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Erschienen in: European Journal of Trauma and Emergency Surgery 5/2022

08.01.2022 | Review Article

3D printing-assisted surgery for proximal humerus fractures: a systematic review and meta-analysis

verfasst von: Kai Li, Zhendong Liu, Xiaolei Li, Jingcheng Wang

Erschienen in: European Journal of Trauma and Emergency Surgery | Ausgabe 5/2022

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Abstract

Aim

This study aimed to assess the efficacy of three-dimensional (3D) printing to conventional surgeries in proximal humerus fractures (PHFs).

Methods

Eight databases were comprehensively searched for data on clinical characteristics and outcomes, including operation time, time to bone healing, blood loss volume, number of intraoperative fluoroscopies, the reduction rate of anatomic proximal humeri, Constant scores, Neer rating, loss of humeral head height, and complications. These data were compared between 3D printing-assisted versus conventional surgeries to learn the efficacy of 3D printing-assisted surgery.

Results

3D printing-assisted surgery outperformed conventional procedures in operation time, blood loss volume, time to the union of PHFs, number of fluoroscopies, the reduction rate of anatomic proximal humeri, Constant scores, Neer rating, and complications.

Conclusion

3D printing-assisted surgery improves operation time, anatomic healing, pain, and motion, with less harm to patients.
Literatur
1.
Zurück zum Zitat Naeder H, Beat H. New trends in the treatment of proximal humerus fractures. Clin Orthop Relat Res. 2006;442:100–8.CrossRef Naeder H, Beat H. New trends in the treatment of proximal humerus fractures. Clin Orthop Relat Res. 2006;442:100–8.CrossRef
2.
Zurück zum Zitat Guo WJ, Zhao YM, Wang XH, et al. The correlation between the number of medial column support screws and the efficacy of locking plate for treatment of proximal humeral fractures. Chin J Orthop Trauma. 2015;35(01):40–7. Guo WJ, Zhao YM, Wang XH, et al. The correlation between the number of medial column support screws and the efficacy of locking plate for treatment of proximal humeral fractures. Chin J Orthop Trauma. 2015;35(01):40–7.
3.
Zurück zum Zitat Court-Brown CM, Caesar B. Epidemiology of adult fractures: a review. Injury. 2006;37(8):691–7.CrossRef Court-Brown CM, Caesar B. Epidemiology of adult fractures: a review. Injury. 2006;37(8):691–7.CrossRef
4.
Zurück zum Zitat Schmalzl J, Jessen M, Gilbert F, Gerhardt C, Lehmann L-J. Proximal humeral fracture morphology in patients with advanced cuff tear arthropathy: an observational study in a surgically treated cohort. Eur J Orthop Surg Traumatol. 2021;31(3):517–24.CrossRef Schmalzl J, Jessen M, Gilbert F, Gerhardt C, Lehmann L-J. Proximal humeral fracture morphology in patients with advanced cuff tear arthropathy: an observational study in a surgically treated cohort. Eur J Orthop Surg Traumatol. 2021;31(3):517–24.CrossRef
5.
Zurück zum Zitat Mease Samuel J, Kraeutler Matthew J, GonzalesLuna Daniel C, Gregory James M, Gardner Michael J, Choo AM. Current controversies in the treatment of geriatric proximal humeral fractures. J Bone Jt Surg Am. 2021;103(9):829–36.CrossRef Mease Samuel J, Kraeutler Matthew J, GonzalesLuna Daniel C, Gregory James M, Gardner Michael J, Choo AM. Current controversies in the treatment of geriatric proximal humeral fractures. J Bone Jt Surg Am. 2021;103(9):829–36.CrossRef
6.
Zurück zum Zitat Sandra F, Laurent A, Amir S, Muller MA, Daniel R. Treatment options for proximal humeral fractures in the older adults and their implication on personal independence. Arch Orthop Trauma Surg. 2020;140(12):1971–6.CrossRef Sandra F, Laurent A, Amir S, Muller MA, Daniel R. Treatment options for proximal humeral fractures in the older adults and their implication on personal independence. Arch Orthop Trauma Surg. 2020;140(12):1971–6.CrossRef
8.
