Application of three-dimensional printing technology in bone tumor surgery_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

XU Leilei , TIAN Zheng , Akbar·Yunus , WANG Xiaoshuai , CHEN Jiangtao , WANG Chong ,  SONG Xinghua

Department of Bone Tumor Surgery, Orthopedics Center, the First Affiliated Hospital of Xinjiang Medical University, Urumchi Xinjiang, 830054, P.R.China;

Corresponding author：

SONG Xinghua, Email: songxinghua19@163.com

Keywords：

Three-dimensional printing technology; bone tumor; individualized treatment

DOI：

10.7507/1002-1892.201703088

Video：

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Objective To discuss the effect of three-dimensional (3D) printing individualized model and guide plate in bone tumor surgery. Methods Between October 2015 and December 2016, 3D printing individualized model and guide plate for making preoperative surgical planning and intraoperative treatment were used in 5 patients of bone tumor. All the patients were male, with a median age of 32 years (range, 9-58 years). There were 1 case of cystic echinococcosis at left pelvis and pathological fracture of the proximal femur; 1 case of left iliac bone osteoblastoma associated with aneurysmal bone cyst; 1 case of fibrous dysplasia of the left femur (sheep horn deformity) with pathological fracture; 1 case of metastatic carcinoma of right calcaneus (tumor staging was T₂N₀M₀); and 1 case of Ewing sarcoma of left femur (tumor staging was T₂N₀M₀). The disease duration ranged from 1 month to 10 years (mean, 2.25 years). Results The operation was completed successfully. The operation time was 2.6-7.5 hours (mean, 4.9 hours). The intraoperative blood loss was 200-2 500 mL (mean, 1 380 mL). The intraoperative fluoroscopy times was 1-6 times (mean, 3.8 times). There was no infection after operation, and the blood supply and nerve function were good. All the patients were followed up 3-16 months (mean, 5.4 months). No loosening or breaking of the internal fixator occurred. According to Enneking scoring system, the limb function score was 15-26 (mean, 21); and the results were excellent in 2 cases, good in 2 cases, and fair in 1 case. Conclusion 3D printing technology can make the implementation of the better preoperative planning and evaluation in bone tumor surgery, and it provides a new reference for individualized treatment in patients with bone tumor.

Citation： XU Leilei, TIAN Zheng, Akbar·Yunus, WANG Xiaoshuai, CHEN Jiangtao, WANG Chong, SONG Xinghua. Application of three-dimensional printing technology in bone tumor surgery. Chinese Journal of Reparative and Reconstructive Surgery, 2017, 31(9): 1069-1072. doi: 10.7507/1002-1892.201703088 Copy

1.	付军, 王臻, 郭征, 等. 数字化结合 3D 打印个体化导板的设计加工及其在骨肿瘤手术的应用. 中华创伤骨科杂志, 2015, 17(1): 50-54.
2.	刘琨, 赵汝刚, 张强. 3D 打印技术在骨科的应用研究进展. 中华创伤骨科杂志, 2015, 17(1): 63-65.
3.	Berman B. 3-D printing: The new industrial revolution. Business Horizons, 2012, 55(2): 155-162.
4.	Enneking WF, Dunham W, Gebhardt MC, et al. A system for the functional evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeletal system. Clin Orthop Relat Res, 1993, (286): 241-246.
5.	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.
6.	穆卫庐, 常军英, 贾东昭, 等. 3D 打印手术导板引导骶髂螺钉置入的手术技术介绍. 中华骨科杂志, 2015, 35(7): 767-773.
7.	马立敏, 张余, 周烨, 等. 3D 打印技术在股骨远端骨肿瘤的应用. 中国数字医学, 2013, 8(8): 70-72.
8.	韩娟, 杨明, 欧丽影, 等. 3D 打印技术辅助儿童胫骨远端骨软骨瘤的应用. 中国数字医学, 2015, 10(7): 30-32.
9.	胡堃, 李路海, 余均武, 等. 3D 打印技术在骨科个性化治疗中的应用. 高分子通报, 2015, (9): 61-70.
10.	章莹, 李宝丰, 王新宇, 等. 术前 3D 打印技术模拟复杂骨盆骨折手术提高疗效的可行性研究. 中华创伤骨科杂志, 2015, 17(1): 29-33.
11.	姜雨晨, 陈雁西. 3D 打印技术在足踝外科的应用价值. 国际骨科学杂志, 2015, 36(1): 15-17.
12.	杨晶, 程奎, 倪鹏辉, 等. 数字化快速成型技术在骨折畸形愈合个体化治疗的应用研究. 中国骨与关节损伤杂志, 2015, 30(7): 727-729.
13.	杨晶. 计算机辅助设计 3D 打印技术在复杂跟骨骨折治疗中的应用. 国际骨科学杂志, 2017, 38(1): 51-54.
14.	高宗强, 张格林, 吴玮, 等. 3D 打印技术在骨科中的应用及展望. 中国医学教育技术, 2016, 30(3): 252-255.
15.	孙涛, 崔林江, 窦超超. 3D 打印技术在骨肿瘤手术术前规划中的初步应用. 中国数字医学, 2016, 11(9): 74-76.
16.	亚穆罕默德·阿力克, 阿依古丽·喀斯木, 阿里木江·阿不来提, 等. 3D 打印骨水泥塑型器在四肢骨缺损修复中的应用. 中国修复重建外科杂志, 2016, 30(12): 1447-1451.
17.	汤啸天, 王燎. 3D 打印技术与骨科植入物研发现状及其瓶颈突破思路. 医学与法学, 2015, 7(6): 66-73.
18.	Malik HH, Darwood AR, Shaunak S, et al. Three-dimensional printing in surgery: a review of current surgical applications. J Surg Res, 2015, 199(2): 512-522.
19.	Kim HN, Liu XN, Noh KC. Use of a real-size 3D-printed model as a preoperative and intraoperative tool for minimally invasive plating of comminuted midshaft clavicle fracture. J Orthop Surg Res, 2015, 10: 91.
20.	付军, 郭征, 王臻, 等. 多种 3-D 打印手术导板在骨肿瘤切除重建手术中的应用. 中国修复重建外科杂志, 2014, 28(3): 304-308.

