Doctors quickly complete complex hip fracture surgery by relying on 3D printed models

At the 2016 World Internet of Things Expo, which ended recently, 3D printing was presented as an emerging information technology tool, which brought shocking feelings to many viewers. Recently, in the operating room of Wuxi Traditional Chinese Medicine Hospital, which is only 8 kilometers away from the Expo Pavilion, the orthopedic surgeons also used 3D printing technology to guide and complete a complicated hip fracture operation.

A complex hip fracture operation that lasted 5 hours was completed in just 3 hours.

Doctors use the 3D printing model to "customize" the surgery. The above picture shows the use of 3D technology to print out the model hospital.

Doctors quickly complete complex hip fracture surgery by relying on 3D printed models

Complex structure of the fracture site

Recently, the reporter saw Mr. Zhang, a 51-year-old fracture patient in the ward. On the morning of October 29, Mr. Zhang was unfortunately injured by a car. A comminuted fracture occurred in the humerus and acetabulum of the left pelvis. Several fracture lines appeared inside the acetabulum. The fracture end has been poked into the abdominal cavity, accompanied by Central dislocation of the femoral head. Because of the relatively complex bone structure of the fracture site, it is difficult to locate and reset, so the fracture surgery is more traumatic.

In view of the patient's injury, how to shorten the operation time, accurately reduce the fracture end, prevent damage to soft tissues such as organs and nerve vessels, and reduce the risk becomes the key to surgery. Wang Jianwei, director of the Department of Orthopaedics, Wuxi Traditional Chinese Medicine Hospital, and Liu Xiaofeng, deputy director of the Department of Trauma and Orthopaedics, decided to use the internationally advanced 3D printing technology to complete this complicated fracture operation after careful deliberation.

Doctors quickly complete complex hip fracture surgery by relying on 3D printed models

3D printing helps complete the surgery

After obtaining the patient's consent, the experts transmitted the CT scan data of the injured left hip to the 3D printing device and printed the exact same model in a 1:1 ratio. The model was “released”, and the experts held a pre-operative discussion session to carry out simulated surgery on the model, design a surgical plan, and find the most accurate internal fixation channel from the anterior and posterior, respectively, to repair the patient's pelvis.

In the actual operation that followed, Liu Xiaofeng and his team were very familiar, and the operation was completed in just 3 hours. Usually, this type of surgery usually takes 5 hours. In comparison, the operation time is shortened by nearly half.

What are the benefits of 3D printing technology?

According to Wang Jianwei, 3D printing is a rapid prototyping technology that uses polymer powder materials to “restore” the true appearance of an object by layer-by-layer printing. Before the orthopedic surgery, doctors can use the model to communicate with the patient's family for detailed doctor-patient communication. At the same time, by reducing the shape of the fracture site, the fracture type and severity of the injury are fully understood, and the actual operation is drilled. Polishing suitable titanium steel plates and steel nails can improve the operation efficiency, reduce the risk of surgery, shorten the operation process, make the operation better, and the patient suffers less pain.

Wang Jianwei admits that most of the current domestic medical industry prints through 3D technology is only a model that can guide surgery, and it is impossible to print implants that can be implanted in patients. The main reason is that the printing raw materials can not meet the requirements of the built-in materials. . However, some developed countries have applied 3D technology to implantable surgery, so it is reasonable to believe that with the development of domestic medical technology, 3D technology will be more widely used in clinical practice for the benefit of more patients.

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