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Treatment of Intercondylar Humeral Fractures With 3D-Printed Osteosynthesis Plates

View Article: PubMed Central - PubMed

ABSTRACT

The aim of the study was to evaluate the efficacy custom 3D-printed osteosynthesis plates in the treatment of intercondylar humeral fractures.

Thirteen patients with distal intercondylar humeral fractures were randomized to undergo surgery using either conventional plates (n = 7) or 3D-printed plates (n = 6) at our institution from March to October 2014. Both groups were compared in terms of operative time and elbow function at 6 month follow-up.

All patients were followed-up for a mean of 10.6 months (range: 6–13 months). The 3D-printing group had a significantly shorter mean operative time (70.6 ± 12.1 min) than the conventional plates group (92.3 ± 17.4 min). At the last follow-up period, there was no significant difference between groups in the rate of patients with good or excellent elbow function, although the 3D-printing group saw a slightly higher rate of good or excellent evaluations (83.1%) compared to the conventional group (71.4%).

Custom 3D printed osteosynthesis plates are safe and effective for the treatment of intercondylar humeral fractures and significantly reduce operative time.

No MeSH data available.


Related in: MedlinePlus

3D reconstructed computed tomography images of a 53-year old woman with a comminuted intercondylar humeral fracture of the right arm.
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Figure 1: 3D reconstructed computed tomography images of a 53-year old woman with a comminuted intercondylar humeral fracture of the right arm.

Mentions: All fractures were evaluated using 3D reconstructed computed tomography (CT) (Figure 1). Each patient was placed into the supine position and the brachial plexus was blocked. A combined approach through the lateral and medial sides of the triceps brachii muscle was used. The triceps were dissected between the lateral and medial humeral condyles, and the triceps tendon was exposed. The triceps tendon was pulled medially and the lateral column was reduced under direct visualization and fixed with plates. The triceps tendon was then pulled laterally and the intercondylar fracture was reduced and fixed with cannulated screws. The medial column was also reduced and fixed with plates.


Treatment of Intercondylar Humeral Fractures With 3D-Printed Osteosynthesis Plates
3D reconstructed computed tomography images of a 53-year old woman with a comminuted intercondylar humeral fracture of the right arm.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4998254&req=5

Figure 1: 3D reconstructed computed tomography images of a 53-year old woman with a comminuted intercondylar humeral fracture of the right arm.
Mentions: All fractures were evaluated using 3D reconstructed computed tomography (CT) (Figure 1). Each patient was placed into the supine position and the brachial plexus was blocked. A combined approach through the lateral and medial sides of the triceps brachii muscle was used. The triceps were dissected between the lateral and medial humeral condyles, and the triceps tendon was exposed. The triceps tendon was pulled medially and the lateral column was reduced under direct visualization and fixed with plates. The triceps tendon was then pulled laterally and the intercondylar fracture was reduced and fixed with cannulated screws. The medial column was also reduced and fixed with plates.

View Article: PubMed Central - PubMed

ABSTRACT

The aim of the study was to evaluate the efficacy custom 3D-printed osteosynthesis plates in the treatment of intercondylar humeral fractures.

Thirteen patients with distal intercondylar humeral fractures were randomized to undergo surgery using either conventional plates (n = 7) or 3D-printed plates (n = 6) at our institution from March to October 2014. Both groups were compared in terms of operative time and elbow function at 6 month follow-up.

All patients were followed-up for a mean of 10.6 months (range: 6–13 months). The 3D-printing group had a significantly shorter mean operative time (70.6 ± 12.1 min) than the conventional plates group (92.3 ± 17.4 min). At the last follow-up period, there was no significant difference between groups in the rate of patients with good or excellent elbow function, although the 3D-printing group saw a slightly higher rate of good or excellent evaluations (83.1%) compared to the conventional group (71.4%).

Custom 3D printed osteosynthesis plates are safe and effective for the treatment of intercondylar humeral fractures and significantly reduce operative time.

No MeSH data available.


Related in: MedlinePlus