[PDF] Evaluation of three-dimensional printing for internal fixation of unstable pelvic fracture from minimal invasive para-rectus abdominis approach: a preliminary report. | Semantic Scholar (2024)

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  • Corpus ID: 27127116
@article{Zeng2015EvaluationOT, title={Evaluation of three-dimensional printing for internal fixation of unstable pelvic fracture from minimal invasive para-rectus abdominis approach: a preliminary report.}, author={Canjun Zeng and Jidong Xiao and Zhanglin Wu and Wenhua Huang}, journal={International journal of clinical and experimental medicine}, year={2015}, volume={8 8}, pages={ 13039-44 }, url={https://api.semanticscholar.org/CorpusID:27127116}}
  • Canjun Zeng, Jidong Xiao, Wenhua Huang
  • Published in International Journal of… 15 August 2015
  • Medicine, Engineering

Three-dimensional printing assisted internal fixation of unstable pelvic fracture from minimal invasive para-rectus abdominis approach is feasible and effective, and worthwhile for spreading in clinical practice.

44 Citations

Highly Influential Citations


Background Citations


Methods Citations


Results Citations


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44 Citations

[Effectiveness analysis of three-dimensional printing assisted surgery for unstable pelvic fracture].
    Chao WuJia‐yan DengLun TanHaigang HuDechao Yuan

    Medicine, Engineering

    Zhongguo xiu fu chong jian wai ke za zhi…

  • 2019

Computer design combined with 3D printing technology to make personalized pelvic model and navigation template applied to unstable pelvic fractures, is helpful to accurately place sacroiliac screw, reduce the operation time, intraoperative blood loss, and the fluoroscopy times, has good waiting time for weight-bearing exercise and function.

  • 2
Internal Fixation of Complicated Acetabular Fractures Directed by Preoperative Surgery with 3D Printing Models
    Zhao-Jie LiuJian JiaYinguang ZhangW. TianXin JinYong‐cheng Hu

    Engineering, Medicine

    Orthopaedic surgery

  • 2017

It is believed that preoperative surgery using 3D printing models is beneficial for confirming the reduction and fixation sequence, determining the reduction quality, shortening the operative time, minimizing preoperative difficulties, and predicting the prognosis for complicated fractures of acetabulam.

  • 30
  • PDF
Three-dimensional printing-assisted surgical technique with limited operative exposure for both-column acetabular fractures.
    H. ShonSeung-Myoung ChoiJae-Young Yang

    Engineering, Medicine

    Ulusal travma ve acil cerrahi dergisi = Turkish…

  • 2018

3D printing is successfully applied for the surgical management of both-column acetabular fractures, thereby improving surgical outcomes while achieving good-to-excellent reduction and good medium-term functional outcomes.

  • 14
  • Highly Influenced
  • PDF
Clinical effect of three-dimensional printing assisted less invasive stabilization system ( LISS ) to treat femoral intercondylar fracture
    Rui ZhangZhu-li YangKai-ning ChenXiao-shan GuoWen-hua Huang

    Medicine, Engineering

  • 2018

Three-dimensional printing assisted LISS to treat femoral intercondylar fracture obtained less trauma, more accurately fixation and satisfactory recovery when compare to traditional treatment, as well as effective and feasible method.

  • 1
  • PDF
Application of 3D printing and framework internal fixation technology for high complex rib fractures
    Xue-tao ZhouDong-sheng Zhang Shujun Li

    Engineering, Medicine

    Journal of Cardiothoracic Surgery

  • 2021

The application of 3D printing combined with framework internal fixation technology to the high complex rib fractures is beneficial for restoring the inherent shape of the thoracic cage, which can realize the accurate and individualized treatment as well as reduces the operation difficulty.

  • 7
  • PDF
Use of three-dimensional printing in preoperative planning in orthopaedic trauma surgery: A systematic review and meta-analysis
    C. MorganC. KhatriS. HannaH. AshrafianK. Sarraf

    Medicine, Engineering

    World journal of orthopedics

  • 2020

The results suggest that the use of 3D printing in pre-operative planning in orthopaedic trauma reduces operative time, intraoperative blood loss and the number of times fluoroscopy is used.

3D printing-assisted osteotomy treatment for the malunion of lateral tibial plateau fracture.
    Peng YangD. Du Aimin Chen

    Engineering, Medicine


  • 2016
  • 43
Use of Three-Dimensional Printing to Fabricate First a Pelvic Model and Then a Semi-Pelvic Prosthesis with Sacrum: A Case Report
    Xin ZhaoXiaonan WangYu SunMeng XuYanbing WangJincheng Wang

    Engineering, Medicine

  • 2018

This case presents a novel case in which 3D printing technology is used in the preoperative planning of semi-pelvic prosthesis replacement, and the new titanium alloy (Ti-6Al-4V) semi- Pelvis prosthesis with sacrum was designed and fabricated via3D printing.

