41. EVALUATION OF RESULTS OF SURGICAL TREATMENT OF TIBIA PLATEAU USING MINIMALLY INVASIVE SURGERY WITH THE SUPPORT OF 3D PRINTING MODELS PRIOR TO SURGERY AT THONG NHAT HOSPITAL HO CHI MINH CITY

Nguyen Trong Sy1, Dang Phan Vinh Toan1, Vo Thanh Toan1
1 Thong Nhat Hospital

Main Article Content

Abstract

Subject and methods: 61 patients over 18 years old with tibial plateau fractures were treated fixation with plate and screws and minimally invasive surgery at Thong Nhat Hospital – Ho Chi Minh city from January 2019 to January 2023, were divided into 2 groups, in which group 1: 30 patients without 3D printing models and group 2: 31 patients with the support of 3D printing models.


Results: A mean follow-up time of 13 ± 3.65 months (group 2) and 12.67 ± 3.3 months (group 1), a mean surgical time of group 2 (126.39 ± 40.51minutes) was shorter than group 1 (146.93 ± 38.87 minutes)(P=0.048), mean blood loss of group 2 (341 ± 115.11 ml) was less than group 1 (409.73 ± 114.87 ml)(P=0.044). The results were good to excellent in 100% with a mean Rasmussen score of group 2: 28.35 ± 3.58, there was no difference in age, hospital stay or treatment outcomes between 2 groups, the near complications were superficial wound infection in 3.22% (group 2) and 6.7% (group 1)(P=0.612) of patients, with no deep venous thrombosis or compartment syndrome observed. Long-term complications included mild pain with weather changes and feeling of an implant under the skin in 7/31 (group 2) and 8/30 (group 1) patients.

Article Details

References

[1] Van Dreumel RL, van Wunnik BP, Janssen L, Simons PC, Janzing HM. Mid- to long-term functional outcome after open reduction and internal fixation of tibial plateau fractures. Injury. 2015;46(8):1608-12.
[2] Rhinelander FW. The normal microcirculation of diaphyseal cortex and its response to fracture. J Bone Joint Surg Am. 1968;50(4):784-800.
[3] Giannetti S, Bizzotto N, Stancati A, Santucci A. Minimally invasive fixation in tibial plateau fractures using an pre-operative and intra-operative real size 3D printing. Injury. 2017;48(3):784-8.
[4] Page SM, Stern PJ. Complications and range of motion following plate fixation of metacarpal and phalangeal fractures. The Journal of Hand Surgery. 1998;23(5):827-32.
[5] Bormann M, Bitschi D, Neidlein C, Berthold DP, Jörgens M, Pätzold R, et al. Mismatch between Clinical-Functional and Radiological Outcome in Tibial Plateau Fractures: A Retrospective Study. J Clin Med. 2023;12(17).
[6] Biggi F, Di Fabio S, D'Antimo C, Trevisani S. Tibial plateau fractures: internal fixation with locking plates and the MIPO technique. Injury. 2010;41(11):1178-82.
[7] Nguyễn Mạnh Khánh PBH, Trần Quốc Tuấn,. Đặc điểm lâm sàng và kết quả điều trị gãy mâm chày bằng phẫu thuật kết hợp xương nẹp vít trên màn hình tăng sáng. Tạp Chí Y học Cộng đồng. 2023;64(5).
[8] Raza H, Hashmi P, Abbas K, Hafeez K. Minimally invasive plate osteosynthesis for tibial plateau fractures. J Orthop Surg (Hong Kong). 2012;20(1):42-7.
[9] Sament R, Mayanger JC, Tripathy SK, Sen RK. Closed reduction and percutaneous screw fixation for tibial plateau fractures. J Orthop Surg (Hong Kong). 2012;20(1):37-41.
[10] Duncan JM, Nahas S, Akhtar K, Daurka J. The Use of a 3D Printer in Pre-operative Planning for a Patient Requiring Acetabular Reconstructive Surgery. J Orthop Case Rep. 2015;5(1):23-5.