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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(03): e456-e461
DOI: 10.1055/s-0044-1785514
Artigo Original
Trauma

Use of Three-dimensional Printing for Tibial Pilon Fracture Diagnosis and Treatment

Article in several languages: português | English
Leonardo Wustro
1   Complexo Hospitalar do Trabalhador, Curitiba, PR, Brasil
,
João Luiz Vieira da Silva
2   Complexo Hospital de Clínicas, Universidade Federal do Paraná (UFPR), Curitiba, PR, Brasil
,
Bruno Arnaldo Bonacin Moura
1   Complexo Hospitalar do Trabalhador, Curitiba, PR, Brasil
,
Helena Squizatto Schoenberger 
3   Hospital da Santa Casa de Curitiba, Curitiba, PR, Brasil
,
Debora Takito
1   Complexo Hospitalar do Trabalhador, Curitiba, PR, Brasil
,
Júlio César Honório D'Agostini
2   Complexo Hospital de Clínicas, Universidade Federal do Paraná (UFPR), Curitiba, PR, Brasil
› Author Affiliations Financial Support Dr. Leonardo Wustro reported support for the present manuscript from Complexo Hospitalar do Trabalhador and Complexo Hospital das Clínicas da Universidade Federal do Paraná (UFPR).
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Abstract

Objective To evaluate whether three-dimensional (3D) printing increases agreement in the classification of tibial pilon fractures.

Methods Orthopedists and traumatologists reviewed radiographs, computed tomography scans with 3D reconstruction, and prototyping 3D printing, and classified the fractures based on the Rüedi-Allgöwer and Arbeitsgemeinschaft für Osteosynthesefragen (AO, Association for the Study of Internal Fixation) Foundation/Orthopedic Trauma Association (AO/OTA) classification systems. Next, data evaluation used Kappa agreement coefficients.

Results The use of the 3D model did not improve agreement for tibial pilon fractures regarding the treatment proposed by the groups. Regarding the classification systems, the agreement only improved concerning the AO/OTA classification when the 3D model was used in the assessment by the foot and ankle specialists.

Conclusion Although 3D printing is statistically relevant for surgeons specializing in foot and ankle, its values remain lower than optimal.

Keywords

fractures, bone - printing, three-dimensional - tibial fractures

Work developed at the Hospital da Santa Casa de Curitiba, Curitiba, Paraná, Brazil.




Publication History

Received: 08 August 2023

Accepted: 06 November 2023

Article published online:
22 June 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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