavicle fractures? A four-year follow-up</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>van Doremalen, Rob F. M. ; van der Linde, Rens A. ; Kootstra, Jan J. ; van Helden, Sven H. ; Hekman, Edsko E. G.</creator><creatorcontrib>van Doremalen, Rob F. M. ; van der Linde, Rens A. ; Kootstra, Jan J. ; van Helden, Sven H. ; Hekman, Edsko E. G.</creatorcontrib><description>Introduction
Due to the variation in shape and curvature of the clavicle, plates often have to be adjusted during surgery to acquire a good fit. Poorly fitted plates can cause discomfort, eventually requiring implant removal. 3D-printed replicas of the fractured clavicle can assist in planning of the surgical approach, plate selection and, if necessary, adjustment of the plate prior to surgery. We hypothesized this method of preoperative preparation would reduce implant-related discomfort resulting in a reduced reoperation rate
Materials and methods
In a prospective cohort study, perioperative plate handling and clavicle fixation were timed and follow-up data were collected from participants undergoing operative treatment for a midshaft clavicle fracture. The control group (
n
= 7) received conventional surgery with standard precontoured plates. For the intervention group (
n
= 7), 3D-printed replicas of the fractured clavicle and a mirrored version of the healthy contralateral clavicle were available prior to surgery for planning of the surgical approach, and for plate selection and contouring. Primary outcome was reoperation rate due to implant-related discomfort. Secondary outcomes were complications and time differences in the different surgical phases (reduction, fixation and overall operation time)
Results
More participants in the control group had the plate removed due to discomfort compared to the intervention group (5/7 vs. 0/6;
P
= 0.012). One participant was excluded from the intervention group due to a postoperative complication; an infection occurred at the implant site. No relevant time difference in surgical plate handling was found between both groups.
Conclusions
Preoperative preparation using 3D-printed replicas of the clavicle fracture may reduce implant removal caused by plated-related discomfort. No relevant effect on surgery time was found.
Trial registration
Registered with ‘toetsingonline.nl’, trial number NL51269.075/14, 17-02-2015</description><identifier>ISSN: 0936-8051</identifier><identifier>EISSN: 1434-3916</identifier><identifier>DOI: 10.1007/s00402-020-03654-6</identifier><identifier>PMID: 33128609</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Bone Plates ; Clavicle - surgery ; Computer engineering ; Drug dosages ; Follow-Up Studies ; Fracture Fixation, Internal ; Fractures, Bone - surgery ; Humans ; Intervention ; Mathematical programming ; Medicine ; Medicine & Public Health ; Orthopedics ; Planning ; Printing, Three-Dimensional ; Prospective Studies ; Retrospective Studies ; Surgeons ; Surgery ; Trauma ; Trauma Surgery ; Treatment Outcome</subject><ispartof>Archives of orthopaedic and trauma surgery, 2021-11, Vol.141 (11), p.1899-1907</ispartof><rights>The Author(s) 2020</rights><rights>2020. The Author(s).</rights><rights>The Author(s) 2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-396db3d7acdd54b298962a0b4f99f7add8a0ba836162a05a0040941469a525643</citedby><cites>FETCH-LOGICAL-c474t-396db3d7acdd54b298962a0b4f99f7add8a0ba836162a05a0040941469a525643</cites><orcidid>0000-0003-1970-3833</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00402-020-03654-6$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00402-020-03654-6$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33128609$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Doremalen, Rob F. M.</creatorcontrib><creatorcontrib>van der Linde, Rens A.</creatorcontrib><creatorcontrib>Kootstra, Jan J.</creatorcontrib><creatorcontrib>van Helden, Sven H.</creatorcontrib><creatorcontrib>Hekman, Edsko E. G.</creatorcontrib><title>Can 3D-printing avoid discomfort-related implant removal in midshaft clavicle fractures? A four-year follow-up</title><title>Archives of orthopaedic and trauma surgery</title><addtitle>Arch Orthop Trauma Surg</addtitle><addtitle>Arch Orthop Trauma Surg</addtitle><description>Introduction
Due to the variation in shape and curvature of the clavicle, plates often have to be adjusted during surgery to acquire a good fit. Poorly fitted plates can cause discomfort, eventually requiring implant removal. 3D-printed replicas of the fractured clavicle can assist in planning of the surgical approach, plate selection and, if necessary, adjustment of the plate prior to surgery. We hypothesized this method of preoperative preparation would reduce implant-related discomfort resulting in a reduced reoperation rate
Materials and methods
In a prospective cohort study, perioperative plate handling and clavicle fixation were timed and follow-up data were collected from participants undergoing operative treatment for a midshaft clavicle fracture. The control group (
n
= 7) received conventional surgery with standard precontoured plates. For the intervention group (
n
= 7), 3D-printed replicas of the fractured clavicle and a mirrored version of the healthy contralateral clavicle were available prior to surgery for planning of the surgical approach, and for plate selection and contouring. Primary outcome was reoperation rate due to implant-related discomfort. Secondary outcomes were complications and time differences in the different surgical phases (reduction, fixation and overall operation time)
Results
More participants in the control group had the plate removed due to discomfort compared to the intervention group (5/7 vs. 0/6;
P
= 0.012). One participant was excluded from the intervention group due to a postoperative complication; an infection occurred at the implant site. No relevant time difference in surgical plate handling was found between both groups.