Zurück zum Zitat Beks BR, Yassine O, Herman F, et al. Operative versus nonoperative treatment of proximal humeral fractures: a systematic review, meta-analysis, and comparison of observational studies and randomized controlled trials. J Shoulder Elb Surg. 2018;27(8):1526–34.CrossRef Beks BR, Yassine O, Herman F, et al. Operative versus nonoperative treatment of proximal humeral fractures: a systematic review, meta-analysis, and comparison of observational studies and randomized controlled trials. J Shoulder Elb Surg. 2018;27(8):1526–34.CrossRef
9.
Zurück zum Zitat Sun Q, Ge W, Li G, et al. Locking plates versus intramedullary nails in the management of displaced proximal humeral fractures: a systematic review and meta-analysis. Int Orthop. 2018;42(3):641–50.CrossRef Sun Q, Ge W, Li G, et al. Locking plates versus intramedullary nails in the management of displaced proximal humeral fractures: a systematic review and meta-analysis. Int Orthop. 2018;42(3):641–50.CrossRef
10.
Zurück zum Zitat Anderosn MJJ, Venkat B, Bixby EC, et al. The relationship between age and short-term complications following reverse total shoulder arthroplasty for proximal humerus fractures. Semin Arthroplast JSES. 2021;31(1):81–8.CrossRef Anderosn MJJ, Venkat B, Bixby EC, et al. The relationship between age and short-term complications following reverse total shoulder arthroplasty for proximal humerus fractures. Semin Arthroplast JSES. 2021;31(1):81–8.CrossRef
11.
Zurück zum Zitat Grawe B, Le T, Lee T, Wyrick J. Open reduction and internal fixation (ORIF) of complex 3- and 4-part fractures of the proximal humerus. Geriatr Orthop Surg Rehabil. 2012;3(1):27–32.CrossRef Grawe B, Le T, Lee T, Wyrick J. Open reduction and internal fixation (ORIF) of complex 3- and 4-part fractures of the proximal humerus. Geriatr Orthop Surg Rehabil. 2012;3(1):27–32.CrossRef
12.
13.
Zurück zum Zitat Vaibhav B, Rakesh B, Prashant P. 3D printing- creating a blueprint for the future of orthopedics: current concept review and the road ahead! J Clin Orthop Trauma. 2018;9(3):207–12.CrossRef Vaibhav B, Rakesh B, Prashant P. 3D printing- creating a blueprint for the future of orthopedics: current concept review and the road ahead! J Clin Orthop Trauma. 2018;9(3):207–12.CrossRef
14.
Zurück zum Zitat Honigmann P, Thieringer F, Steiger R, Haefeli M, Schumacher R, Henning J. A simple 3-dimensional printed aid for a corrective palmar opening wedge osteotomy of the distal radius. J Hand Surg Am. 2016;41(3):464–9.CrossRef Honigmann P, Thieringer F, Steiger R, Haefeli M, Schumacher R, Henning J. A simple 3-dimensional printed aid for a corrective palmar opening wedge osteotomy of the distal radius. J Hand Surg Am. 2016;41(3):464–9.CrossRef
15.
Zurück zum Zitat Bizzotto N, Tami I, Tami A, et al. 3D Printed models of distal radius fractures. Injury. 2016;47(4):976–8.CrossRef Bizzotto N, Tami I, Tami A, et al. 3D Printed models of distal radius fractures. Injury. 2016;47(4):976–8.CrossRef
16.
Zurück zum Zitat Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097.CrossRef Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097.CrossRef
17.
Zurück zum Zitat Slim K, Nini E, Forestier D, et al. Methodological index for non-randomized studies (minors): development and validation of a new instrument. ANZ J Surg. 2003;73(9):712–6.CrossRef Slim K, Nini E, Forestier D, et al. Methodological index for non-randomized studies (minors): development and validation of a new instrument. ANZ J Surg. 2003;73(9):712–6.CrossRef
18.
Zurück zum Zitat Wei XD, Xiao XG, Zou K, Chen YG. Application of 3D printing technology in complex proximal humeral fractures. J Pract Med. 2018;34(02):335–6. Wei XD, Xiao XG, Zou K, Chen YG. Application of 3D printing technology in complex proximal humeral fractures. J Pract Med. 2018;34(02):335–6.
19.
Zurück zum Zitat Zheng SJ, Li DS, Wang L, Zhang DW, Ma FQ, Wang AG. Application of 3D printing technology to assist in the treatment of complex proximal humeral fractures in the elderly. Chin J Gerontol. 2017;37(07):1698–700. Zheng SJ, Li DS, Wang L, Zhang DW, Ma FQ, Wang AG. Application of 3D printing technology to assist in the treatment of complex proximal humeral fractures in the elderly. Chin J Gerontol. 2017;37(07):1698–700.