1. 付军, 王臻, 郭征, 等. 数字化结合 3D 打印个体化导板的设计加工及其在骨肿瘤手术的应用. 中华创伤骨科杂志, 2015, 17(1): 50-54.
2. 刘琨, 赵汝刚, 张强. 3D 打印技术在骨科的应用研究进展. 中华创伤骨科杂志, 2015, 17(1): 63-65.
3. Berman B. 3-D printing: The new industrial revolution. Business Horizons, 2012, 55(2): 155-162.
4. Enneking WF, Dunham W, Gebhardt MC, et al. A system for the functional evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeletal system. Clin Orthop Relat Res, 1993, (286): 241-246.
5. 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.
6. 穆卫庐, 常军英, 贾东昭, 等. 3D 打印手术导板引导骶髂螺钉置入的手术技术介绍. 中华骨科杂志, 2015, 35(7): 767-773.
7. 马立敏, 张余, 周烨, 等. 3D 打印技术在股骨远端骨肿瘤的应用. 中国数字医学, 2013, 8(8): 70-72.
8. 韩娟, 杨明, 欧丽影, 等. 3D 打印技术辅助儿童胫骨远端骨软骨瘤的应用. 中国数字医学, 2015, 10(7): 30-32.
9. 胡堃, 李路海, 余均武, 等. 3D 打印技术在骨科个性化治疗中的应用. 高分子通报, 2015, (9): 61-70.
10. 章莹, 李宝丰, 王新宇, 等. 术前 3D 打印技术模拟复杂骨盆骨折手术提高疗效的可行性研究. 中华创伤骨科杂志, 2015, 17(1): 29-33.
11. 姜雨晨, 陈雁西. 3D 打印技术在足踝外科的应用价值. 国际骨科学杂志, 2015, 36(1): 15-17.
12. 杨晶, 程奎, 倪鹏辉, 等. 数字化快速成型技术在骨折畸形愈合个体化治疗的应用研究. 中国骨与关节损伤杂志, 2015, 30(7): 727-729.
13. 杨晶. 计算机辅助设计 3D 打印技术在复杂跟骨骨折治疗中的应用. 国际骨科学杂志, 2017, 38(1): 51-54.
14. 高宗强, 张格林, 吴玮, 等. 3D 打印技术在骨科中的应用及展望. 中国医学教育技术, 2016, 30(3): 252-255.
15. 孙涛, 崔林江, 窦超超. 3D 打印技术在骨肿瘤手术术前规划中的初步应用. 中国数字医学, 2016, 11(9): 74-76.
16. 亚穆罕默德·阿力克, 阿依古丽·喀斯木, 阿里木江·阿不来提, 等. 3D 打印骨水泥塑型器在四肢骨缺损修复中的应用. 中国修复重建外科杂志, 2016, 30(12): 1447-1451.
17. 汤啸天, 王燎. 3D 打印技术与骨科植入物研发现状及其瓶颈突破思路. 医学与法学, 2015, 7(6): 66-73.
18. Malik HH, Darwood AR, Shaunak S, et al. Three-dimensional printing in surgery: a review of current surgical applications. J Surg Res, 2015, 199(2): 512-522.
19. Kim HN, Liu XN, Noh KC. Use of a real-size 3D-printed model as a preoperative and intraoperative tool for minimally invasive plating of comminuted midshaft clavicle fracture. J Orthop Surg Res, 2015, 10: 91.
20. 付军, 郭征, 王臻, 等. 多种 3-D 打印手术导板在骨肿瘤切除重建手术中的应用. 中国修复重建外科杂志, 2014, 28(3): 304-308.

Chinese Journal of Reparative and Reconstructive Surgery

Application of three-dimensional printing technology in bone tumor surgery

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