Conclusions
Preoperative preparation using 3D-printed replicas of the clavicle fracture may reduce implant removal caused by plated-related discomfort. No relevant effect on surgery time was found.
Trial registration
Registered with ‘toetsingonline.nl’, trial number NL51269.075/14, 17-02-2015</description><subject>Bone Plates</subject><subject>Clavicle - surgery</subject><subject>Computer engineering</subject><subject>Drug dosages</subject><subject>Follow-Up Studies</subject><subject>Fracture Fixation, Internal</subject><subject>Fractures, Bone - surgery</subject><subject>Humans</subject><subject>Intervention</subject><subject>Mathematical programming</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Orthopedics</subject><subject>Planning</subject><subject>Printing, Three-Dimensional</subject><subject>Prospective Studies</subject><subject>Retrospective Studies</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Trauma</subject><subject>Trauma Surgery</subject><subject>Treatment Outcome</subject><issn>0936-8051</issn><issn>1434-3916</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9UctuFDEQtBCILIEf4IAsceFi8HvGF1C0PKVIXOBs9Y49G0cee7FnFuXv8bAhPA6c3Larq7q6EHrK6EtGafeqUiopJ5RTQoVWkuh7aMOkkEQYpu-jDTVCk54qdoYe1XpNKeO9oQ_RmRCt0tRsUNpCwuItOZSQ5pD2GI45OOxCHfI05jKT4iPM3uEwHSKkGRc_5SNEHBKegqtXMM54iHAMQ_R4LDDMS_H1Db7AY14KufFQWhVj_k6Ww2P0YIRY_ZPb8xx9ff_uy_Yjufz84dP24pIMspNzm1-7nXAdDM4pueOmN5oD3cnRmLED5_p2gV5otj4rWBdhJJPagOJKS3GOXp94D8tu8m7waS4QbXM5QbmxGYL9-yeFK7vPR9tL0zW5RvDilqDkb4uvs53aSnxsK_B5qZbLJsOUkqvW83-g1814avYsV53pO8E701D8hBpKrrX48W4YRu0apz3FaVuc9mecVremZ3_auGv5lV8DiBOgrgHuffmt_R_aHyp-q94</recordid><startdate>20211101</startdate><enddate>20211101</enddate><creator>van Doremalen, Rob F. M.</creator><creator>van der Linde, Rens A.</creator><creator>Kootstra, Jan J.</creator><creator>van Helden, Sven H.</creator><creator>Hekman, Edsko E. G.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-1970-3833</orcidid></search><sort><creationdate>20211101</creationdate><title>Can 3D-printing avoid discomfort-related implant removal in midshaft clavicle fractures? A four-year follow-up</title><author>van Doremalen, Rob F. M. ; van der Linde, Rens A. ; Kootstra, Jan J. ; van Helden, Sven H. ; Hekman, Edsko E. G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-396db3d7acdd54b298962a0b4f99f7add8a0ba836162a05a0040941469a525643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Bone Plates</topic><topic>Clavicle - surgery</topic><topic>Computer engineering</topic><topic>Drug dosages</topic><topic>Follow-Up Studies</topic><topic>Fracture Fixation, Internal</topic><topic>Fractures, Bone - surgery</topic><topic>Humans</topic><topic>Intervention</topic><topic>Mathematical programming</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Orthopedics</topic><topic>Planning</topic><topic>Printing, Three-Dimensional</topic><topic>Prospective Studies</topic><topic>Retrospective Studies</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Trauma</topic><topic>Trauma Surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van Doremalen, Rob F. M.</creatorcontrib><creatorcontrib>van der Linde, Rens A.</creatorcontrib><creatorcontrib>Kootstra, Jan J.</creatorcontrib><creatorcontrib>van Helden, Sven H.</creatorcontrib><creatorcontrib>Hekman, Edsko E. G.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Archives of orthopaedic and trauma surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van Doremalen, Rob F. M.</au><au>van der Linde, Rens A.</au><au>Kootstra, Jan J.</au><au>van Helden, Sven H.