PRELIMINARY APPLICATION OF THREE-DIMENSIONAL PRINTING PERSONALIZED EXTERNAL FIXATOR IN SERIOUS TIBIOFIBULA FRACTURES_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

HUANGMinqiang ^1,2 ,  DINGHuanwen ¹ , HUANGMiaojun ³ , WANGHong ¹ , TENGQiang ^1,2

1. Department of Bone and Joint Disease, Guangzhou General Hospital of Guangzhou Military, Guangzhou Guangdong, 510010, P. R. China;
2. Graduate College, Traditional Chinese Medicine University of Guangzhou;
Synergy Innovation Research Institute of South China;

Corresponding author：

DINGHuanwen, Email: dhuanwen123@aliyun.com

Keywords：

Three-dimensional printing; Tibiofibula comminuted fracture; External fixator; Digital design; Individual design

DOI：

10.7507/1002-1892.20160032

Video：

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Objective To explore a new method of treating serious tibiofibula comminuted fracture by using three-dimensional (3-D) printing personalized external fixator. Methods In April 2015, a male patient (aged 18 years with a height of 171 cm and a weight of 67 kg) with left tibiofibula comminuted fracture was included in the study. Computer-assisted reduction technique combined with 3-D printing was used to develop a customised personalized external fixator for fracture reduction. The effectiveness was observed. Results The operation time was about 10 minutes without fluoroscopy, and successful reduction was obtained. The patient had equal limb length after operation. X-ray films showed that the posterior angulation of distal fracture was corrected 37°, and the eversion angle was corrected 4°. The tibial fractures had good paraposition or alignment, and the lower limb force line was corrected completely. No new fracture displacement occurred. The clinical healing time of fracture was 3.5 months and the bone union was achieved after 8 months. The function of affected limb recovered well after operation. Conclusion A personalized external fixator for serious tibiofibula comminuted fracture reduction made by 3-D printing technique has the merits of easy manipulation, high individuation, accurate reduction, stable fixation, and no need of fluoroscopy.

Citation： HUANGMinqiang, DINGHuanwen, HUANGMiaojun, WANGHong, TENGQiang. PRELIMINARY APPLICATION OF THREE-DIMENSIONAL PRINTING PERSONALIZED EXTERNAL FIXATOR IN SERIOUS TIBIOFIBULA FRACTURES. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(2): 156-160. doi: 10.7507/1002-1892.20160032 Copy

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18.	李晖. Boomer 281台车拐臂静力学结构强度有限元分析. 现代矿业, 2014, (8):160-163.
19.	吴继明, 杨俊生, 李颖, 等. 四种外固定支架的力学性能对照研究. 中国骨与关节损伤杂志, 2009, 24(11):1016-1017.
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21.	李国兴. 两种固定方式治疗胫骨骨折临床疗效分析. 中国现代药物应用, 2014, 8(1):98-99.
22.	吴超, 谭伦, 林旭, 等. 3D打印个体化矢状曲度模棒及椎弓根螺钉导航模板在胸腰椎骨折脱位术中的应用. 中国修复重建外科杂志, 2015, 29(11):1381-1388.
23.	陈校明, 刘忠, 唐新桥, 等. 镶嵌式外固定器加压固定不植骨治疗肥大性骨不连. 创伤外科杂志, 2015, 17(3):264.