  • 2
  • PDF
Analysis of the advantages of 3D printing in the surgical treatment of multiple rib fractures: 5 cases report
    Xue-tao ZhouDong-sheng Zhang Zheng Liang

    Medicine, Engineering

    Journal of Cardiothoracic Surgery

  • 2019

Making the rib model and the pre-shaped titanium alloy rib locking plate using 3D printing technology, provided a more minimally invasive and precisely individualized treatment for some rib fracture operations.

Application of preoperative 3D printing in the internal fixation of posterior rib fractures with embracing device: a cohort study
    Xue-tao ZhouDong-sheng Zhang Huiqing Lu

    Medicine, Engineering

    BMC Surgery

  • 2023

The application of 3D printing technology to prepare the rib model before surgery is proves beneficial in reducing the occurrence of poor fixation of fractures and achieving precise and individualized treatment.

  • PDF



22 References

The Anterior Intra-Pelvic (Modified Rives-Stoppa) Approach for Fixation of Acetabular Fractures
    H. SagiA. AfsariDan Dziadosz

    Medicine, Engineering

    Journal of orthopaedic trauma

  • 2010

Use of the AIP (modified Rives-Stoppa) approach for the treatment of acetabular fractures permits good to excellent reduction in the majority of cases while giving excellent visualization and access to the quadrilateral plate and posterior column.

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Acetabular fracture fixation via a modified Stoppa limited intrapelvic approach. Description of operative technique and preliminary treatment results.
    J. ColeB. Bolhofner

    Medicine, Engineering

    Clinical orthopaedics and related research

  • 1994

The modified Stoppa incision offers the experienced trauma surgeon a new approach for fixation of displaced acetabular fractures and may decrease the rate of complications associated with extrapelvic or extensile approaches.

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The Pararectus approach for anterior intrapelvic management of acetabular fractures: an anatomical study and clinical evaluation.
    M. KeelT. Ecker J. Bastian

    Medicine, Engineering

    The Journal of bone and joint surgery. British…

  • 2012

In the treatment of acetabular fractures predominantly involving the anterior column and the quadrilateral plate, the Pararectus approach allowed anatomical restoration with minimal morbidity related to the surgical access.

  • 147
Pre-operative simulation of pediatric mastoid surgery with 3D-printed temporal bone models.
    A. RoseCaroline E. WebsterO. HarryssonE. FormeisterRounak B RawalC. Iseli

    Medicine, Engineering

    International journal of pediatric…

  • 2015
  • 101
Functional Outcome of Open Reduction and Internal Fixation for Completely Unstable Pelvic Ring Fractures (Type C): A Report of 40 Cases
    S. KabakM. HalıcıM. TunçelL. AvşaroğullarıA. BaktırM. Başturk


    Journal of orthopaedic trauma

  • 2003

Morbidity and mortality rates are higher in patients with a completely unstable pelvic ring injury and emergency department stabilization and reconstruction of the pelvic ring with optimal operative techniques in these patients can reduce morbidity andortality rates.

  • 131
Outcomes of acetabular fracture fixation with ten years' follow-up.
    N. BriffaR. PearceA. HillM. Bircher

    Medicine, Engineering

    The Journal of bone and joint surgery. British…

  • 2011

The gold-standard treatment for displaced acetabular fractures remains open reduction and internal fixation performed in dedicated units by specialist surgeons as soon as possible.

  • 205
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Management of complex acetabular fractures through single nonextensile exposures.
    D. HelfetG. Schmeling

    Engineering, Medicine

    Clinical orthopaedics and related research

  • 1994

A review of 127 surgically treated acetabular fractures, treated between August 1986 and January 1991, using single nonextensile surgical exposures and indirect reduction techniques was conducted.

  • 132
Minimally invasive plate osteosynthesis using 3D Printing for shaft fractures of clavicles: technical note
    Ho-Seung JeongKyoung-Jin Park Jeong-Pyo Lee

    Engineering, Medicine

    Archives of Orthopaedic and Trauma Surgery

  • 2014

A minimally invasive plate osteosynthesis technique for midshaft fractures of clavicles using intramedullary indirect reduction and prebent plates with 3D printing models.

  • 81
Pelvic ring fractures: has mortality improved following the implementation of damage control resuscitation?
    Caitlin A. FitzgeraldBryan C. MorseC. Dente


    American journal of surgery

  • 2014
  • 28
  • PDF
Surgical treatment of pelvic nonunions and malunions.
    J. MattaKyle F. DicksonGeorge D. Markovich


    Clinical orthopaedics and related research

  • 1996

From 1984 to 1995, 37 patients with nonunion, malunion, and combined nonunion malunion of the pelvic ring were treated, and thirty-two of 37 patients were satisfied with their outcome, although 19% of the patients suffered complications.