20.
Zurück zum Zitat You W, Liu LJ, Chen HX, et al. Application of 3D printing technology on the treatment of complex proximal humeral fractures (Neer3-part and 4-part) in old people. Orthop Traumatol Surg Res OTSR. 2016;102(7):897–903.CrossRef You W, Liu LJ, Chen HX, et al. Application of 3D printing technology on the treatment of complex proximal humeral fractures (Neer3-part and 4-part) in old people. Orthop Traumatol Surg Res OTSR. 2016;102(7):897–903.CrossRef
21.
Zurück zum Zitat Chen Y, Jia X, Qiang M, Zhang K, Chen S. Computer-assisted virtual surgical technology versus three-dimensional printing technology in preoperative planning for displaced three and four-part fractures of the proximal end of the humerus. J Bone Jt Surg Am. 2018;100(22):1960–8.CrossRef Chen Y, Jia X, Qiang M, Zhang K, Chen S. Computer-assisted virtual surgical technology versus three-dimensional printing technology in preoperative planning for displaced three and four-part fractures of the proximal end of the humerus. J Bone Jt Surg Am. 2018;100(22):1960–8.CrossRef
22.
Zurück zum Zitat Liao ZP, Ou WH, Kang L, Chen SX. Application of 3D printing combined with MIPO technology in the treatment of Neer second and third part proximal humeral fractures in 12 cases. Chin J Orthop Traumatol. 2016;24(07):60–2. Liao ZP, Ou WH, Kang L, Chen SX. Application of 3D printing combined with MIPO technology in the treatment of Neer second and third part proximal humeral fractures in 12 cases. Chin J Orthop Traumatol. 2016;24(07):60–2.
23.
Zurück zum Zitat Dai F, Wang Q, Wang J, Fan ZH, Jiang ZY. Advantages of 3D printing simulation surgery method in the proximal humeral Neer four-part fracture and its effect on postoperative functional recovery. Chin Med Her. 2020;17(36):95-98+104. Dai F, Wang Q, Wang J, Fan ZH, Jiang ZY. Advantages of 3D printing simulation surgery method in the proximal humeral Neer four-part fracture and its effect on postoperative functional recovery. Chin Med Her. 2020;17(36):95-98+104.
24.
Zurück zum Zitat Chen J, Ma JC, Song ZH, Yuan JB, Chen SI. The clinical effects of 3D printing and LCP combined with MIPO technology in the treatment of adult Neer II and III proximal humeral fractures. J Xinjiang Med Univ. 2019;42(07):895–8. Chen J, Ma JC, Song ZH, Yuan JB, Chen SI. The clinical effects of 3D printing and LCP combined with MIPO technology in the treatment of adult Neer II and III proximal humeral fractures. J Xinjiang Med Univ. 2019;42(07):895–8.
25.
Zurück zum Zitat Zhong H, Chen J, Li JW, et al. Application of 3D printing technology in PHILOS internal fixation of proximal humeral fractures and medial talar support reconstruction. Chin J Bone Jt Inj. 2018;33(07):757–9. Zhong H, Chen J, Li JW, et al. Application of 3D printing technology in PHILOS internal fixation of proximal humeral fractures and medial talar support reconstruction. Chin J Bone Jt Inj. 2018;33(07):757–9.
26.
Zurück zum Zitat Zhang R, Chen K, Lou YZ, Wang JS, Guo XS. Observation on the effect of 3D printing technology-assisted proximal humeral locking plate internal fixation for the treatment of proximal humeral fractures. Chin J Bone Jt Inj. 2018;33(03):307–8. Zhang R, Chen K, Lou YZ, Wang JS, Guo XS. Observation on the effect of 3D printing technology-assisted proximal humeral locking plate internal fixation for the treatment of proximal humeral fractures. Chin J Bone Jt Inj. 2018;33(03):307–8.
27.
Zurück zum Zitat Herbert R, Mark T, Neviaser RJ, et al. Classification of proximal humeral fractures based on a pathomorphologic analysis. J Shoulder Elb Surg. 2016;25(3):455–62.CrossRef Herbert R, Mark T, Neviaser RJ, et al. Classification of proximal humeral fractures based on a pathomorphologic analysis. J Shoulder Elb Surg. 2016;25(3):455–62.CrossRef
28.
Zurück zum Zitat Matsumura N, Furuhata R, Seto T, et al. Reproducibility of the modified Neer classification defining displacement with respect to the humeral head fragment for proximal humeral fractures. J Orthop Surg Res. 2020;15(1):438.CrossRef Matsumura N, Furuhata R, Seto T, et al. Reproducibility of the modified Neer classification defining displacement with respect to the humeral head fragment for proximal humeral fractures. J Orthop Surg Res. 2020;15(1):438.CrossRef
