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Holding versus seeing pathology. Three-dimensional printing of the bony pelvis for preoperative planning of a complex pelvis fracture: A case report

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ABSTRACT

Pelvic injuries are not uncommon. The complex anatomy of the pelvic bones, the complex pattern of injuries, associated important structures such as neurovascular bundles, and difficult access make the reduction and fixation of these fractures difficult. Often the surgical outcomes are not satisfactory. Three-dimensional (3D) imaging using computed tomography (CT) scan (3DCT) has been the mainstay of preoperative evaluation since the 1980s, however, even with these images it may be difficult to understand complex injury patterns. Preoperative printing of a 3D model using the same CT scan data allows surgeons to hold the pelvis in their hands and then plan appropriate treatment. We report one such case of complex pelvic injury and its management using the novel method of preoperative 3D model printing.

No MeSH data available.


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Frontal radiograph of the pelvis with both hips shows a displaced tranverse fracture (arrow) involving the right acetabulum with protrusion acetabuli
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Figure 1: Frontal radiograph of the pelvis with both hips shows a displaced tranverse fracture (arrow) involving the right acetabulum with protrusion acetabuli

Mentions: A 45-year-old man presented with a history of road traffic accident and pelvic injury. A plain radiograph of the pelvis was obtained that showed a fracture of the right acetabulum [Figure 1]. A CT scan of the pelvis was then performed and confirmed a comminuted fracture of the right acetabulum, associated with protrusion acetabuli [Figure 2] with a transverse and posterior column fracture pattern. There was no fracture involving the proximal femur. Hence, surgery was planned.


Holding versus seeing pathology. Three-dimensional printing of the bony pelvis for preoperative planning of a complex pelvis fracture: A case report
Frontal radiograph of the pelvis with both hips shows a displaced tranverse fracture (arrow) involving the right acetabulum with protrusion acetabuli
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5036341&req=5

Figure 1: Frontal radiograph of the pelvis with both hips shows a displaced tranverse fracture (arrow) involving the right acetabulum with protrusion acetabuli
Mentions: A 45-year-old man presented with a history of road traffic accident and pelvic injury. A plain radiograph of the pelvis was obtained that showed a fracture of the right acetabulum [Figure 1]. A CT scan of the pelvis was then performed and confirmed a comminuted fracture of the right acetabulum, associated with protrusion acetabuli [Figure 2] with a transverse and posterior column fracture pattern. There was no fracture involving the proximal femur. Hence, surgery was planned.

View Article: PubMed Central - PubMed

ABSTRACT

Pelvic injuries are not uncommon. The complex anatomy of the pelvic bones, the complex pattern of injuries, associated important structures such as neurovascular bundles, and difficult access make the reduction and fixation of these fractures difficult. Often the surgical outcomes are not satisfactory. Three-dimensional (3D) imaging using computed tomography (CT) scan (3DCT) has been the mainstay of preoperative evaluation since the 1980s, however, even with these images it may be difficult to understand complex injury patterns. Preoperative printing of a 3D model using the same CT scan data allows surgeons to hold the pelvis in their hands and then plan appropriate treatment. We report one such case of complex pelvic injury and its management using the novel method of preoperative 3D model printing.

No MeSH data available.


Related in: MedlinePlus