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    [PDF] Evaluation of three-dimensional printing for internal fixation of unstable pelvic fracture from minimal invasive para-rectus abdominis approach: a preliminary report. | Semantic Scholar (2024)


    What is considered an unstable pelvic fracture? ›

    Unstable Pelvic Fractures: Have breakage at two or more points, followed by severe bleeding. Unstable pelvic fractures may cause shock, extensive internal bleeding, and damage to the internal organs. It requires immediate medical care followed by long-term physical therapy and rehabilitation.

    What is the surgery for unstable pelvis? ›

    External fixation is indicated as the immediate treatment in a hemodynamically unstable patient with an unstable pelvic fracture. Open reduction with internal fixation (ORIF) is preferred for definitive management and has been demonstrated to provide superior results.

    What screws are used for pelvic fracture? ›

    Iliosacral screws are effective for fixing posterior pelvic ring fractures and dislocations. Most surgeons now use one or more screws, especially for sacral fractures or trans-sacral screws, which are stronger.

    What is internal fixation of the pelvis? ›

    INFIX or internal fixation is a treatment modality for anterior pelvic ring injuries, which consists of using polyaxial pedicular screws inserted from the anterior inferior iliac spine into the supra-acetabular region of the ilium on both sides.

    How serious is an unstable pelvis? ›

    Loss of stability in the pelvic joint can lead to pain in the lower back and constant irritation. Mild cases are often managed conservatively, however long term neglect can lead to degeneration of the SI joint in the pelvis. Due to this, a patient's quality of life is also severely impacted.

    Can you walk with a stable pelvic fracture? ›

    Treatment of a broken pelvis depends on whether it's a stable or unstable fracture. Stable fractures will usually heal on their own and won't require surgery. You can generally continue walking during the healing process, but you'll need to rely on crutches or a walker for support.

    How serious is a pubic rami fracture? ›

    Pubic rami fragility fractures are a significant problem in older people and often require admission to hospital. Further imaging confirms that these fractures are complex, with co-existing fractures of the acetabulum and sacrum being common.

    How long does it take to fully recover from a fractured pelvis? ›

    How long does a fractured pelvis take to heal? Pelvic fractures usually take 8 to 12 weeks to fully heal. More severe pelvic fractures could take longer, especially if you have other injuries or medical complications from the event that caused your pelvic fracture.

    Is pelvic instability a disability? ›

    Chronic anterior pelvic ring instability can cause pain and disability. Pain typically is localized to the suprapubic area or inner thigh; often is associated with lower back or buttock pain; and may be exacerbated by activity, direct impact, or pelvic ring compression.

    Can screws in pelvis cause pain? ›

    Despite advancements in surgical techniques, previous studies suggest that about 1 in 10 patients continue to experience pelvic pain more than 6 months after surgical fixation [2–5]. The cause of this pain is not well understood.

    When does a pelvic fracture require surgery? ›

    If a hip or pelvic fracture has compromised the hip joint so much that reduction and fixation don't stabilize the bones, doctors may recommend a procedure to replace the injured ball and socket components of the joint with durable prosthetic parts, usually made from metal or ceramic.

    What is the special test for pelvic fracture? ›

    Your doctor may order a CT scan to examine a fracture pattern or assess the extent of damage in the hip joint. A CT scan uses X-rays and a computer to create two- and three-dimensional pictures of the hip and pelvic bones, enabling doctors to examine a fracture from many different angles.

    How painful is internal fixation surgery? ›

    You can expect some pain and swelling around the cut (incision) the doctor made. This should get better within a few days after your surgery. But it is normal to have some pain for 2 to 3 weeks after surgery and mild pain for up to 6 weeks after surgery.

    How long does pelvic fixation surgery take? ›

    The surgeon will decide which is best for each injury pattern. In most cases, these are fixed with plates and screws. A combination of large and small incisions are used to fix these injuries. Surgery usually takes 1 to 3 hours.

    How long does internal fixation take to heal? ›

    Complete recovery from ORIF surgery can take anywhere from three to 12 months, depending on what bone you broke and how severe the break was. You may need physical therapy after your surgery to help you regain full use of your limb. Here are some tips for taking care of yourself at home once your surgery is completed.

    What is the definition of an unstable injury of the pelvis? ›

    Unstable pelvic fracture: In an unstable pelvic fracture, there are often two or more breaks, and the ends of broken parts of the bones are displaced. Unstable pelvic fractures are most often caused by high-impact events such as a car crash.

    What is the difference between a stable and unstable fracture? ›

    Stable fractures do not cause nerve problems or spinal deformities. It can usually carry the body weight well enough to be called stable. b. Unstable fractures are more serious because they can cause serious nerve damage or paralysis.

    What makes a fracture unstable? ›

    Instability, or the inability of a fracture to resist displacement after closed reduction,100 is often defined according to criteria regarding initial displacement, such as dorsal angulation, shortening, and the presence of dorsal comminution.

    What are the classification of pelvic fractures? ›

    These classifications are based on the direction of forces causing fracture and the associated instability of pelvis with four injury patterns: lateral compression, antero-posterior compression (external rotation), vertical shear, combined mechanism [12].

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