29.
Zurück zum Zitat Xiong L, Li XY, Li H, Chen ZY, Xiao T. The efficacy of 3D printing-assisted surgery for traumatic fracture: a meta-analysis. Postgrad Med J. 2019;95(1126):414–9.CrossRef Xiong L, Li XY, Li H, Chen ZY, Xiao T. The efficacy of 3D printing-assisted surgery for traumatic fracture: a meta-analysis. Postgrad Med J. 2019;95(1126):414–9.CrossRef
30.
Zurück zum Zitat Chen C, Cai L, Zheng W, Wang J, Guo X, Chen H. The efficacy of using 3D printing models in the treatment of fractures: a randomised clinical trial. BMC Musculoskelet Disord. 2019;20(1):65.CrossRef Chen C, Cai L, Zheng W, Wang J, Guo X, Chen H. The efficacy of using 3D printing models in the treatment of fractures: a randomised clinical trial. BMC Musculoskelet Disord. 2019;20(1):65.CrossRef
31.
Zurück zum Zitat Zhu DM, Zhang Z, Zhang J, et al. The efficacy of 3D printing-assisted surgery in treating distal radius fractures: systematic review and meta-analysis. J Comp Eff Res. 2020;9(13):919–31.CrossRef Zhu DM, Zhang Z, Zhang J, et al. The efficacy of 3D printing-assisted surgery in treating distal radius fractures: systematic review and meta-analysis. J Comp Eff Res. 2020;9(13):919–31.CrossRef
32.
Zurück zum Zitat Lisa H, Helge E, Wagner CF, et al. Age- and severity-adjusted treatment of proximal humerus fractures in children and adolescents-a systematical review and meta-analysis. PLoS One. 2017;12(8):e0183157. Lisa H, Helge E, Wagner CF, et al. Age- and severity-adjusted treatment of proximal humerus fractures in children and adolescents-a systematical review and meta-analysis. PLoS One. 2017;12(8):e0183157.
33.
Zurück zum Zitat Tack P, Victor J, Gemmel P, Annemans L. 3D-printing techniques in a medical setting: a systematic literature review. Biomed Eng Online. 2016;15(1):115.CrossRef Tack P, Victor J, Gemmel P, Annemans L. 3D-printing techniques in a medical setting: a systematic literature review. Biomed Eng Online. 2016;15(1):115.CrossRef
34.
Zurück zum Zitat Smith GCS, Bateman E, Cass B, et al. Reverse shoulder arthroplasty for the treatment of proximal humeral fractures in the elderly (ReShAPE trial): study protocol for a multicentre combined randomised controlled and observational trial. Trials. 2017;18(1):91.CrossRef Smith GCS, Bateman E, Cass B, et al. Reverse shoulder arthroplasty for the treatment of proximal humeral fractures in the elderly (ReShAPE trial): study protocol for a multicentre combined randomised controlled and observational trial. Trials. 2017;18(1):91.CrossRef
35.
Zurück zum Zitat Wan SX, Meng FB, Zhang J, Chen Z, Yu LB, Wen JJ. Experimental study and preliminary clinical application of mini-invasive percutaneous internal screw fixation for scaphoid fracture under the guidance of a 3D-printed guide plate. Curr Med Sci. 2019;39(6):990–6.CrossRef Wan SX, Meng FB, Zhang J, Chen Z, Yu LB, Wen JJ. Experimental study and preliminary clinical application of mini-invasive percutaneous internal screw fixation for scaphoid fracture under the guidance of a 3D-printed guide plate. Curr Med Sci. 2019;39(6):990–6.CrossRef
36.
Zurück zum Zitat Cook A, Baldwin P, Fowler JR. Incidence of flexor pollicis longus complications following volar locking plate fixation of distal radius fractures. Hand. 2020;15(5):692–7.CrossRef Cook A, Baldwin P, Fowler JR. Incidence of flexor pollicis longus complications following volar locking plate fixation of distal radius fractures. Hand. 2020;15(5):692–7.CrossRef
Metadaten
Titel
3D printing-assisted surgery for proximal humerus fractures: a systematic review and meta-analysis
verfasst von
Kai Li
Zhendong Liu
Xiaolei Li
Jingcheng Wang
Publikationsdatum
08.01.2022
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Trauma and Emergency Surgery / Ausgabe 5/2022
Print ISSN: 1863-9933
Elektronische ISSN: 1863-9941
DOI
https://doi.org/10.1007/s00068-021-01851-5

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