1. Ashraf MO, Jones HM, Kanvinde R. Acute traumatic fracture dislocation of proximal tibiofibular joint:case report and literature review. Injury, 2015, 46(7):1400-1402.
2. 叶国强, 傅国, 戚剑. 一期封闭式负压引流联合双蒂滑行皮瓣治疗开放性胫腓骨骨折伴胫前软组织缺损. 中国修复重建外科杂志, 2015, 29(8):955-958.
3. 刘立强, 熊明月, 王坤正, 等. HoffmannⅡ外固定架治疗胫腓骨粉碎性骨折的疗效观察. 中国骨与关节损伤杂志, 2014, 29(6):95-96.
4. 徐佳明, 艾自胜, 张长青. 胫腓骨骨折固定物与固定方式的研究进展. 中国组织工程研究, 2013, 17(4):663-671.
5. 杨佐明, 刘晓明, 戴士峰, 等. 胫腓骨骨折术后感染的治疗分析. 中国修复重建外科杂志, 2011, 25(9):1151-1152.
6. 丁焕文, 易灿, 涂强, 等. 计算机辅助骨盆肿瘤精确切除和功能重建. 中国修复重建外科杂志, 2011, 25(10):1218-1223.
7. Lei T, Xie L, Tu W, et al. Development of a finite element model for blast injuries to the pig mandible and a preliminary biomechanical analysis. J Trauma Acute Care Surg, 2012, 73(4):902-907.
8. 唐通鸣, 陆燕, 李志扬, 等. 新型3D打印材料ABS的制备及性能研究. 现代化工, 2015, 35(7):50-52.
9. 张云波, 乔雯钰, 张鑫鑫, 等. 3D打印用高分子材料的研究与应用进展. 上海塑料, 2015, (1):1-5.
10. 张功林, 葛宝丰. 外固定支架治疗骨折研究进展. 国际骨科学杂志, 2011, 32(2):99-101.
11. 王涛, 胡一博, 宋昌才, 等. 计算机辅助Taylor三维空间外固定架治疗下肢骨干骨折的初步应用. 中国矫形外科杂志, 2015, 23(16):1518-1520.
12. Koo TK, Chao EY, Mak AF. Development and validation of a new approach for computer-aided long bone fracture reduction using unilateral external fixator. J Biomech, 2006, 39(11):2104-2112.
13. Bose S, Vahabzadeh S, Bandyopadhyay A. Bone tissue engineering using 3D printing. Mater Today, 2013, 16(12):496-504.
14. 鲍立杰, 张志平, 吴培斌. 3D打印技术在骨科的研究及应用进展. 中国矫形外科杂志, 2015, 23(4):325-327.
15. TonyK, Jake Evill. 3D打印骨骼固定支架. 设计, 2013, (9):26.
16. 黄若景. 3D打印计算机辅助设计小夹板外骨骼系统的研究. 广州:广州中医药大学, 2015.
17. Qiao F, Li D, Jin Z, et al. Application of 3D printed customized external fixator in fracture reduction. Injury, 2015, 46(6):1150-1155.
18. 李晖. Boomer 281台车拐臂静力学结构强度有限元分析. 现代矿业, 2014, (8):160-163.
19. 吴继明, 杨俊生, 李颖, 等. 四种外固定支架的力学性能对照研究. 中国骨与关节损伤杂志, 2009, 24(11):1016-1017.
20. 张伟, 宋世锋, 刘立柱, 等. 单臂外固定架治疗GustiloⅢ型胫骨骨折的初步临床分析. 中国矫形外科杂志, 2015, 23(8):766-768.
21. 李国兴. 两种固定方式治疗胫骨骨折临床疗效分析. 中国现代药物应用, 2014, 8(1):98-99.
22. 吴超, 谭伦, 林旭, 等. 3D打印个体化矢状曲度模棒及椎弓根螺钉导航模板在胸腰椎骨折脱位术中的应用. 中国修复重建外科杂志, 2015, 29(11):1381-1388.
23. 陈校明, 刘忠, 唐新桥, 等. 镶嵌式外固定器加压固定不植骨治疗肥大性骨不连. 创伤外科杂志, 2015, 17(3):264.

Chinese Journal of Reparative and Reconstructive Surgery

PRELIMINARY APPLICATION OF THREE-DIMENSIONAL PRINTING PERSONALIZED EXTERNAL FIXATOR IN SERIOUS TIBIOFIBULA FRACTURES

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