</au><au>Hekman, Edsko E. G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Can 3D-printing avoid discomfort-related implant removal in midshaft clavicle fractures? A four-year follow-up</atitle><jtitle>Archives of orthopaedic and trauma surgery</jtitle><stitle>Arch Orthop Trauma Surg</stitle><addtitle>Arch Orthop Trauma Surg</addtitle><date>2021-11-01</date><risdate>2021</risdate><volume>141</volume><issue>11</issue><spage>1899</spage><epage>1907</epage><pages>1899-1907</pages><issn>0936-8051</issn><eissn>1434-3916</eissn><abstract>Introduction
Due to the variation in shape and curvature of the clavicle, plates often have to be adjusted during surgery to acquire a good fit. Poorly fitted plates can cause discomfort, eventually requiring implant removal. 3D-printed replicas of the fractured clavicle can assist in planning of the surgical approach, plate selection and, if necessary, adjustment of the plate prior to surgery. We hypothesized this method of preoperative preparation would reduce implant-related discomfort resulting in a reduced reoperation rate
Materials and methods
In a prospective cohort study, perioperative plate handling and clavicle fixation were timed and follow-up data were collected from participants undergoing operative treatment for a midshaft clavicle fracture. The control group (
n
= 7) received conventional surgery with standard precontoured plates. For the intervention group (
n
= 7), 3D-printed replicas of the fractured clavicle and a mirrored version of the healthy contralateral clavicle were available prior to surgery for planning of the surgical approach, and for plate selection and contouring. Primary outcome was reoperation rate due to implant-related discomfort. Secondary outcomes were complications and time differences in the different surgical phases (reduction, fixation and overall operation time)
Results
More participants in the control group had the plate removed due to discomfort compared to the intervention group (5/7 vs. 0/6;
P
= 0.012). One participant was excluded from the intervention group due to a postoperative complication; an infection occurred at the implant site. No relevant time difference in surgical plate handling was found between both groups.
Conclusions
Preoperative preparation using 3D-printed replicas of the clavicle fracture may reduce implant removal caused by plated-related discomfort. No relevant effect on surgery time was found.
Trial registration
Registered with ‘toetsingonline.nl’, trial number NL51269.075/14, 17-02-2015</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33128609</pmid><doi>10.1007/s00402-020-03654-6</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-1970-3833</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0936-8051 |
| ispartof | Archives of orthopaedic and trauma surgery, 2021-11, Vol.141 (11), p.1899-1907 |
| issn | 0936-8051 1434-3916 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8497298 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Bone Plates Clavicle - surgery Computer engineering Drug dosages Follow-Up Studies Fracture Fixation, Internal Fractures, Bone - surgery Humans Intervention Mathematical programming Medicine Medicine & Public Health Orthopedics Planning Printing, Three-Dimensional Prospective Studies Retrospective Studies Surgeons Surgery Trauma Trauma Surgery Treatment Outcome |
| title | Can 3D-printing avoid discomfort-related implant removal in midshaft clavicle fractures? A four-year follow-up |
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